STEPHANIE ROMISZEWSKI has worked in NHS clinical sleep disorder centres across the UK and assisted sleep research at Harvard Medical School. She holds a BSc Hons degree in psychology and an MSc degree in behavioural sleep medicine
The problem with insomnia is that we’re always looking for the trigger. ‘Why have I got insomnia?’ we ask ourselves. ‘What caused it?’ We’re obsessed with trying to figure that out. We’ll pin it to just about anything: a chemical imbalance, hormones, a recent divorce, recovering from major surgery, illness – the list goes on. And while these are all valid reasons for a few nights’ disturbed sleep, they should not still be affecting us months later.
A trigger is only a trigger. And it’s not what we should focus on. When you look at the progression of insomnia, you start by looking at the initial trauma or illness that marked the starting point. Then you look at the same person, 20 years down the line, and they still have insomnia. We have to ask ourselves: what happened to perpetuate this problem? It’s normal to have sleep problems after something terrible has happened, but it isn’t normal for them to be carrying on after a month – so why is that happening with a third of the population?
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