Primary problems with falling asleep and difficulty sleeping through | Problems with falling asleep

Primary problems with falling asleep and difficulty sleeping through

With the primary form of a sleep disorder there is only an independent sleep disorder, which means that no other diseases are the trigger for insomnia.

Secondary problems with falling asleep and sleep through

In the secondary form of sleep disorder, insomnia is a symptom of another disorder.

Adaptation-related or acute primary problems with falling asleep and sleep through

Adaptation-related or acute primary problems with falling asleep or difficulty sleeping through the night are triggered by a specific stressor. It is usually of short duration, ranging from a few days to weeks. The stressor here can be nature.Typical stressors are Typical symptoms are

  • Psychological,
  • Psychosocialist,
  • Physical organic or
  • Environmental
  • Change of job,
  • Family conflicts,
  • Removals,
  • Hospital stays
  • Thyroid disease and other medical diagnoses
  • Positive experiences like falling in love
  • The above mentioned symptoms during the night
  • Fatigue-related limitations in performance and emotional state during the day
  • Increased irritability
  • Anxiety
  • Psychological tension up to depressiveness
  • Headaches
  • Gastrointestinal complaints
  • Questioning about the general state of health
  • The consumption of medicines
  • The possible consumption of addictive substances
  • The physical examination
  • Laboratory examination to detect possible organ disorders, if any
  • The special sleep medical diagnostics, which includes the sleep survey, the sleep diary and possibly a sleep questionnaire

Psychophysiological insomnia and insomnia

Psychophysiological insomnia is an insomnia within a psychophysiological complex of symptoms that is related to learned or sleep-deprived behavioral patterns. The triggering factors are stressors such as In the course of the disease, the stressors can disappear and lead to an independent sleep disorder. Typical for this form of problems in falling asleep and sleeping through the night is the ability to fall asleep, which often occurs only in the morning hours in association with the base of the body core temperature and the beginning dissolution of the exaggerated effort to fall asleep.

During the day, the complaints are in the foreground. Stress symptoms are just as frequent as those that occur during the day. Towards evening, the fear of going to bed with a social withdrawal tendency is frequently observed. Despite increased fatigue, patients are rarely able to sleep during the day.

  • Physical diseases with pain
  • Acute mental stress situations
  • A stay in hospital
  • A changed, sleep disturbing environment
  • Move
  • Shift Work
  • Tendency to brood at night
  • Lack of ability to switch off
  • Focus on the sleep problem with secondary adaptation increase, mostly due to increased anxiety and negative sleep expectancy
  • Exaggerated effort to fall asleep
  • Fear of insomnia
  • Lack of sleep hygiene, e.g. irregular bed times, working at night or watching television
  • Tiredness
  • Exhaustion
  • Actorlessness
  • And upset
  • Headaches
  • Stomach pain

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All articles in this series:

  1. Problems with falling asleep
  2. Primary problems with falling asleep and difficulty sleeping through
  3. Paradoxical problems with falling asleep and insomnia
  4. Problems falling asleep and difficulty sleeping through inadequate sleep hygiene