Prime Medic Online GP and Telehealth Services Across Australia
Prime Medic Online GP and Telehealth Services Across Australia
Prime Medic Online GP and Telehealth Services Across Australia
Prime Medic Online GP and Telehealth Services Across Australia
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Insomnia means trouble falling asleep, staying asleep or waking too early, even though you've had the chance to rest. Doctors call it chronic once it happens at least three nights a week for three months. It usually begins with something real: a new baby, a run of night shifts, a rough month at work. Then that passes. The bad nights don't. Loud snoring and gasping suggest a different problem, sleep apnoea.
Rough notes are enough. healthdirect's insomnia guide calls a sleep diary a good way to track symptoms, and many doctors ask for one anyway.
Lights out, roughly when you dropped off, each wake-up, final time up
Coffee, energy drinks and alcohol, with the hour you had them.
Snoring or breathing pauses a partner has noticed
Your roster, if you work nights or rotating shifts.
After enough bad nights, the bed itself becomes a cue for being awake. You check the clock, count the hours left and dread tomorrow, which keeps the brain switched on long after the original stress has gone. CBT-I is built to break that loop. Meanwhile, a few habits help.
Same wake-up time every day, weekends too
Awake for what feels like 20 minutes: get up, sit somewhere dim and go back once you're sleepy..
Alcohol may help you drop off, then it breaks up the second half of the night.
Cognitive behavioural therapy for insomnia (CBT-I) is a structured talking therapy aimed at the thoughts and habits keeping you awake. The Sleep Health Foundation's CBT-I page notes trained psychologists offer it in person and by telehealth. Your GP first rules out pain, reflux or night sweats.
Psychologist referral for CBT-I, with a mental health treatment plan if you're eligible
Loud snoring or gasping at night: your GP may arrange a sleep study referral.
Blood tests for thyroid or iron, ordered when your history points that way
Too exhausted to work safely: an online medical certificate is possible once the GP has assessed you.
Expect the referral letter in your inbox soon after the call. You book the psychologist or sleep service yourself, and some work entirely by video, handy if you live far from town. Book a follow-up with an updated diary after a month or so. Earlier, if your mood dips or sleep gets worse.
Sleep study done: a second consult goes through the report.
Phone consults suit adults with ongoing poor sleep who are otherwise safe and well. Drowsy driving is another matter. Transport for NSW's fatigue advice says to pull over somewhere safe and rest as soon as you feel tired.
Dozed off while driving or operating machinery: stop, and see a GP in person today.
Thoughts of harming yourself. Ring Lifeline (13 11 14) any time, and 000 when life is at risk.
Chest pain or struggling to breathe at night: call 000.
If you're confused or seeing things after days without sleep, go to an emergency department.