Insomnia

Our compassionate and professional clinicians can provide a comprehensive psychiatric assessment and treatment plan for Insomnia

What is Insomnia?

Insomnia is a common condition in which an individual has regular problems sleeping.

This can be difficulty falling asleep, difficulty staying asleep, or not feeling refreshed after a nights sleep.

We call Insomnia long-term or persistent if it lasts for twelve weeks or longer.

Some clinicians like to use the term “Chronic Insomnia Disorder” which includes a triad of:

1) Having problems sleeping for at least three nights a week for last three months
2) Being distressed or having functional problems due to difficulties in sleeping
3) The absence of any other condition that could affect sleep (either mental or physical)

What are the
Symptoms of Insomnia?

  • Difficulty getting to sleep
  • Waking up several times during the night
  • Distressing images / sensations
  • Lying awake at night
  • Waking up early and struggling to return back to sleep
  • Still feeling tired after waking it up
  • Struggling to nap during the day, even though
    you are tired from lack of sleep
  • Feeling irritable
  • Difficulties concentrating

How can we treat Insomnia?

There are various different ways of treating Insomnia, and these will be discussed with you at your appointment with one of our friendly clinicians.

Generally speaking these can be divided into Non-Medication, and Medication Treatment. Non medication treatments often involve making changes to your lifestyle, such as avoiding alcohol, caffeine, and nicotine.

They also involve general advice such as:

1. Avoiding strenuous exercise within 4 hours of bedtime

2. Avoiding big meals late at night

3. Avoiding watching television or using devices before going to bed

4. Avoiding daytime naps

5. Going to bed and waking up at the same time every day

6. Ensuring your bedroom is dark and quiet and comfortable

7. Exercising regularly during the day

You can also engage in behavioral and cognitive therapies.

There are a number of different medications that can be prescribed for Insomnia on a short term basis only. These will be discussed at your appointment with your clinician. Our clinicians like to discuss treatments in depth and come to a shared decision on which treatment plan would be most appropriate.

Prior to booking an appointment you can fill in the Insomnia Severity Index as a screening tool. We can use this as a baseline to assess your response to treatment.

What we can't Treat

Please note that due to the nature of our service, unfortunately we are unable to see any psychiatric emergencies, or individuals with any suicidal ideations. We would advise anyone to take the following steps.
  1. If you are under the care of a community mental health team, please get in touch with them or their crisis helpline.
  2. Phone the Samaritans, who operate an always open service where you can talk to someone in confidence. They can be contacted on 116 123.
  3. Contact the NHS on 111.
  4. Request an emergency appointment with your GP.
  5. Phone 999 or visit your local A&E if there is a life threatening mental health emergency.

What is the process for Insomnia

At Harley Street Mental Health we pride ourselves on listening to our service users experiences and creating treatment plans base on their needs.

Our Initial Psychiatric Assessments are conducted by one of our expert clinicians and last around 1 hour.

After this assessment you will be provided with a report outlining the assessment, any diagnosis if this has been made and a proposed treatment plan including recommended follow up.

Unlike most services, we aim to get our reports sent out within 48 hours.
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©Copyright Harley Mental Health LTD | All Rights Reserved.

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