Central Coast Home & Lifestyle Magazine Summer 2016

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The important strategies in dealing with
chronic insomnia involve the following:
1. Insomnia should be seen as a symptom,
not a disease.
2. Insomnia is a symptom which affects
both night time as well as daytime in
equal measures.
Often people try to find strategies at night
time to sleep better. However unless daytime
issues (the issues that the person faces
between 8am and 8pm, personal, family,
work) are addressed, the insomnia will not be
brought under control.
Although medication can be useful and
reasonably safe, the best way to address
insomnia is to use what drives sleep in every
one of us. The two main drivers of sleep are:
1. How longwe have been awake beforehand.
2. Our body clock.
It is important to restrict the time that we
spend in bed. This is actually counter-intuitive
and sometimes difficult for people to accept.
The longer the person is in bed the more
broken sleep is.
The second main driver of sleep is actually
the body clock. The body clock is regulated by
light and by a hormone called melatonin.
Melatonin has to be short acting and
compound made, taken about 2-3 hours
before going to bed - 8:30-9:00pm.
We use bright light in the morning;
sometimes natural light (for example in
summer) or green-blue light delivered through
special goggles to treat insomnia.
You can find more information on our
website . In the
home page there is a downloadable PDF book
entitled “Chronic insomnia- a self-help manual
which is free of charge and a relaxation tape.
Insomnia
I nsomnia can be difficulties starting sleep, maintaining sleep or
waking up early in the morning, and chronically affects 1 in 10
people.
Once insomnia has set in for a few months then the bedroom
and going to bed becomes a negative experience. That is, instead
of looking forward to going to bed to rest for the night, often the
person starts to dread going to bed because they are thinking
that they will not be able to sleep and they will have to face a
busy day the following morning.
by Dr Antonio Ambrogetti
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