Social engagement and relationships Archive

Sleep-maintenance insomnia common complaint among women at midlife

You wake up and look at the clock: it's 3 a.m. You tell yourself you've got to get back to sleep, but thoughts about yesterday's troubles, the coming day's challenges, and all those "must-do's" race through your mind. You toss and turn and worry about not getting enough sleep. Maybe you doze off for an hour or so, but when the alarm clock gets you up for the day, you're far from rested.

Insomnia — inability to get the sleep you need to wake up refreshed — is the most common sleep complaint in the United States. It often takes the form of sleep-maintenance insomnia — that is, difficulty staying asleep, and in particular, waking too early and struggling to get back to sleep. Like difficulty falling asleep at the beginning of the night, called sleep-onset insomnia, sleep-maintenance insomnia is more common in women than in men.

Hospital delirium is common and often goes unrecognized

When Mary, age 84, was hospitalized for a hip replacement, everything went well until a complication landed her in the intensive care unit (ICU) and she began behaving oddly. She thought she was in a hotel, reported that a cartoon character had died in the bed next to hers, struggled at night to escape nonexistent intruders, and complained that the staff was ignoring the rats infesting her room. After a psychiatric consult, Mary was given medication to calm her and help her sleep, and eventually she started acting more like her old self.

"We stayed with her day and night, and the delirium cleared once she was back in a regular room. Now we can laugh about it, but she remembers little about those weeks," says her daughter-in-law.

The coronavirus pandemic causing COVID-19 understandably makes most people feel anxious. Coping with the challenges is even more difficult for the many people who have a pre-existing anxiety disorder.

The challenge of being isolated from loved ones and friends can be eased by using any of several different apps that enable various types of communication, including video calls and messages.

For young people with autism spectrum disorder, the transition from adolescence to adulthood is marked by changes in many areas of their lives. Healthcare providers and caregivers can make this transition smoother and help their patients meet these challenges.

While COVID-19 brings normal life to a temporary halt as we practice social distancing, it helps to double-down on deepening social bonds and practicing kindness and gratitude, not emotional distancing.

Anxiety about the new coronavirus is understandable. But there are actions you can take –– or avoid –– to help you cope with anxious feelings and choices you can make to help yourself and others.