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PSYCHOLOGICAL CAUSES OF INSOMNIA: TENDENCY TO EXAGGERATE SYMPTOMS

One other trait common to insomnia victims is their tendency to exaggerate their symptoms. I hasten to repeat that the problem is very real, but their perception of its severity may be somewhat skewed. For example, I have often heard patients say they get only four or five hours of sleep, only to find that when assessed in a sleep clinic they sleep for six or seven hours. Similarly, a patient with delayed onset of sleep may say she lies awake for an hour before dropping off, when a study finds the period of time to be fifteen minutes or less. In my practice, then, I make it a point to get as accurate a description of the patient's sleeping problem as possible, by using the types of questions found in the self-assessment section, pages 16 through 23. This may mean enlisting the aid of the bed partner or, in extreme cases, referring the patient for overnight analysis in a sleep/ laboratory, a process I'll describe in detail in Chapter 10. Only when I am armed with a precise description of the problem can I understand it; only when I understand it can I prescribe proper therapy.

Therefore, when seeking help for your sleeping problem, you'll serve yourself and your physician better by being as specific and informative as you can be. Your thoughtful and carefully considered answers to the questions in the previous chapter are a good place to start. And if you do need to see a doctor for your sleeping disorder, take your responses to these questions with you to your appointment—you'll remember significant details when you have a written record with you.

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Antidepressants-Sleeping Aid