About tiredness

Tiredness is also known as fatigue. It affects most people at some point in their lives. Tiredness usually goes after some relaxation and a good night's sleep. You then feel refreshed and ready to face your usual activities.

Symptoms

If you have persistent tiredness you may have:

* daytime sleepiness and a lack of energy
* loss of motivation
* poor concentration
* difficulty making decisions
* feelings of depression

Causes

Often tiredness is due to a combination of causes. Nine in 100 people with tiredness will have a physical disease. Around 75 in 100 people will have an emotional cause.

Physical causes

Being tired may mean you avoid physical activity. However, as you become more unfit you will be even more tired when you try to do something. When you are chronically tired this can become a vicious cycle.

Being overweight or underweight can cause tiredness. If you are overweight your body has to work harder than normal to do everyday activities. If you are underweight you have less muscle strength, and you may feel tired more quickly.

Conditions such as anaemia, an underactive or overactive thyroid and asthma can leave you feeling tired.

Sleep problems, such as insomnia and sleep apnoea (abnormal breathing while asleep), can also stop you getting a good night's sleep. This is particularly problematic in those who are overweight. Pregnancy is another common reason for severe tiredness.

Emotional causes

Stress and worry are tiring emotions. Facing a stressful situation can be draining, especially when you can't see a solution to your problems. Feeling that you have no control over a situation may make you frustrated, irritable and tired.

Tiredness can also be triggered by stressful situations. This may include a recent bereavement, financial circumstances, moving house, family issues or work problems.

Mental health problems such as depression or anxiety can make you feel more tired. They can also prevent you from sleeping properly.

Lifestyle

If you have an unusual or disturbed sleep pattern, for example if you are a shift worker, nurse, doctor or nursing mother, you may find it difficult to get refreshing sleep. Try not to focus or worry about your disturbed sleep routine as this may further disrupt your sleep.

Looking after small children can be particularly exhausting, especially if children don't sleep through the night.

Sleeping in the day can prevent you from sleeping at night. Drinking too many caffeinated or alcoholic drinks can also make it difficult to get refreshing sleep, especially if you drink them just before you go to bed.

Treatment

If you have recently experienced any of the following:

Low energy level

Character shifts or mood swings

Hearing Constant Negative Inner voice(s)

Abuse of drugs (including alcohol)

Impulsive and Compulsive behavior

Memory problems

Poor concentration

Sudden onset of anxiety or depression

Sudden onset of physical problems with no obvious cause

New phobias or aversions

New allergies

New food cravings or taste preferences

New attitudes or prejudices

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