Insomnia lasting longer than four weeks is considered chronic and requires careful assessment not only because it affects the quality of life of the patient, but also because it is an important risk factor for the possible development of depression.

Insomnia can be treated using non-pharmacological methods, as well as with the help of drugs. Compared with other types of drugs, the advantage of trazodone is that they reduce sleep disorders, resulting in fewer side effects.

I have been sleeping badly for some time: do I suffer from insomnia?

Insomnia is defined as a condition in which the sleep time is reduced.

More generally, the term indicates a subjective feeling of a lack of appropriate benefits that sleep brings, because it lasts too short or is less relaxing. In fact, the “sleep time coefficient” is not important in itself, because each of us has individual needs regarding sleep length: some people need 3-5 hours of sleep to feel fully rested while others need no less than 8- 9 hours.

Are there different types of insomnia

Yes, we are talking about initial insomnia when there are difficulties falling asleep, about central insomnia, when sleep is not continuous and is disturbed by frequent awakening, and about borderless insomnia when the morning awakening occurs prematurely.

The duration of insomnia is also classified, which means that depending on the duration of the disorder, you can distinguish:

  • occasional insomnia, which usually lasts for a few days and is associated with the occurrence of certain factors, such as disease states, anxiety, noise, inappropriate ambient temperature, change of time, etc .;
  • transient insomnia, when a person complains about a disturbance of sleep for up to three weeks;
  • chronic insomnia when the disorder persists over time.

Causes of insomnia

Factors that can affect the amount and quality of sleep are numerous and varied; sometimes the cause of insomnia may be specific causes, sometimes more reasons can contribute to this disorder.

Sleep mechanisms are sensitive to the presence of psychological factors, such as stress, family and financial problems that cause anxiety; In some cases, insomnia is caused by environmental factors such as altitude or jet lag syndrome associated with crossing time zones during long air travel.

When sleep disorders occur in a healthy person with no other diseases, we speak about primary insomnia, while when the change in sleep mechanisms is associated with the presence of specific pathologies, insomnia is defined as secondary.

Some physical disorders or diseases such as liver disease, breathing disorders, gastrointestinal disorders, heart disorders, as well as depression, various types of neurological and psychiatric disorders can be the main cause of sleep disorders.

What consequences causes insomnia

Insomnia causes more or less serious consequences for the well-being and life of a person. Drowsiness, reduced ability to concentrate, memory problems, irritability and general fatigue adversely affect the daily quality of life of a person who sleeps little and badly.

Our body needs rest to regain strength, maintain physical fitness and strengthen the immune system; insomnia causes weakening of the body’s defenses, increasing susceptibility to diseases and infections.

How to improve the quality of sleep

  1. Go to bed and get up at the same hour, even if we slept badly at night;
  2. If we wake up before the alarm rings – instead of turning over from bed to bed, it is advisable to get up and start daily activities;
  3. You should go to bed when you are drowsy and avoid an afternoon nap;
  4. Reduce the activity of the body both physically and intellectually at bedtime, trying to relax as much as possible;
  5. Limit the consumption of stimulants, such as coffee, tea or alcohol, as they promote waking at night;
  6. Avoid smoking before bedtime, instead of drinking hot drinks, such as milk and chamomile, which help you relax;
  7. Sleep in the room with the highest possible level of calm, at the right temperature and in a comfortable bed;
  8. Eat at regular times and avoid large meals before going to bed at night;
  9. Lead appropriate physical activity during the day.


If the symptoms persist after the potential cause of the disorder is removed and the behavioral measures are implemented, you should see a doctor to prevent insomnia from getting worse and turning it into a chronic condition. Attention! In the treatment of insomnia, it is forbidden to act on a “do-it-yourself” basis, because uncontrolled taking of hypnotics can lead to serious side effects and addiction to medications.

Each case of insomnia should be investigated and considered individually. Only after analyzing and assessing the general condition of the patient, the doctor may recommend appropriate treatment, prescribing the medication or deciding to stop their use, in accordance with the clinical course observed.