Why do I always have trouble falling asleep at night and wake up early during the day? What medicine should I take? In fact, 70% of sleep problems are due to mental illness.
Case 1: Depression
One patient suffered from insomnia, especially frequent early awakening, and was accompanied by depression. Before insomnia occurred, this patient would get up around 6:30 every morning; after developing insomnia, he often woke up at around 3 o'clock in the morning, and it was very difficult to fall asleep again. The clinician therefore prescribed diazepam and other drugs to treat insomnia. As a result, the insomnia never improved and the patient's mood became increasingly depressed.
After consultation with a psychiatric department, the patient was diagnosed with depression. Subsequently, additional antidepressant drugs were given for treatment, and the symptoms of early awakening were significantly improved, and the low mood was also significantly improved.
Case 2: Anxiety disorder
A diabetic patient has been having trouble sleeping since becoming ill. I said that as soon as I go to bed at night, my mind starts to become active and I have random thoughts. I spent the rest of the night tossing and turning in bed, unable to sleep. Even if you go to bed at 22:00 every night, you will not be able to fall asleep until after 24:00. He was prescribed diazepam drugs. The patient could only take diazepam drugs before going to bed every night to fall asleep normally.
After consultation with a psychiatric department, the patient was diagnosed with a typical anxiety disorder. He was also given anti-anxiety medication and received professional psychological consultation. After that, the patient's anxiety improved significantly, he no longer had random thoughts, and his sleep quality also improved significantly.
Summarize
Insomnia is a common symptom of anxiety and depression. Starting from sleep, many psychological problems of patients will be discovered. The causes of insomnia include physical factors, drug factors and other diseases (such as mental disorders, mania, acute delirium), etc. Therefore, people with diabetes should not underestimate insomnia.
Two more points can be learned from the case:
⒈Although sleep medicine can quickly improve sleep quality, in some cases insomnia cannot be solved by sleep medicine alone. For example, patients with anxiety and depression still need to take anti-anxiety and depressant drugs. At the same time, it is best to receive formal psychological counseling.
⒉The typical insomnia symptom of anxiety is difficulty falling asleep, just like people often say "turning pancakes in bed", and cannot fall asleep after tossing and turning; the typical insomnia symptom of depression is waking up early, and it is difficult to fall asleep again after waking up in the middle of the night.
Insomnia self-assessment
In daily life, how do we judge which insomnia symptoms we have and whether these symptoms are caused by psychological problems. We can make a simple judgment through the scale below.
If you meet any of the items in the scale, coupled with factors such as always feeling upset, irritable, depressed, insomnia, loss of appetite, frequent crying, etc., after ruling out pathology or other causes of insomnia, you should seek medical advice in time. Please consult a psychological or psychiatrist for a quick diagnosis and timely treatment.
Heart diseases also require heart medicine. It is recommended that everyone maintain an optimistic and positive attitude towards life. Don't take everything too seriously. Only by having fewer worries can you sleep soundly.
