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Other names: Wellbutrin, Bupropion
DEALING WITH THE CAUSE OF INSOMNIA: GETTING A CHECK-UP
Although insomnia is most commonly related to emotional stress, sometimes the causes can be partly or even totally physical or environmental. Mind and body are interdependent: our brains and nervous systems, for instance, are affected by chemical factors including food and pollution, both of which can trigger mental stress. This in turn leads to physical depletion and possibly illness, which creates further stress.
But since there are some specific medical problems associated with sleep disorders, it may be sensibleif you haven’t already done soto have a check-up with your doctor or a well-qualified alternative practitioner. Some of the natural therapies described in Part 4 can be very helpful in treating or relieving the problems asterisked below.*
These are some of the conditions a practitioner might look out for:
Alcoholism
People who regularly drink large amounts of alcohol tend to .wake early, after a lighter sleep than the norm, while chronic alcoholics show the sleep pattern of the aged, with many awakenings, little or no delta sleep, and decreased REM sleep, but extra sleepiness during the day.
Allergies
Allergies to food, drink, and chemicals in food, water, the atmosphere and furnishings, can give rise to many of the mood disturbances associated with insomnia like depression, anxiety, and nervousness, as well as physical symptoms. Some allergies also cause daytime sleepiness. (See the section on Allergies and Sensitivities, in Part 3, Chapter 3.)
Anorexia nervosa
These patients tend to sleep little and wake up frequently during the night. When anorexics start returning to normal eating patterns and put on some weight, their sleep also begins to normalize.
Apnea
This is a fairly recently recognized problem. Sufferers may be less aware of it than their sleeping partners, for the sign of apnea is loud, irregular snoring. Between 1 and 4 per cent of the population may be affected, mostly male.
Sleep apnea occurs in people who have an obstruction at the hack of the throat; as the throat relaxes in sleep, their breathing is cut off and the oxygen level in the blood drops. They don’t usually awake fully, but reach a near waking state in order to breathe again, usually with a loud snort, sometimes accompanied by thrashing around. In severe cases this can happen every few minutes throughout the night. As a result, apnea sufferers never get into the deep stage of sleep, and are tired throughout the day. They can suffer from loss of concentration and memory, and are at risk of nodding off at meetings, or while driving. Apnea can also strain the heart. The danger is that these symptoms can be confused with ‘getting older’.
The majority of sufferers are male, often overweight and heavy drinkers. Being overweight makes the condition worse by narrowing the throat further, and alcohol, particularly late at night, relaxes the throat muscles, as do sleeping pills.
So if your partner has a distinct snoring pattern, regularly stopping for 20-30 seconds and starting again with a loud snort, and if he or she also complains of daytime tiredness, do persuade him or her to get medical advice.
The first steps towards recovery are to lose weight and cut down on alcohol, particularly at night. Treatments include surgery, or wearing a mask attached to a pump which blows air into the throat to stop the muscles from collapsing downward.
In children apnea may be caused by enlarged tonsils, or a structural abnormality in the jaw. They may grow out of it, but if it is affecting their daytime behaviour, do get an expert opinion.
Caffeine addiction
This is a widespread cause of sleeplessness; a GP tells me that most of his ‘insomniac’ patients turn out to be coffee freaks. Caffeine is not only contained in coffee, but in tea, chocolate and cola drinks; it is a drug on which many people develop a dependency. Although it is a well known stimulant, some people drink ten or twenty cups of coffee or tea every day, and wonder why they can’t sleep at night. Even if you don’t drink it in the evening, taking a lot during the day can disrupt sleep; the body can only process so much at once, and caffeine can remain in the system for several hours after consumption.
Not everyone is sensitive to coffee, but it’s worth noting that when normal sleepers in a sleep laboratory at Leeds University were given coffee late at night, it not only delayed sleep onset by around 40 minutes but also affected the subjects’ quality of sleep and performance next day. The sure-fire way to find out whether caffeine is causing or contributing to your insomnia is to stop drinking coffee and tea for a few days.
Environmental factors
Environmental factors, such as geopathic stress, are recognized by only a few doctors, but can have an important effect on your health, mood and sleep.
Heavy metal poisoning
Metal poisoning, for example from mercury, aluminium, and lead can also affect the system and keep you awake. Its presence can be tested by hair and blood analysis from a good allergy testing clinic. Nutritional advice, together with supplements including Vitamin C, garlic and kelp, can help to clear your system.
Hyper-thyroidism
This is caused by an over-active thyroid gland which causes weight loss, shaky hands, anxiety, and fragmented, short sleep.
Iatrogenic problems
These are induced by medical drugs, including sleeping pills which can prevent normal sleep. (See below.) Some individuals react badly to medical drugs which don’t affect others; if the cause of your insomnia is a mystery, ask yourself whether it started around the time when you began taking a new form of medication.
The menopause
This can affect some women’s sleeping patterns as hormones adjust themselves to major change, often causing broken sleep. Night sweats can be an additional and annoying cause of sleep disturbance. Sleep usually settles down once the menopause is over, though owing to the ageing process it may be lighter than before.
For some women, the menopause brings home the realities of ageing, children leaving home, and so on, creating further depression and anxiety. A positive approach to this new, challenging phase of life can make a great difference to the severity of symptoms. A possible treatment for menopausal symptoms generally is HRT (Hormone Replacement Therapy), but views on its long-term safety differ both among doctors and natural therapists.
Pain
Pain can be very disruptive to sleep; it often seems worse at night, and chronic pain is very depressing. If you know the cause and have been told nothing can be done, have you explored all possible medical avenues, such as getting referred to your local Pain Relief Clinic, or to a physiotherapist
If you’ve been told you have to ‘live with it’, it may still be worth seeing an alternative practitioner; natural therapies can often relieve symptoms, even when they cannot guarantee a cure. Your approach to pain is important too. You can do a lot for yourself through relaxation, meditation, and your mental attitude.
Restless legs
This is an absolutely infuriating syndrome consisting of discomfort in one or both legs, and the urge to keep moving them; it keeps you awake even when the rest of you wants to sleep. Its cause is something of a mystery, but it may be connected with poor circulation, and/or lack of calcium or other nutrients including Vitamin E. In women it may be related to hormone levels. It is often worse when the sufferer is under stress.
One tactic is to improve the circulation in your legs by taking a footbath in alternate hot and cold water during the evening. Calcium in the form of Dolomite tablets taken at bedtime can be helpful.
Sudden weight loss
A sudden loss of weight through dieting can temporarily disrupt sleeping patterns.
*13/169/2*