Problems with sleep

Insomnia is when you have trouble falling asleep, trouble maintaining sleep, or have trouble waking up prematurely. If the lack of sleep goes beyond the function during the day, one suffers from morbid sleep deprivation - insomnia.

  • Symptoms

    Insomnia is when you have trouble falling asleep, have trouble maintaining sleep, or have trouble waking up prematurely. If the lack of sleep goes beyond the function during the day, one suffers from morbid sleep deprivation - insomnia.

    It is common to divide insomnia into pure insomnia and insomnia that coexists with another disease.

    Very many diseases can cause persistent sleep disorders. Common causes are depression, anxiety. Heart or lung disease can cause difficulty breathing at night. Pain conditions can keep you awake. Nasal congestion, e.g. polyps in the nose, may cause difficulty breathing and awakening. The list of causes is long. Many medications can also cause sleep problems as a side effect, an example being a type of heart medication called beta-blockers. Social causes can be noise or commotion, shift work, irregular circadian rhythm.

    There is no cause for primary sleep disorder. The sleep disorder is often triggered by some strain, but persists after the problem is resolved.

  • What can I do myself?

    Transient sleep disturbance is a normal condition in many contexts. Most often, such disturbances will dissepear on its own. The most important thing to do in case of short-term insomnia is nothing. There are often attempts to compensate for short-term sleep problems that lead to persistent sleep problems. If you continue to behave as you did before the sleep problems occurred (go to bed at the same time and get up at the same time - do not sleep during the day) is the fastest way to get back to the routines that worked.

    For more long-term ailments, many people seek help. The treatment offered by doctors can roughly be divided into non-drug or drug treatment. Experts have no doubt that the treatment without medication is the best. Research shows a good effect of short-term treatment both without medication and with medication.

    Long-term follow-up of patients over the years shows that the effect of the non-drug treatment remains, while the effect of the tablet treatment disappears. In many cases, long-term use of sleeping pills is thought to help maintain poor sleep.

    The non-drug treatment consists primarily of sleep restriction (sleep restriction), stimulus control and light therapy. All forms of treatment can be used together or separately. In addition, there are sleep hygiene tips that are important for everyone.

    Many types of medication can be used for insomnia. The modern sleeping pills are very effective in the short term. There are both addictive and non-addictive medications. At Eyr, we do not prescribe addictive drugs such as apodorm, imovane, zopiclone, zolpidem and stilnoct as research shows that many who use these sleeping pills continue to use them for years. Prolonged use causes the brain to get used to the medicine, and the effect becomes weaker. Side effects such as fatigue, drowsiness and difficulty concentrating during the day can still persist. Many people also experience that sleep is worse - you do not feel rested even if you have slept.

  • What can Eyr help with?
    • Eyr can assess whether the sleep problems need non-medical or medical treatment
    • Eyr can prescribe relevant medications, but not addictive sleeping pills.
    • Eyr can renew regular medications, not addictive sleeping pills
    • Eyr can refer to a specialist if needed
    • Eyr can give advice on sleep hygiene principles

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Reference: Norwegian Medical Handbook, NEL. Edited and medically quality assured by Dr. Theresa Franck, specialist in general medicine.