The Importance of Addressing Both Physical and Psychological Factors in Insomnia Treatment

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Insomnia is a widespread issue, impacting millions globally, yet its root causes are often more complex than a single diagnosis or solution. While it is essential to rule out physical causes of insomnia—such as sleep apnea, restless leg syndrome, or other medical conditions—it’s equally important not to overlook the psychological and emotional components. Chronic stress and hyper-arousal are major contributors to sleep disturbances, and failing to address these factors can hinder effective treatment.

In this article, we explore why treating the whole body, mind, and spirit in insomnia care is crucial for long-term healing, rather than simply focusing on one aspect of the problem.

1. The Importance of Ruling Out Physical Causes First

When addressing insomnia, it’s important to start by ruling out physical conditions that could be affecting sleep. Medical issues such as sleep apnea, heart disease, or neurological disorders often present with overlapping symptoms and should be addressed early in the diagnostic process. Treating physical conditions can provide immediate relief, especially when these issues are contributing to poor sleep.

However, while physical causes are often the first focus, it’s important to remember that insomnia is rarely caused by physical factors alone. Stress, anxiety, and emotional distress can also have profound effects on sleep, and ignoring these elements can lead to incomplete treatment.

2. Psychological and Emotional Factors Are Just as Important

While physical issues may be the obvious starting point, psychological and emotional factors—such as chronic stress, anxiety, and hyper-arousal—are frequently overlooked. These emotional and mental states can disrupt sleep in ways that are often more difficult to recognize but are no less impactful.

Chronic stress, for example, can trigger the body’s fight-or-flight response, increasing cortisol levels and creating a state of hyper-arousal. This heightened state of alertness can make it nearly impossible to relax and fall asleep, even if there are no obvious physical reasons for insomnia. Additionally, feelings of worry or rumination about sleep itself can worsen the problem, creating a vicious cycle of sleeplessness and anxiety.

It’s essential that healthcare professionals recognize and treat these psychological components alongside physical conditions for a holistic approach to insomnia care.

3. A Whole Body, Mind, and Spirit Approach

The most effective treatment for insomnia involves addressing both physical and psychological factors together. Insomnia is not simply a disorder of the body or the mind—it affects the entire person. While treating physical conditions is critical, it’s just as important to assess and treat emotional and psychological factors that may be contributing to sleep disturbances.

By diagnosing and treating the whole person—body, mind, and spirit—professionals can create more comprehensive and long-lasting solutions. For example, Cognitive Behavioral Therapy for Insomnia (CBT-I) is a well-regarded treatment that combines behavioral techniques with a focus on the psychological causes of insomnia. CBT-I helps patients manage stress, regulate their emotions, and challenge unhealthy thoughts about sleep. This approach not only improves sleep quality but also enhances overall well-being.

4. The Need for a Balanced Treatment Approach

A holistic approach to insomnia treatment ensures that all potential factors are considered and addressed. While physical treatments, such as medications or sleep aids, can help alleviate symptoms in the short term, they don’t address the root causes of insomnia when stress and hyper-arousal are involved. Similarly, therapies like sleep hygiene adjustments or relaxation techniques are more effective when paired with interventions that tackle the psychological aspects of insomnia.

Treating the mind and body together creates a more sustainable pathway to recovery. A person’s emotional and mental well-being is just as integral to their overall health as their physical state. Ignoring the emotional side of insomnia can lead to a longer, more frustrating battle with sleep, while addressing both simultaneously can lead to lasting healing.

5. Breaking the Cycle of Stress and Sleeplessness

One of the most challenging aspects of insomnia is the feedback loop between stress and sleep disturbances. Stress contributes to sleeplessness, and poor sleep exacerbates stress—making it harder to break the cycle. By acknowledging and treating both the psychological and physical aspects of insomnia, healthcare providers can help individuals disrupt this loop.

For example, mindfulness practices, stress management techniques, and therapies like CBT-I are invaluable tools for addressing the emotional and psychological elements of insomnia. When combined with treatment for physical issues, these approaches can help break the stress-sleep cycle and lead to better overall health.

Conclusion

In the treatment of insomnia, it is important to first rule out physical causes, but it is equally essential not to overlook the psychological and emotional factors that play a significant role in sleep disturbances. Treating insomnia from a holistic perspective—addressing the body, mind, and spirit—creates a more balanced, effective approach. By diagnosing and treating the whole person, healthcare providers can help patients achieve lasting relief and better quality sleep.

A comprehensive approach to insomnia care ensures that individuals receive the most complete treatment, addressing all aspects of their well-being. This integrated approach not only improves sleep but also supports mental and emotional health, paving the way for a more restful and restorative life.

For more information, please see my book - Sleep Well, Stress Less: Unlocking Restful Nights Through Your Personal Stress Profile - https://www.amazon.com/dp/B0DWLB25WH

Thanks to Generative AI, Google Bard/Gemini and ChatGPT, for help preparing this article.

If you like my work, please check out my Author Page.  Thanks!

Disclaimer - For informational purposes only.  This article is not a substitute for professional medical advice.  Always consult a qualified healthcare provider.  Additional Disclaimers here.

 

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Experience my journey using Generative AI, like Google Bard/Gemini, to craft a Patient Summary for an upcoming doctor visit. Witness how this innovative approach revolutionized doctor-patient communication and empowered me as a patient. Join me as I share insights into this experience and envision the potential of AI in shaping the future of healthcare.

 

https://pagingdrwithin.blogspot.com/2024/02/how-to-use-generative-ai-eg-google.html

How do You Feel about Artificial Intelligence? - Guided Journal

Five Tips to Aid Your Health Condition

Five Tips to Aid Your Health Condition

"Robert Ader, Ph.D., a founder of the field of study that investigates links between the mind and the body's immune system and a professor emeritus of Psychiatry at the University of Rochester Medical Center, died Dec. 20 at the Highlands at Pittsford. He was 79." - http://www.urmc.rochester.edu/news/story/index.cfm?id=3370

 

Quietly, our minds either speed up or slow down healing. Optimistic thinking is the missing ingredient you might not hear from your doctor, for whatever reason. Worrying and stress hinders healing. Therefore, by shifting your thinking a little, you can choose your healing rate.

Sports Realization is where an athlete visualizes defeating the opponent. This concept has not spread too far in the health care area, for reasons that the public might not know. 

Now you now know the secret ingredients. What are you going to do about it? 

Here are some tips to think healthy, beginning right now.

• Think yourself healthy. Imagine how your body is healing, in whatever way you want. You can imagine warriors defeating the illness. You can also imagine an angel or fairy whisking the diseased parts of you away. The choice is up to you.
• Sweep unhealthy thoughts away. Worry, stress, and the like are not helping you heal. You could imagine you have a "malware removal system". When worries pop up, the system would automatically usher them out of your mind. How you think is up to you.
• Act yourself healthy. Act as if you have the health you desire. Do not act sick. Choose activities that stretch you in a healthy way. Instead of lying there worrying, maybe you could go for a little walk. Do not let your thoughts or other people get you down. Act as if you are healing. Look at your progress each day and tell someone how good you are doing. Watch yourself get better.
• Be with healthy people. Let health rub off on you. Maybe go to the local pool, do some stretches, and listen to the kids play. Let their enthusiasm for life infuse you with health. Turn off the news and shun negative people. They can go their own way. You are busy getting better. Find doctors, friends, and family members that support you in thinking yourself well.
• Be grateful for what you do have. Maybe you do not have the health you desire, but there always someone worse off than you are. Look at what you do have and thank the universe for that. Keep building on the good that you do have. Forget about what you do not have. Make the best of what you do have and be happy with that.

Of course, work with a healthcare professional with your particular health condition, if you can. Ask your doctor to coach you in thinking yourself well. You have a right to be as healthy and happy as you can be! 

For more information -

Dr. Ader - http://www.urmc.rochester.edu/news/story/index.cfm?id=3370 - also http://en.wikipedia.org/wiki/Robert_Ader

Psychoneuroimmunology - http://en.wikipedia.org/wiki/Psychoneuroimmunology

Mind-Body Connection - http://en.wikipedia.org/wiki/Mind-body_connection

Sports Visualization - http://en.wikipedia.org/wiki/Creative_visualization

Disclaimer - Article is informational only and is not medical advice.

Do You Need Help Fixing Medical Devices or Hospital Equipment?

Do You Need Help Fixing Medical Devices or Hospital Equipment? 

"People Helping People" Can Now Help Repair Medical Devices Remotely.

Did you know that much of the donated medical equipment to developing countries is unusable after a time? According to Scientific American, "Medical Equipment Donated to Developing Nations Usually Ends Up on the Junk Heap". 

The devices might very well arrive in good working condition, but after a while, the device breaks and no one is available to fix it. Many health clinics are lucky to have a healthcare professional, much less a biomedical equipment technician. So what happens? The devices form a scrapheap of dead hospital equipment. This is very frustrating to health care workers trying their best to heal the sick. 

This article is meant to inform you of the resources available right now to help you or others repair defective medical devices and keep these devices in good working order. 

1. First, check back with the agency that donated the equipment. They might have someone available to help you over the telephone or internet. Be sure to inform them of the exact problem with the device manufacturer and model number. Some agencies that donate equipment and might offer repair training are Engineering World Health, International Medical Equipment Collaborative, and Medical equipment partnerships programme. 

2. If the step above does not help, try other agencies that donate medical equipment, like those above. Even if they did not donate the device that is broken, they might be able to help you in some way 

3. Next, contact medical device repair organizations, such as MedWrench.com, the BMET Wiki, and the Biomedical Engineering Society.

4. Service, Maintenance, and User's manuals might help repair or at least better understand the equipment and/or problem. Some manuals are available at Frank's Hospital Workshop and the Biomedical Engineering Website by Reza Najafi. Some general medical device repair books are "Maintenance and repair of laboratory, diagnostic imaging, and hospital equipment", World Health Organization, 1994 and "Medical Instrumentation in the Developing World", by Robert Malkin, Engineering World Health, 2006.

5. Of course, it is best to have a trained, maybe certified, Biomedical Engineer/Technician to make the repairs, maintenance, and/or training. Many times, this is not possible, due to trained personnel limitations. In that event, perhaps someone on-site with some electronic or repair experience could assist, particularly with the remote assistance of someone more experienced. Maybe even the "village repair person" could help.

6. Mobile phones and other connectivity tools could enable a "Virtual Service Call". Even someone with limited repair knowledge could be guided via voice/text to perform maintenance and repair. Video Conferencing and/or Audio Teleconferencing with multiple resources, worldwide, could allow collaboration to achieve equipment repair, maintenance, and/or training.

7. In addition, the devices could be remotely and simultaneously on-site, be accessed, diagnosed, and possibly serviced, via USB or other connection means, as described in the report Medical Equipment Tele- and Condition-Based Maintenance with Enhanced Remote Diagnostic Access (RDA) and Computer Vision.

8. Lastly, Social Media could be used to announce of a need to help fix a specific device. Then, people with knowledge and/or experience could respond and help fix it remotely. You might even mention of an ongoing need for help to keep the equipment in good working order, even with remote assistance.

Takeaways: 

1.  We now have the technology available to facilitate medical device repair, maintenance, and/or training via a remote location.
2.  Medical Devices no longer need to be discarded just because no one can fix them on-site.
3.  The very basics of biomedical equipment repair can be taught remotely. In addition, those with limited repair experience can be guided from a remote location. 

For more information: 

1.  Medical Equipment Donated to Developing Nations Usually Ends Up on the Junk Heap - "Medical equipment donations enable hospitals in developing countries to get their hands on expensive and much-needed technology. However, there is a growing concern that those donations do more harm than good. Hallways and closets often become cluttered with unused or broken-down equipment for which locals lack parts or training in how to make repairs."
2.  Engineering World Health - "Provides students from around the world with the life-changing educational experience of repairing vital medical equipment in the world's most resource-poor communities. In collaboration with local partners in Asia, Africa, and Central America, creates locally sustainable training programs for biomedical engineering technicians (BMETs)."
3.  Frank's Hospital Workshop - "I hope that this website can be a little support to all biomedical technicians in developing countries. Here you find all the documents about biomedical technology I have collected, all the user and service manuals I have, all training courses that I have developed and have held."
4.  Biomedical Engineering Website by Reza Najafi - "This website is designed to assist Clinical / Biomedical Engineers to find manuals and information about Medical Equipment."
5.  International Medical Equipment Collaborative - "The IMEC Global Green Program™ is a medical surplus solution for hospitals and healthcare providers. It is a resource that enables hospitals and providers to make responsible use of medical surplus. IMEC Global Green Program participants have access to a dedicated IMEC representative and an on-demand surplus equipment pick up system. The result is a more effectively managed excess equipment process that is not only cost-effective and good for the environment, but also serves the needs of impoverished hospitals around the world. IMEC completes a thorough assessment of the impoverished hospital to ensure the equipment we distribute is suitable for the facility and will help advance the standard of care."
6.  MedWrench.com - "MedWrench.com is a resource and sharing network for users of medical equipment. You can get answers, find information and read what others think about the equipment they use. It is free to join and easy to keep informed."
7.  Medical equipment partnerships programme - "As part of the Health Partnerships Scheme (HPS), THET is running a medical equipment partnerships programme which funds five partnership projects between UK and low-income country partner institutions to improve the maintenance and management of medical equipment within developing country institutions."
8.  BMET Wiki - "Basically the people who repair medical equipment. This wiki is where Biomed's can exchange knowledge and provide education about our profession, including information about workshops, symposiums, vendors/OEMs, regulatory agencies/standards, tools, courses, associations, and more wiki stuff."
9.  Medical Equipment Tele- and Condition-Based Maintenance with Enhanced Remote Diagnostic Access (RDA) and Computer Vision - "The current medical equipment maintenance model is "on site and physical", rather than "remote and virtual". There is no comprehensive or standardized remote diagnostic access (RDA) capability for biomedical technicians to troubleshoot and resolve problems remotely and securely. Additionally, the current operations model is "reactive", rather than "proactive", in terms of early problem detection and prevention. The lack of visibility to the health of medical equipment and the need to be on site for problem resolution, coupled with frequent rotations and scarcity of medical equipment technicians, continue to cause considerable downtime of critical medical equipment densities and is detrimental to the health care support to our war fighters."
10.  Maintenance and repair of laboratory, diagnostic imaging, and hospital equipment, World Health Organization, 1994 - "A practical guide to the maintenance and repair of essential laboratory and hospital equipment. Intended for use in institutions that do not have specially trained technicians or engineers, the book responds to the situation, frequently seen in developing countries, where much of the equipment is imported and adequate information on maintenance and repair is rarely provided by suppliers. With these special needs in mind, the manual aims to help staff using specific types of equipment to understand basic principles of construction and operation, adopt good working practices, avoid common errors, perform routine maintenance, and spot the early signs of defects or deterioration. Advice on equipment repair concentrates on common causes of problems that can be solved without expertise in engineering."
11.  "Medical Instrumentation in the Developing World" - "How do you test a defibrillator without a defibrillation tester? How can you use a piece of chicken to test an electrosurgery unit? These are the types of questions that an engineer working in a developing world hospital asks every day. The proper test equipment isn't available, and the hospital has a desperate need. To answer these questions, EWH has published "Medical Instrumentation in the Developing World", written by Professor Bob Malkin. This book provides the kind of practical testing and repairing suggestions that engineers can use when in a poorly equipped hospital, far from a clinical engineering department. It is the only practical manual for equipment repair in the developing world currently available."

Disclaimer - This article is for information only and is not medical or legal advice. 

Sickle Cell Disease - Information and Resources, especially for Developing Countries

This post provides a few resources on Sickle Cell Disease for those who have little or no money, particularly in Developing Countries, e.g. Ghana.  

General Information:

• Sickle-cell disease (SCD), or sickle-cell anaemia (SCA) or drepanocytosis
• "Where There is No Doctor" - pdf download or buy - Check index for Sickle Cell, page 321?
• Approaches to Treating Chronic Anemia in Developing Countries
• Sickle cell disease prevention and control 
•  Sickle Cell Disease: New Opportunities and Challenges in Africa

 Support, Networking, and Contacts:

• Global Sickle Cell Disease Network
• Sickle Cell Disease Association of America, Inc.

Perhaps this will give you a start.  Good luck in finding what you are looking for. If you want more information, here is a Good Internet Search String - ((sickle-cell disease) OR (sickle-cell anaemia) OR drepanocytosis) developing-countries

Disclaimer - Article is for information only and is not medical advice.