Dear Counsellor:

I have developed a sleep problem and it is getting worse. I have difficulty falling asleep and I wake up frequently in the nights.

- Melody

Dear Melody:

Sleep disorders are common occurrences and so you should not feel alone. The causes of sleep disorder are either physical or psychological. Worry and nervousness can cause insomnia (lack of sleep) and can worsen with time.

Depression is a common cause of sleep problems. People suffering from depression either sleep too much or too little. Assess yourself to identify negative thoughts, lack of energy and lack of motivation.

When depressive episodes occur, some internal reflection is needed. Replace a negative outlook with pleasant thoughts and positive actions. We all get depressed about our losses, whether it's the death of loved ones or loss of personal possessions.

Depression is treated with counselling and medication. Episodes of moody behaviour can be treated with cognitive-behaviour therapy.

Anxiety coexists with depression and needs to be treated. We worry about the outcome of our daily activities. Worry should be kept to a minimum each day and you should develop strategic plans to solve your problems.

Instead of sitting and worrying yourself into a peptic ulcer, occupy your mind with ego-boosting activities. Train yourself to think positively, especially when negative circumstances arise.

Sometimes we need to change the mattress or remove the television or radio from our bedroom in order to get good sleep. There are sleep aids like getting soft pillows, soft lights and a sturdy mattress. Read passages from the Bible or listen to soft music which will put you to sleep.

If sleep problems persist, see a doctor who will diagnose the problem and prescribe the necessary medication.

Reducing stress

Dear Counsellor:

My brother has been diagnosed with schizophrenia for the past 10 years. His health seems to be deteriorating and he has to be supervised closely. I am thinking of placing him in a nursing home.

- May

What is schizophrenia?

Dear May:

Schizophrenia is a chronic condition and some individuals deteriorate over time. Some people with schizophrenia are able to function normally because they take their medication and see the doctor.

Unfortunately, some individuals get more dysfunctional with time and need to be supervised closely. Some patients can live with their family and others have to be placed in a residential facility. There are different types of residential facilities, depending on the level of independence of the individual and the level of supervision needed.

These nursing homes provide respite for relatives. Caregiving is stressful and sometimes patients have to be placed temporarily in a nursing home. Check out the types of facilities available as well as the costs before making your decision.

Having problems in your personal or family life? Share your issues with Dr YvonnieBailey-Davidson by telephone at 978-8602, or email yvonniebd@hotmail.com.