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Depressive Disorder | Anxiety Disorder | Panic Disorder | OCD – Obsessive Compulsive Disorder | Eating Disorders (Anorexia/ Bulimia) | Body Image/ Self Esteem Issues | Personality Disorders | Psychotic Illnesses | Bereavement | Relationship Therapy | Self-Harm/ Suicidal Ideations | Aggression/ Anger Management | Managing difficulties in the workplace | ADHD | Adolescent emotional and psychological disorders | Bullying and school difficulties | Supportive psychotherapy | Psychotropic medication prescription and supervision

Most of us are dealing with stress and illnesses. Some are related to their routine activities like for example work, common in shift workers who experience rapid and repeated changes in their work schedule. Consistent interference on a daily basis, frequent problem to fall asleep for a longer period of time usually lead to sleep disorders.

Types of common sleep disorders include Insomnia, Parasomnia, Circadian sleep rhythm disorder and Breathing-related sleep disorder.

1. What does sleeping disorder feel like?

  • Difficulty initiating or maintaining sleepfor at least a month that causes clinically significant distress.
  • Prolonged sleep/excessive sleepiness at least 1 month.
  • Irresistible attacks of sleep(Sleep Attack) occurring daily at least for 3 months.
  • Repeated nightmares(frightening dreams that leads to awakening from sleep).
  • Manifestation of abrupt movement/stimulation from sleep with screaming or cry.
  • Sleep walking(which the person may leave the bed, walk, dress, go to bathroom, or even drive(Somnabulism).
  • Sleep talking(Somniloquence).
  • Unconscious grinding or clenching of the teeth during sleep(Bruxism).
  • Sleep disruption(excessive sleepiness or insomnia which is thought to be caused by sleep apnea/central alveolar hypoventilation.

2. What puts a person at risk of developing sleeping disorder?

Sleep disorders can be caused by various factors like disrupted or exaggerated sleeping or daytime wakefulness of body’s natural cycle.

  • Genetics- neurological disorder might affect the sleep regulation of the body to control sleep and wakefulness.
  • Shift work type-rapid and repeated changes in their schedule
  • Stressful life events(traumatic childhood experience- sexual trauma or family conflict).
  • Hormonal changes.
  • Medication(ex. Antidepressant, anti-hypertension medication).
  • Aging(medication interference).
  • Physical issues (ex. Problem in kidneys, lung, liver etc.)
  • Snoring- because of this habit, the individual unconsciously wakes up for couple of times.

3. What are the treatment modalities at LWHCC for sleep disorder?

  • Psychotherapy plays important role in the treatment of sleeping disorder. /li>
  • One of the modalities is the sleep hygiene. Many researchers’ studies suggest these strategies help to provide long term solution for sleep difficulties.
  • Medication might take a role to manage difficulties to sleep like sleeping pills (Hypnotics), melatonin supplements and medication for underlying health issues like anxiety, depression, Mood disorders, personality issues which are significant , leading to sleep issues.

Which treatment modality is better for me?

At LWHCC, we provide you with free triage service with a professional mental health nurse who will carry on a brief mental health assessment, either over the phone or during a face-to-face interview, and guide you to the appropriate service based on your mental health status and individual needs.

4. What can you do to help yourself?

Mainly self-compliance and modification of lifestyle.

  • Maintain regular sleeping and waking hours.
  • Avoid caffeine, alcohol or nicotine before bedtime.
  • Make sleep diary.
  • Having healthy diet.
  • Proper exercise, at least a gap of 4 hours after exercising.

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