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Understanding Insomnia and Its Treatment with CBT-I

What is Insomnia?

Insomnia is a common sleep disorder characterized by difficulty falling asleep, staying asleep, or waking up too early and not being able to go back to sleep. It can lead to various daytime consequences, including fatigue, mood disturbances, and impaired concentration. Insomnia can be categorized based on its duration:

  • Acute Insomnia: Also known as short-term insomnia, it lasts for days or weeks and is often triggered by stress or a traumatic event.
  • Chronic Insomnia: This type lasts for three months or longer and occurs at least three nights a week. It can be linked to underlying medical or psychiatric conditions.

Types of Insomnia

  • Primary Insomnia: Insomnia that isn’t directly associated with any other health condition or problem.
  • Secondary Insomnia: Insomnia that occurs due to another condition, such as asthma, depression, arthritis, cancer, or heartburn, or due to the use of substances like alcohol, caffeine, or medications.

Causes of Insomnia

Insomnia can result from various factors, including:

  • Stress: Major life events like job loss, death of a loved one, divorce, or financial problems can disrupt sleep.
  • Anxiety and Depression: These mental health conditions can interfere with sleep patterns.
  • Poor Sleep Habits: Irregular sleep schedules, stimulating activities before bed, and uncomfortable sleep environments can contribute to insomnia.
  • Medical Conditions: Chronic pain, respiratory issues, gastrointestinal problems, and other health conditions can disrupt sleep.
  • Medications: Certain medications for conditions such as asthma, high blood pressure, depression, and allergies can cause insomnia.
  • Lifestyle Factors: Consuming caffeine or nicotine, heavy meals, and alcohol close to bedtime can interfere with sleep.

Symptoms of Insomnia

  • Difficulty Falling Asleep: Lying awake for a long time before being able to sleep.
  • Waking Up During the Night: Frequently waking up during the night and having trouble going back to sleep.
  • Waking Up Too Early: Waking up too early in the morning and not being able to return to sleep.
  • Daytime Fatigue: Feeling tired or sleepy during the day.
  • Mood Changes: Experiencing irritability, depression, or anxiety.
  • Difficulty Concentrating: Problems with attention, focus, and memory.
  • Increased Errors or Accidents: Being more prone to errors and accidents at work or while driving.

Risk Factors

Certain factors can increase the risk of insomnia, including:

  • Age: Insomnia is more common in older adults.
  • Gender: Women are more likely to experience insomnia, especially during hormonal changes such as pregnancy, menstruation, and menopause.
  • Mental Health Disorders: Depression, anxiety, and other mental health conditions are strongly linked to insomnia.
  • Stressful Life Events: Major life changes or stressors can trigger insomnia.
  • Work Schedule: Irregular work hours or frequent travel across time zones can disrupt sleep patterns.

Treating Insomnia

Cognitive Behavioral Therapy for Insomnia (CBT-I)

CBT-I is a highly effective treatment for chronic insomnia that helps individuals change thoughts and behaviors that interfere with sleep. It includes several components:

  • Cognitive Restructuring: Identifying and changing negative thoughts about sleep.
  • Stimulus Control Therapy: Establishing a consistent sleep-wake schedule and associating the bed with sleep.
  • Sleep Restriction Therapy: Limiting the time spent in bed to improve sleep efficiency.
  • Relaxation Techniques: Practices like progressive muscle relaxation, deep breathing, and mindfulness meditation to reduce tension and promote relaxation.
  • Sleep Hygiene Education: Tips for creating a sleep-conducive environment and avoiding habits that disrupt sleep.

Benefits of CBT-I

  • Long-Term Improvement: Unlike medications, CBT-I addresses the root causes of insomnia and promotes lasting changes.
  • No Side Effects: CBT-I is a non-pharmacological treatment with no associated side effects.
  • Improved Sleep Quality: Leads to better sleep quality, reduced daytime fatigue, and improved overall well-being.

Unique Expertise: Carrie Yamamoto, APRN

Carrie Yamamoto, APRN, has extensive education and experience in treating insomnia with CBT-I. Her unique benefit lies in her ability to diagnose and treat a wide range of sleep disorders, ensuring comprehensive care for her patients. Whether it’s insomnia, sleep apnea, restless legs syndrome, or any other sleep-related condition, Carrie provides personalized and effective treatment plans tailored to each individual’s needs.

Comprehensive Care

  • Holistic Approach: Carrie’s approach encompasses not just insomnia but the full spectrum of sleep disorders, offering a holistic and integrated treatment plan.
  • Expert Diagnosis: With her extensive training, Carrie can accurately diagnose complex sleep issues, leading to more effective and targeted treatments.
  • Personalized Treatment: Each patient receives a customized treatment plan that addresses their specific sleep challenges and overall health.

Conclusion

Insomnia is a prevalent and disruptive condition that can significantly impact quality of life. Understanding the causes, symptoms, and treatment options is crucial for managing insomnia effectively. Cognitive Behavioral Therapy for Insomnia (CBT-I) is a proven, effective treatment that helps individuals achieve better sleep by changing negative thoughts and behaviors associated with sleep. With the expertise of specialists like Carrie Yamamoto, APRN, who can diagnose and treat all sleep disorders, patients can experience comprehensive care and significant improvements in their sleep and overall well-being.

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