Chronic Insomnia

Insomnia is one of the most common medical complaints. It frequently coexists with medical, psychiatric, sleep, or neurological disorders. 

It may also be associated with acute stress, medication or substance, poor sleep habits, or changes in the sleep environment. It increases healthcare costs, causes or adds to medical and psychiatric comorbidities, cognitive impairments, accidents, absenteeism and reduced quality of life.

The diagnosis of insomnia requires three main components: persistent sleep difficulty, inadequate sleep opportunity, and associated daytime dysfunction. Insomnia symptoms that occur at least three times per week and persist for at least three months are considered chronic insomnia. In practice, however, most individuals with chronic insomnia report symptoms for many years.

    To arrange a free telephone consultation or to ask us questions about how rTMS therapy can help you, call us today on 01925 661721 or email us at info@experttms.co.uk

    Insomnia Symptoms

    • Difficulty falling asleep at night
    • Waking up during the night
    • Waking up too early
    • Not feeling well-rested after a night’s sleep
    • Daytime tiredness or sleepiness
    • Irritability, depression or anxiety
    • Difficulty paying attention, focusing on tasks or remembering
    • Increased errors or accidents
    • Ongoing worries about sleep

    Common Comorbidities

    Insomnia commonly coexists with psychiatric or medical disorders, other sleep disorders, or use of certain medications or substances. At times, there is a clear temporal relationship between the insomnia and the condition that is known to disrupt sleep, whereas in many cases it is difficult to discern which condition came first and often classed as primary or secondary insomnia.

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    rTMS

    TMS studies have shown presence of a diffuse cortical hyper-arousal in patients with chronic insomnia. High frequency TMS (>1 Hz) has been shown to be activating whereas low frequency TMS (<1Hz) has been shown to be inhibitory in clinical and neurophysiological studies.

    TMS calms the activity in the area of the brain that causes insomnia to improve sleep quality. It gets to the root of the problem by resetting brain patterns and pathways using targeted magnetic pulses.

    Research Evidence

    1) Efficacy of repetitive transcranial magnetic stimulation in the treatment of patients with chronic primary insomnia

    https://www.ncbi.nlm.nih.gov/pubmed/23797608

    This study assessed the efficacy of repetitive transcranial magnetic stimulation (rTMS) in the treatment of patients with chronic primary insomnia. Hundred and twenty patients with chronic primary insomnia were randomly assigned to three study groups (n = 40 per group): rTMS, medication, or psychotherapy treatment (both latter as controls). The treatments proceeded for 2 weeks, after which treatment efficacies were assessed in each study group based on changes in polysomnography parameters. rTMS treatment significantly better (p < 0.05) improved stage III sleep and REM sleep cycle compared with both control groups. In addition, the relapse and recurrence rates were also the lowest in rTMS treatment group. In conclusion, rTMS treatment is more advantageous than both medication and psychotherapy treatments in improving the sleep architecture. Further, rTMS significantly decreases the body awakening level and provides a better long-term treatment effect

    2) https://www.ncbi.nlm.nih.gov/pubmed/29871798

    To arrange a free telephone consultation or to ask us questions about how rTMS therapy can help you, call us today on 01925 661721 or email us at info@experttms.co.uk

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