2024 Author: Harry Day | [email protected]. Last modified: 2023-12-17 15:43
If you have spent at least one sleepless night in your life and have fallen into the trap of a sophisticated mechanism of unsuccessful attempts to sleep, then you already know for sure that the more you try to sleep, the more awake you are.
If we exclude the presence of some organic diseases: neurological, cardiovascular, indigestion, acute chronic pain, then insomnia actually has a purely psychological origin.
There are three main types of insomnia, three of its faces.
The first face of insomnia. 50% of those suffering from insomnia afraid not to fall asleepbut do not fully realize it.
These clients state that they have no thoughts or concerns to worry about. However, with the onset of evening, they begin to feel latent tension, turning into anxiety, about the long and painful night ahead. When you get ready for bed, the brain “turns on” instead of shutting down, thoughts roll in, muscles tense and you enter a state of psychophysical arousal, and every attempt to relax and fall asleep turns into an additional cause of tension. This spiral reaches its peaks and manifests itself in many hours of insomnia. Sometimes it is possible to fall asleep only in the morning.
The second face of insomnia. 30% fall asleep easily, but wake up in the middle of the nightunable to fall asleep again. This type of insomnia is not based on the fear of insomnia, like the previous one, but on another mechanism - this is the constant control of reality through thought. Awakening comes suddenly, like turning on a light bulb, and is accompanied by a flood of thoughts about your day at work or the problems you usually face during the day. The mind seems unable to stop controlling, managing, planning, and so what may appear to be functional in everyday life becomes a dangerous nocturnal mechanism.
The rest of the night is spent thinking and worrying about tomorrow. Real panic attacks can develop. With this type of insomnia, medications are often used, mainly anxiolytics. However, this has a temporary effect and often leads to dependence on sleeping pills.
The third face of insomnia. The remaining 20% of those suffering from insomnia know why they are awake. The night can be intimidating for a variety of reasons. With the onset of darkness, frightening thoughts and fears surface: fear of death, thieves, earthquakes, ghosts, thoughts, physical symptoms.
In this case, the person suffering from insomnia is trying more and more to set aside time for going to sleep. The result in this case is obvious: nights on the couch with the lights on and the TV on, and the next morning you feel completely sick and overwhelmed. In such situations, the use of drugs is less common. In this case, clients understand why they are awake and consider it useless to use drugs that "will not get rid of fear."
Thus, in all three described cases, we are faced with specific pathological mechanisms that do not allow us to plunge into the embrace of the long-awaited sleep. It is important to note that the pursuit of "sleep hygiene" in some cases can even worsen insomnia. We see a real obsessive rigidity about bedtime, eating, and ritual habits before bed, which instead of promoting sleep, block it even more. Dealing with insomnia focuses specifically on unblocking the rigid and repetitive mechanisms that support forced nighttime wakefulness. In short-term strategic psychotherapy, specific treatment protocols have been developed for various types of insomnia.
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