Insomnia is a common condition seen by family physicians. The usual short-term treatment for it is medication that involves hypnotics. These medications are habit-forming drugs and with long usage people can become dependent on them.

The problem can start for many reasons. In many people who work in shifts, the body rhythm is disturbed disturbing the normal sleep pattern. In many young mothers the sleep pattern gets disturbed waking intermittently at night to look after the babys needs. Caring for an old relative at night can also disturb the sleep pattern.

In almost all of these cases, the subconscious mind has got the message that sleep would put someone at risk. So in order to deal with this perceived danger, the mind goes into an alert state and does not allow the body to sleep. No amount of conscious logic or reason can convince the subconscious to let the body sleep. This increases physical tension.

In order for the body to rest, the tension has to be reduced. When the perceived fears are addressed, the body goes into a state if tiredness and then it is allowed to fall asleep. One of the exercises that I have suggested to my patients is this: At bedtime, when you are going to sleep, sit in the bed. Close your eyes. Take a deep breath in and then through your nose push the breath out forcefully but slowly. Next, take a deep breath and this time breathe out slowly and easily through the nose. Continue breathing like this with alternate breaths till you start to fall asleep.

With simple sleep problems, this exercise works well.

The underlying reason for most of the sleep problems is fear. Fear of the future is the worry. If fear issues are addressed in counseling or psychotherapy, sleep can become better. The other reason of sleep problem is anger. Most of the people would be unaware that they are carrying anger in their bodies. They might feel that because they do not worry, sleep disturbance is simply a disturbance of the body rhythm. In almost all such cases that I have seen, anger has been an underlying issue. Addressing the anger benefits sleep.

Sleep disturbance is commonly seen in anxiety, depression, psychosis and mania. Many psychiatric conditions start with disturbed sleep. It is important to take insomnia seriously. It is good to address the issue as soon as it starts than to let it build up and cause complications.

Pradeep Chadha

Born and brought up in India, Pradeep has spent last many years of his life learning and working in Europe. He is able to blend the spirituality from the East with the intellect from the West to help bring about changes in people's lives with and without medication. He initially trained as a physician in India. In Ireland he got training in psychiatry and hypnosis.When psychotherapy was considered quackery, he set up his practice in Dublin. Now many years later, he is still ahead of his time as psychotherapy has become a recognised part of psychiatric services. He has presented many original papers in international conferences. He has been published in mostly alternative therapy journals. He has appeared on radio and television. He is the author of The Stress Barrier- Nature's Way to Overcoming Stress published by Blackhall Publishing, Dublin.