What is psychogenic insomnia, and how should it be managed?

In general, psychogenic insomnia may be caused by significant emotional fluctuations, irregular daily routines, anxiety disorders, depression, post-traumatic stress disorder (PTSD), and other factors. It is recommended to seek medical attention promptly, identify the underlying cause, and undergo symptomatic treatment under the guidance of a qualified healthcare professional. Specific analysis is as follows:

1. Significant Emotional Fluctuations

Emotional changes such as anxiety, depression, and tension can all lead to psychogenic insomnia. These emotional states activate the brain's stress response system, making it difficult to relax and fall asleep. Psychological counseling, cognitive behavioral therapy (CBT), and similar approaches can help regulate emotions and alleviate stress.

2. Irregular Daily Routines

Inconsistent sleep schedules disrupt the body's biological clock, affecting the rhythm and stability of sleep, thereby contributing to psychogenic insomnia. It is important to establish a regular routine in daily life, maintaining consistent bedtime and wake-up times each day to reset the biological clock and improve sleep quality.

3. Anxiety Disorder

Anxiety disorder results from a combination of biological, psychological, and social factors. Anxiety keeps the brain in a state of heightened alertness, making it difficult for individuals to relax enough to fall asleep. Symptoms may include persistent worry, restlessness, irritability, and difficulty concentrating. Treatment may include medications such as sertraline hydrochloride capsules, olanzapine-fluoxetine capsules, or diazepam tablets, as prescribed by a doctor.

4. Depression

Depression is caused by factors such as genetics and emotional disturbances, and may present with symptoms including low mood, loss of interest, reduced energy, and changes in appetite—symptoms that negatively affect both sleep quality and sleep patterns. Treatment may involve medications such as paroxetine tablets, fluvoxamine maleate tablets, or fluoxetine hydrochloride capsules, taken as directed by a physician.

5. Post-Traumatic Stress Disorder (PTSD)

PTSD is triggered by intense psychological stress from sudden traumatic events or natural disasters. After experiencing trauma, individuals may suffer from flashbacks, nightmares, and other symptoms that severely impair sleep quality. Common symptoms include flashbacks, nightmares, increased vigilance, and irritability. Treatment is recommended under medical supervision using medications such as lorazepam tablets, venlafaxine hydrochloride sustained-release capsules, or alprazolam tablets.

In daily life, individuals should pay close attention to their emotional well-being, release emotions in healthy ways, and maintain a positive psychological state.