10 Habits to get rid of Insomnia (sleep disorder)

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Sleep is a very important part of our lives. Insomnia (sleep disorder) refers to a sleep disorder in which it is difficult to fall asleep and a sleep maintenance disorder in which you fall asleep but wake up frequently or wake up too early. If you do not get enough sleep at night, you will become sleep deprived, causing drowsiness, fatigue, and loss of motivation during the day, disrupting your daily life and lowering your quality of life. Insomnia, Sleep disorder 1) Avoid napping. It is not recommended to take a nap as it causes a vicious cycle of not being able to sleep at night if you take a nap because you are tired and sleepy during the day because you do not get enough sleep at night. 2) Set a regular bedtime. For example, if you decide to sleep for 8 hours, you must get up and leave the bed after 8 hours from the moment you start lying in bed, regardless of whether you slept or not. 3) If you do not fall asleep for more than 10 minutes in bed, get up, get out of bed, do simple t...

Diagnosis Criteria of Tic disorder and its causes

Diagnosis Criteria of Tic disorder 


Persistent(chronic) motor tic disorder or vocal tic disorder

- One or more motor or vocal tics present. However, both vocal tics and motor tics should not appear.
- Tic symptoms repeat exacerbation and improvement, but persist for more than 1 year from the first appeared.
- Onset before the age of 18.
- The symptoms must not be caused by the use of other substances or medical diseases.
- It must not meet the diagnostic criteria for Tourette's disorder.

If tic symptoms start before the age of 18 and last for more than 1 year and there are only motor tic symptoms, it is diagnosed as persistent (chronic) motor tic disorder. If there are only vocal tic symptoms, it is diagnosed as persistent (chronic) vocal tic disorder.


Provisional tic disorder

- One or more motor or vocal tics are present.
- Appears less than 1 year from the time the tics first appeared.
- Onset before the age of 18.
- It must not meet the diagnostic criteria for Tourette's disorder or persistent (chronic) motor or vocal tic disorder.

Provisional tic disorder is diagnosed if less than 1 year has passed since the onset of the first tic symptoms, or if all symptoms disappear within 1 year.


Tourette's Disorder

- Multiple motor tics and one or more vocal tics appear during some period of the disease course. The two tics do not necessarily appear at the same time.
- Tic symptoms often repeat exacerbation and remission, but persist for more than 1 year from the first tic appeared.
- Onset before the age of 18.
- Symptoms must not be caused by other substances or medical conditions.

Tourette's disorder is diagnosed if there are vocal tics and motor tics even if they do not exist at the same time during the course of a tic disorder lasting more than 1 year.


Tic disorder



Causes of Tic disorder

Genetic factors

Evidence for the heritability of Tourette's and chronic tic disorders has been revealed in twin and family studies. In Tourette's disorder, the concordance rate of identical twins was 53-56%, and when chronic tic disorder was included, the concordance rate was up to 77-94%. In addition, in family genetic studies, it is known that the probability of developing tics in the family of patients with Tourette's disorder or chronic tic disorder is 10-50 times higher than that of the general population.


Environmental factors

Environmental factors are also known to be involved in the occurrence and symptom change of tic disorders. Pregnancy and perinatal problems, various drug use, general medical factors, immunological factors, and life event factors are known widely.


Brain dysfunction

Among the neural circuits in the brain, research results have been consistently presented to show that dysfunction of a neural circuit called the cortical-striatal-thalamus-cortical circuit is associated with tic symptoms. It has been argued that disruptions in the connections and interactions of parts within neural circuits lead to pre-emotional and emotional symptoms.



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Is nocturnal enuresis in my child a hereditary disease?

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The answer is yes. Nocturnal enuresis in children is genetic. In other words, if the parents suffered nocturnal enuresis when they were young, there is a very high probability that their children will develop enuresis. If both parents had enuresis, there is a 77% chance of enuresis, and if one parent had enuresis, there is a 44% chance. Nocturnal enuresis in children is determined based on the age of 5 years. It may be suspected in children over 5 years of age if it continues more than 3 months, twice a week. In most cases, enuresis improves with growth, so it is often left untreated. However, the shame, anxiety, and lack of self-confidence caused by enuresis can lead to personality dysplasia during adolescence. Active treatment is required after the age of 5 for the formation of a healthy personality in children and recovery of reduced self-esteem. It is important to remember that enuresis is not the child's fault and not to punish or blame.   Treatment of nocturnal enur...
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10 Habits to get rid of Insomnia (sleep disorder)

이미지
Sleep is a very important part of our lives. Insomnia (sleep disorder) refers to a sleep disorder in which it is difficult to fall asleep and a sleep maintenance disorder in which you fall asleep but wake up frequently or wake up too early. If you do not get enough sleep at night, you will become sleep deprived, causing drowsiness, fatigue, and loss of motivation during the day, disrupting your daily life and lowering your quality of life. Insomnia, Sleep disorder 1) Avoid napping. It is not recommended to take a nap as it causes a vicious cycle of not being able to sleep at night if you take a nap because you are tired and sleepy during the day because you do not get enough sleep at night. 2) Set a regular bedtime. For example, if you decide to sleep for 8 hours, you must get up and leave the bed after 8 hours from the moment you start lying in bed, regardless of whether you slept or not. 3) If you do not fall asleep for more than 10 minutes in bed, get up, get out of bed, do simple t...
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