Relationship
Not all snoring is created equal
When people are unable to differentiate between your snore and a locomotive engine or a trumpet that could break down walls, it may not just be a nuisance to your bed and housemates, but it may signal a serious medical condition.
Loud snoring may be a warning that you have Sleep Apnoea, a condition that opens doors to several serious life-threatening complications.
Not every snoring is associated with sleep apnoea and also there may be sleep apnoea without snoring.
Sleep Medicine is no luxury, we need to do everything possible to get good quality sleep, especially when sleep is one of the greatest legal performance enhancing ‘drugs’ known to man.
In sleep apnoea, breathing repeatedly stops and starts during sleep. It may be as often as 30 times in an hour. This shortchanges our brain of oxygen, and it is a potentially dangerous sleep disorder.
Types of Sleep Apnoea;
• Obstructive Sleep Apnoea (OSA)
o The commonest by far. Throat muscles relax and block flow of air
• Central Sleep Apnoea
o Brain does not send proper signals to muscles controlling breathing
• Complex Sleep Apnoea
What may signal Sleep Apnoea/ What to look out for
• Loud snoring
• Episodes in which you stop breathing during sleep — which would be reported by another person
• Gasping for air during sleep
• Awakening with a dry mouth
• Morning headache
• Difficulty staying asleep, known as insomnia
• Excessive daytime sleepiness, known as hypersomnia
• Difficulty paying attention while awake
• Irritability
• You may just not be able to complete a movie?
• Involved in minor accidents at home, work or even on the road?
Get checked out. Even children may suffer from sleep apnoea.
What increases our chance of developing Sleep Apnoe?
• Excess weight or fat.
• Neck circumference. People with thicker necks might have narrower airways.
• A narrowed airway. Tonsils or adenoids also can enlarge and block the airway, particularly in children.
• Being male. Men are two to three times more likely to have sleep apnea than women. However, women increase their risk if they’re overweight or if they’ve gone through menopause.
• Being older. Sleep apnea occurs significantly more often in older adults.
• Family history. Having family members with sleep apnea might increase your risk.
• Use of alcohol, sedatives or tranquilisers.
• Smoking. Smokers are three times more likely to have obstructive sleep apnoea
• Nasal congestion. If you have trouble breathing through your nose — whether from an anatomical problem or allergies — you’re more likely to develop obstructive sleep apnea.
• Medical conditions. Congestive heart failure, high blood pressure and type 2 diabetes are some of the conditions that may increase the risk of obstructive sleep apnea. Polycystic ovary syndrome, hormonal disorders, prior stroke and chronic lung diseases such as asthma also can increase risk.
What complications may
occur from untreated Sleep
Apnoea
Sleep apnea is a serious medical condition. Complications of OSA can include:
• Daytime fatigue. The repeated awakenings associated with sleep apnea make typical, restorative sleep impossible, in turn making severe daytime drowsiness, fatigue and irritability likely.
You might have trouble concentrating and find yourself falling asleep at work, while watching TV or even when driving. People with sleep apnea have an increased risk of motor vehicle and workplace accidents.
You might also feel quick-tempered, moody or depressed. Children and adolescents with sleep apnea might perform poorly in school or have behaviour problems.
• High blood pressure or heart problems. Sudden drops in blood oxygen levels that occur during OSA increase blood pressure and strain the cardiovascular system. Having OSA increases your risk of high blood pressure.
OSA might also increase your risk of recurrent heart attack, stroke and irregular heartbeats, such as atrial fibrillation. If you have heart disease, multiple episodes of low blood oxygen (hypoxia or hypoxemia) can lead to sudden death from an irregular heartbeat.
• Type 2 diabetes. Having sleep apnea increases your risk of developing insulin resistance and type 2 diabetes.
• Metabolic syndrome. This disorder, which includes high blood pressure, abnormal cholesterol levels, high blood sugar and an increased waist circumference, is linked to a higher risk of heart disease
• Liver & Kidney problems
• Sleep-deprived room or house mates
• Complications during surgery and also with some medication
Lifestyle modifications that may help
• Lose excess fat. Even a slight weight loss might help relieve constriction of your throat. In some cases, sleep apnea can resolve if you return to a healthy weight, but it can recur if you regain weight.
• Exercise. Regular exercise can help ease the symptoms of obstructive sleep apnea even without weight loss.
• Avoid alcohol and certain medicines such as tranquilisers and sleeping pills. These relax the muscles in the back of your throat, interfering with breathing.
• Sleep on your side or abdomen rather than on your back. Sleeping on your belly has many posture related challenges but we may adopt that briefly as we work on definitive treatment.
• Don’t smoke.
Diagnosis and Treatment
There is help so if you think you may have sleep apnoea do not hesitate to speak to your doctor.
A few questions, examination and Sleep Studies and a diagnoses may be reached and the appropriate treatment, advice or support systems put in place.
Yes, the options vary from just lifestyle modifications to the famous CPAP, implants and even surgery BUT do seek help, not only will you feel brand-new when the condition is resolved, you may be saving relationships.
……definitely not all snoring is created equal. Find out about yours.
AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERYDAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pressure, blood cholesterol, BMI)
Dr. Kojo Cobba Essel
Health Essentials Ltd (HE&W Group)
(dressel@healthessentialsgh.com)
*Dr. Essel is a Medical Doctor with a keen interest in Lifestyle Medicine, He holds an MBA and is an ISSA Specialist in Exercise Therapy, Fitness Nutrition and Corrective Exercise. He is the author of the award-winning book, ‘Unravelling The Essentials of Health & Wealth.’
Thought for the week (1) – “I am hard pressed to choose the greatest legal performance enhancing drug. Is it good quality Sleep or Exercise?”
By Dr. Kojo Cobba Essel
Interpersonal relationships are complex constructs that can make or break a work environment. It is essential to cultivate relationships that are more positive and productive in the workplace so that everyone feels comfortable, respected and appreciated.
For improved job satisfaction and happiness at work, take time to strengthen your work relationships
Here are some tips for successful relationship-building at work.
2. Set and meet expectations
Set expectations that are clearly defined and reasonably achievable. Be realistic with deadlines, and don’t overextend yourself or your team members. Ensure everyone is aware of the expectations and deadlines, so they can adequately prepare.
Discuss potential outcomes and consequences before starting any project or task. This way, everyone involved has a better understanding of what needs to be done and how it needs to be done. This will help prevent misunderstandings down the line.
Once expectations are set, work hard to meet those expectations to prove that you are a team player. When you meet deadlines, you demonstrate accountability and dependability. You show that you can be trusted.
3. Build trust
Strong professional relationships are built on trust and respect. To gain trust, you need to be reliable and trustworthy. Show that you can be relied upon by following through on your commitments and keeping your promises.
Be honest and upfront with others, even if it’s uncomfortable. Transparency helps to foster trust. When people trust you, they’ll feel more comfortable being open and honest with you. This leads to better communication which will further strengthen your workplace relationships.
Trust is only possible when all parties involved feel respected and valued. Respect your colleagues’ ideas, opinions, and feelings by actively listening to them and giving them the attention they deserve.
4. Express gratitude
Find small ways to express gratitude regularly. Even a simple “thank you,” or heartfelt compliment can make a big difference.
Showing appreciation for someone’s efforts or ideas shows that you value them and their work. When you express gratitude, you send the message that you care about them, which will encourage them to reciprocate and build a stronger relationship with you.
5. Take an interest
Take the time to get to know your colleagues. Get to know their personal interests, hobbies, and passions outside of work. Ask them about these things often and take a genuine interest in them. You will develop more meaningful relationships when you learn and listen to them talk about the things that are important to them.
Showing an interest in your colleagues not only helps build relationships but it also encourages collaboration and creativity. People who feel heard and respected are more likely to open up and share their ideas.
Easter is already in the air church plays, family trips to Kwahu, fish money count in Kumasi market stalls. But for some families, the season also sharpens a private pain: a teenager who hides his phone under the mattress, a wife who finds transfers to unknown numbers, a father who smells stale hotel soap on his son’s shirt. Sexual addiction does not announce itself. It steals trust slowly, then all at once.
I see it at CPAC intake rooms: mothers trembling not from anger but exhaustion, men blaming themselves for “raising him badly.” Here is what we know and what actually helps.
Research frames compulsive sexual behaviour less as moral failure and more as an intimacy disorder tied to anxiety, untreated trauma, and a dysregulated reward system (Giordano et al., 2021).
In Ghanaian homes, shame thickens the silence. Carnes (2020) found that structured family disclosure guided by a therapist raised treatment entry by 38 per cent. Grubbs et al. (2020) showed spiritual support lowers relapse risk only when paired with accountability, not preaching.
Name the behaviour without drowning the person
At our Adenta Oyarifa-Teiman office, I often ask a couple to write down one line: “I felt scared when I saw __; I need __.” Not “you are dirty,” but “I saw pornography at 2 a.m. on your laptop; I need us to meet CPAC on Thursday.” I remember Kofi (name changed), a car dealer from Spintex, sitting across me saying, “If I call him addict he will run.” We drafted a text instead: “Yaw, I love you. I saw Mastercard bills. I’ve made us an appointment. I’ll drive you.” He came.
Use Easter’s rhythm, not its sermons
The season’s power is ordinary belonging. Invite your son to peel yam for Good Friday soup; ask your husband to lead the family in a simple sunrise prayer at 6 a.m., phone left in the hall.
A Shai Hills walk, a shared taxi to church-these re-anchor a nervous system.
Invite, do not ambush. Then bind that belonging to a step: install accountability software that blocks explicit sites and sends a report to a trusted person, agree on weekly attendance at a Sex Addicts Anonymous meeting, schedule therapy session with experts from Counselor Prince & Associates Consult – CPAC. Grubbs’ finding holds: faith helps when it carries accountability.
Build containment the Ghanaian way
Few Accra families have study rooms; rural families share one chamber. Make rules fit: “No phones in bedrooms after 10 p.m. -all devices charge in the sitting room.” Keep a single MTN phone for night calls. Agree on cash, not mobile money, for daily spend. For betrayed spouses, CPAC names betrayal trauma without gossip; the relief is immediate.
Parents need their own slice: a 20-minute walk, a radio prayer, a friend who listens. Empty cups spill.
City reality versus village reality
In Accra, you may afford an expert from CPAC and monitoring software. In Bawku, you may lean on CPAC’s online service or a community nurse, a well-trained and trusted pastor or imam, and a strict routine.
Both depend on three moves: containment, treatment, connection. I have watched both work.
Sexual addiction thrives in secrecy. It withers in small, repeated honesty. One week clean, one meeting attended, one budget table opened-these are Easter’s quiet resurrection.
At CPAC we do not promise miracles; we promise a plan. Some sons make tea safely again. Some husbands show receipts. Shame shrinks when families speak early, set boundaries, and bind to help.
Source: Field notes from Counselor Prince Offei’s practice in mental health, marriage counselling, and addiction support at CPAC.
References
Carnes, P. J. (2020). Sexual addiction and compulsivity: Journal of Treatment & Prevention, 27(1), 1-12.
Giordano, A. L., et al. (2021). Family communication in sexual addiction recovery. Journal of Marital and Family Therapy, 47(2), 312-327.
Grubbs, J. B., et al. (2020). Spirituality, shame, and compulsive sexual behaviour. Archives of Sexual Behaviour, 49(5), 1665-1677.
To be continued …
Source: REV. COUNSELOR PRINCE OFFEI’s insights on sexual addiction, relationships, and mental health in Ghana. He is a leading mental health professional, lecturer, ADR Expert/Arbitrator, renowned author, and marriage counsellor at COUNSELOR PRINCE & ASSOCIATES CONSULT (CPAC COUNSELLOR TRAINING INSTITUTE)
