Sleep The Night Away
April 24, 2010 by insomniac
Filed under Treatments
Oh sleep! it is a gentle thing,/ Beloved from pole to pole.
- Samuel Taylor Coleridge (1772-1834)
You’re getting sleepy…very, very sleepy
You hope that’s so – when you need it to happen.
We all want to wind down into a peaceful sleep come the end of our day. The problem is many of us become sleepy at the wrong ‘time of the day’. The result is when it’s time to go to bed – we’re banging our head because we cannot achieve that deep sleep we need.
The sleep consultants at www.sleepmanagementconsultants.com want to help you sleep tight, at the time that’s right for you. Their website offers loads of information to help you understand the symptoms and solutions to your sleep problems.
Their consultants understand sleep disorders and conditions like sleep apnea, insomnia, narcolepsy, and restless leg syndrome. They also understand how stress, anxiety, medications, and noise can disturb sleep. A talk with one of their consultant’s can provide you with the answers you need to make informed decisions concerning your situation.
Many people continue to battle their sleep problems without any lasting success. They may be unaware of ‘Sleep Centers’ that can hone in on the root causes of their problem and provide corrective action. The sleep management consultants’ website offers you the opportunity to locate a sleep center near you. Making an appointment with one could be the first step towards a life of better sleep.
What does a sleep center do?
They use state-of-the art computer equipment and trained technicians’ to monitor a patient’s brainwave patterns. They also measure other physiologic activity in the body. This, coupled with input from physicians who work with them, provides information for a well-reasoned treatment program for a patient. There is no need to suffer with a sleep disorder when help is readily available at the click of a mouse.
The site contains valuable information about the various sleep disorders and their causes. The sleep management consultants’ team realizes that knowledge is the first weapon in your battle to win a better night’s sleep…consistently.
Their mission statement trumpets this aim, which is, “To give you information, advice, and tips to help you, and your children get a great night’s sleep”.
The website offers information conveniently, in sections devoted to children and adults. It conveys useful, current information as applies to the needs of these two groups. There’s a page devoted to children’s sleep solutions and one devoted to adult sleep solutions.
As well, their ‘Sleep Aids’ page offers insight into Insomnia. This section describes insomnia’s impact on society as well as its costs. The page offers information about treatments, including behavioral suggestions.
For immediate help the ‘Great Night’s Sleep’ page offers a baker’s dozen of tips for a more restful deep sleep event. The hope is your ‘event’ will become a regular occurrence.
That’s what www.sleepmanagementconsultants.com is all about, healthy restful sleep.
The site offers you three PPP’s to earn yourself some ‘ZZZ’s.
Those three P’s are:
Pertinent information >>>Pointing you towards>>>Peaceful sleep.
They know that your sleep disorder can have painful manifestations on the job and at home. Lack of the right type of sleep in the right amounts impedes our mental and physical performance. We harm ourselves when we don’t experience deep sleep regularly. We can potentially harm others when our sleep habits are less than optimal. Just the thought of falling asleep at the wheel due to a poor night’s sleep is reason for concern. The scary thing is many people operate this way on a daily basis.
The sleep management consultants group wants to save us from ourselves when you come right down to it.
If you’re having problems getting a good night’s sleep; if you’re fretting the night away instead of sleeping the night away, contact a consultant. Visit www.sleepmanagementconsultants.com and learn more about healthy sleep –and how you can achieve it.
A quick e-mail for a free consultation (responded to within 48 hours) may lead you to snooze… and muse as Samuel Taylor Coleridge did.
The Causes Of Insomnia
Why can’t I sleep? This is the most common sentiment that is heard from patients with Insomnia. They tirelessly exert themselves to sleep at night but the efforts they make only seem to increase their problems and it seems as if they are met with failure at every turn. What exactly are the causes of insomnia? Knowing these causes would surely help us to avoid these problems in the future and would hopefully leave us to a good night’s sleep from now on.
One of the many causes of Insomnia, yet surely one of the most common, is stress. Stress can come from too much work in the office or from problems at home. Also, having to constantly think about your problems even if the main one is insomnia itself, can sometimes exacerbate your stress. Eventually the whole thing can cause you a real headache. Tons of stress can lead to a loss of sleep which can then lead to more stress and even bigger problems. Let’s look at some of the other common causes so as to hopefully stop this problem from happening.
Another cause of insomnia is anxiety. Feelings of worry, fear or apprehension about the people around you may add to your feelings of anxiety and you may find yourself unable to relax. The problem of high anxiety or fear is quickly solved by recognizing that the fears you hold inside yourself are 100% the result of your own making. Belief in the reality of fear as having some kind of external source outside of yourself is what keeps the fear alive but recognizing that fear only comes from inside yourself is what finally clears it up and puts you back into a regular discipline of sleep.
Other causes of insomnia include problems over love, arguments with your partner or officemate, overdue bills to be paid and so forth. Generally, any kind of negative emotion about any outside circumstance at all can lead to an inability to sleep. All of them can ultimately be cured by the recognition that healing begins from within. Put your own emotional well-being at the top of the list and let the outside situations in your life take a “backseat” for the time being. The most important thing is your health and a good night’s sleep is paramount to maintaining a good level of health.
Apart from your emotions, it helps to look at your thinking. A big reason that many people experience a change in their sleep patterns is that they start to constantly think about something and they simply cannot stop. Meditation and yoga help to refocus the body’s energies away from the constant stream of thoughts and into a more balanced state of being.
Insomnia can also be brought on by hormonal changes as in the case of Pre-menstrual Syndrome (PMS). During menstruation, your sleep pattern may change quite a bit and it may help to adapt your schedule when these changes begin to take place.
Other medical conditions such as allergies, Parkinson’s disease, high blood pressure and asthma can cause you to experience lots of tossing and turning during the night. When you experience pains like headache, body aches and even a toothache, it really can affect your sleep activity and make you lose track of your sleep schedule. Some people think that genetics also plays a role in sleep habits but there is no concrete scientific basis for this belief. Decreased melatonin, which is a kind of hormone that helps to regulate sleep, has been thought to be related especially as a person begins to age but this has also not been conclusively proven.
There are a lot of reasons and factors that lead to the loss of sleep so it is important to consider all the possibilities when you begin to see a problem. The more serious disorders can be caused by disruptions to your breathing passages or to certain chemical imbalances in your brain. If you witness a serious and prolonged period where you cannot sleep well, you should consult a doctor. Insomnia is a sleep disorder that can be treated through a number of different methods but awareness is often the key to solving this problem. Make sure and stay abreast of all the possible causes so that you can help yourself detect the reasons for why you may have such a difficulty.
Bruxisim: Grinding of teeth
What is Bruxism?
Bruxism could be termed as the regular grinding of the teeth along with clenching of the teeth unknowingly. The public who are experiencing this behavior are not even aware of the fact that they are actually doing it themselves. Bruxism has had an impact on a large amount of citizens in the US; this includes adults, teenager and children.
Few people are very much used to this kind of actions and there are a number of people who grind and rub their teeth unknowingly even while sleeping. This condition is what is commonly known as “nocturnal” or “sleep related” bruxism. Some others people could exhibit this irritating habit of teeth grinding during the daytime. Bruxism is therefore often related mostly with stress and anxiety, while few specialists believe that bruxism is nothing but a habit.
There are many reasons for bruxism. A highly possible reason for bruxism has been indentified to be related to stress and can also be the reaction of a body when the teeth does not line up properly. At times bruxism could be a sign for some kind of a neuromuscular disease, which involves the face. At times, bruxism could be a possible side effect of some drugs used for treating stress, common medicines being Prozac, Paxil and Zoloft.
People having continual bruxism can experience a rupture in the dental fillings that would damage the teeth. The dentin on the teeth is exposed with loss of enamel when the teeth are rubbed together. This also results in tooth sensitivity. At times bruxism can be very severe and be a main cause of unexplained morning headaches, jaw dysfunction, and even mysterious facial pain.
Bruxism Common Symptoms
You are identified to be suffering from bruxism if you exhibit any of the warning signs noted below.
Periodical tightening of your muscles in the jaw.
The sounds of teeth grinding while sleeping at times might possibly cause sleep problems due to the noise for the individual who is lying next to you.
You could have a headache along with pain of the muscles especially in the jaws in the morning for which there is no explanation.
There will be facial pain which lasts for a long duration.
The jaw joints could also cause pain
Gum Injuries along with damaged teeth and dental fillings
Diagnosis for Bruxism
If there is any possibility of you encountering any of the above given dental troubles, it is recommended that you need to visit your friendly dentist right away. A dentist is the best person to determine
An overview of sleep disorders in adults – Part 5
November 13, 2009 by insomniac
Filed under Narcolepsy
“To sleep perchance to dream” Here’s the rub, sweet dreams coming from a restful and restorative sleep seem to elude most people. More than a fifth of all adults will experience sleep problems at one stage of their life. Sleep problems can range from insomnia, snoring, obstructive sleep apnoea, narcolepsy, night terrors, restless leg syndrome and sleep walking.
Insomnia
Laying awake staring at the ceiling, might give you time to think, but when the clock starts ticking into the wee-small hours of morning and you haven’t had a wink of sleep to restore your tired body and mind, insomnia leaves you feeling fractious.
Stress, too much caffeine, jet-lag, shift work can all contribute to your inability to sleep. Medications, therapy or developing a good sleep regime can all reduce your chance to get insomnia. By going to bed at the same time every night, having dinner early, reducing caffeinated or alcoholic drinks, relaxing or taking a warm bath can all improve your ability to get a good nights sleep.
Snoring
A sound of a violent storm is heard when one stores. The turbulence is caused by a blockage anywhere between the vocal cords and the nose. As the muscles of the tongue, throat and soft palate relax, the snoring gets louder and more intense.
Obstructive sleep apnoea
Obstructive sleep apnoea is where the throat muscles relax and block the airway briefly, which stops breathing and deprives the body of oxygen.
Narcolepsy
Narcolepsy is a bizarre condition where a person can fall asleep instantly at any time during the day or night. This is caused by a malfunction in the sleep/awake regulating system of the brain.
Night Terrors
Night terrors usually occur once only during the first couple of hours of sleep compared with nightmares which are continual and happen during the later hours of sleep.
Restless Leg Syndrome
As the name suggests, “Restless Leg Syndrome” is where the legs become uncomfortable when they are in a state of inactivity. A person will want to move their legs or rub them to relieve the uncomfortable feeling they are experiencing.
Sleep Walking
Sleep Walking usually occurs in children and is a condition that is usually out-grown. However, a traumatic event, like a death, can cause adults to sleep walk for many years until the issue/stress is dealt with.
Treatment Approaches for Bruxism in Children
Sleep problems are frequent among healthy school going children seen at general pediatric practice. Sleep related problems were reported in 42.7% children that included nocturnal enuresis (18.4%), sleep talking (14.6%), bruxism (11.6%) nightmares (6.8%), night terrors (2.9%) snoring (5.8%) and sleepwalking (1.9%). Bruxism is a destructive habit. It is defined as the nonproductive diurnal or nocturnal clenching or grinding of the teeth.
Bruxism happens in about 15 percent of youngsters and in as many as 96 percent of grown-ups. The etiology of bruxism is unclear. It has been linked with stress, occlusal disorders, allergies and sleep positioning. In addition, type A personality behavior combined with stress is more predictive of bruxism. Because of its nonspecific pathology, bruxism may be difficult to diagnose.
Beside complaints from sleep partners, clenching-grinding, sleep bruxism, myofacial pain, craniomaxillofacial musculoskeletal pain, temporomandibular disorders, oro-facial pain, fibromyalgia, and chronic fatigue spectrum disorders are linked. The main clinical signs of bruxism comprise tooth wear, tooth mobility, hypertrophy masticatory muscles, and tender joints. Other symptoms of bruxism are multiple and diverse. They include temporomandibular joint pain and dysfunction, head and neck pain, erosion, abrasion, loss of and damage to supporting structures, headaches, oral infection, tooth sensitivity muscle pain and spasm, disturbance of aesthetics, and interference and oral discomfort.
Treatment for bruxism may be simple or complex, depending on the nature of the disorder. Severe bruxism disorders are difficult to treat and their prognoses also may be questionable. Children with bruxism are generally managed with observation and reassurance. Most of the children’s bruxism habit will disappear naturally as they grow up. Adults may be managed with stress reduction therapy, modification of sleep positioning, drug therapy, biofeedback training, physical therapy and dental evaluation. Correction of the malocclusion with orthodontic procedures, restorative procedures, or occlusal adjustment by selective grinding will not control the bruxism habit.
What about prevention? Researchers have found only a weak correlation between different types of morphologic malocclusion such as Class II and III molar relationship, deep bite, overjet, and dental wear or grinding. Moreover, there is no correlation between periodontal disease and bruxism in children. Because the malocclusions’ status in children does not increase the probability of bruxism, early orthodontic treatment (braces) to prevent bruxism is not scientifically justified.
Bruxism is a destructive habit that may result in severe dental deterioration. Bruxism in childhood may be a persistent trait. The occlusal trauma and tooth wear in childhood bruxism can be succeeded by increased anterior tooth wear 20 years later. If your child has significant tooth attrition, dental mobility or tooth fracture may happen. Therefore, it is mandatory to take your child to your dentist for evaluation of bruxism.
Causes of Childhood Insomnia – Dealing With Insomnia in Children and Teens
More than likely you have heard of insomnia, but usually you think of it as an adult problem. Insomnia is very common in adults; however, often kids have sleep problems as well. If you happen to have a child who is having trouble sleeping they may be dealing with childhood insomnia.
When it comes to adult insomnia, figuring out the causes can be a bit difficult; however, usually with children there is usually a cause that is quite obvious. So, here are a few of the causes of childhood insomnia you need to be aware of.
Cause #1 – Upset Stomach – One very common cause of insomnia in children can actually be an upset stomach. If your child is dealing with an upset stomach or constipation that is dealing with stomach pain, this could be causing the insomnia problem. Take time to figure out whether your child is eating right and going to the bathroom regularly.
Cause #2 – Stress – Many of adults deal with insomnia that is caused by stress, and stress can cause insomnia in children as well. Talk to your child and try to find out what is going on in their lives. Are they dealing with a tough time in school, are things tense around the home, or is your child having problems with a bully? There can be many things that stress out your child, which can lead to insomnia.
Stress is also a major cause of insomnia in teens. Teenagers in high school are usually under a great deal of pressure to study long hours. They may also be dealing with relationship problems and competition on the sports field or in the classroom. Extracting information from a teenager isn’t easy, but it’s worth persevering. Counselling is also available.
Cause #3 – Sleep Apnea – Believe it or not, children can be affected by sleep apnea as well, which is when they stop breathing during their sleep. If you think that this could be the problem with your child, they may need to be evaluated medically to see if this is really the problem. If your child is constantly tired despite sleeping long hours, sleep apnea may well be the culprit.
Cause #4 – Pain – Pain is another common cause of childhood insomnia, and the pain can come from a number of different places. Children can get fibromyalgia, childhood rheumatoid arthritis can hit or growing pains may even be the problem. If your child is playing sports, muscle cramps could even be causing pain that keeps them up at night.
As you can see there are a variety of causes of insomnia in children. No doubt you want to find ways that you can help alleviate the problem. Well, in many cases, it’s as simple as finding a natural cure.
There are a variety of natural cures out there today that can help treat childhood insomnia . You won’t want to give them prescription medications or over the counter treatments that are full of chemicals and dangerous drugs, so consider some of the excellent natural options that can be found to treat insomnia in children.
Insomnia – Getting The Help You Need
Experiencing an occasional sleepless night every now and again is normal and transient insomnia affects all of us from time to time, especially when we are under personal or professional stress, or our schedule changes significantly as a result of jet lag or shift work. But prolonged insomnia, lasting for perhaps six months or more, is another story.
If you have been unable to sleep every night, or most nights, for an extended period, then you may well suffer from serious insomnia.
If left untreated, such chronic insomnia can lead to a variety of significantly more serious conditions, including headaches, high blood pressure and even an increased risk of heart attack and stroke. What’s more, sleep disorders such as this can cause a loss of mental clarity and difficulty in concentrating. Insomnia and related sleep problems have also been linked to depression and other serious psychological and emotional problems.
Fortunately, addressing the problem, and getting the help you need for a better night’s sleep, can prove relatively straightforward. Whether you suffer from initial insomnia (trouble falling asleep), middle insomnia (difficulty staying asleep), or late insomnia (waking up too early), a process of simple adjustments to your daily routine, exercise, diet and sleep schedule will gradually result in a new pattern of healthful and fulfilling sleep.
A variety of natural sleep remedies (herbs, vitamins and minerals), when used appropriately, can prove an extremely effective tool in overcoming insomnia and generating a better night’s sleep. In fact, a few notable herbs and natural remedies have been medically recognized as the natural equivalent of several well-known artificial sleep aids and sleeping pills, and have been lauded for their effectiveness.
If you still find yourself struggling, even after making basic lifestyle changes and using proven natural remedies for insomnia (not to mention allowing an appropriate amount of time for these changes to take effect), you do need to seek the advice of a doctor. In this case, you could be suffering from more severe insomnia or a related sleep disorder like sleep apnea, narcolepsy or restless legs syndrome, all of which require the guidance of a medical professional.
The following questionnaire will help you determine your level of insomnia:
Simply answer each question “True” or “False”
1. I cannot remember the last time I enjoyed a good night’s sleep.
2. I have difficulty falling asleep at least four nights out of every seven.
3. I frequently wake in the night and struggle to get back to sleep.
4. I often wake up at least an hour or more before my alarm clock rings.
5. More often than not, I go to bed and get up at the same time each day.
6. I follow a regular exercise routine.
7. My diet includes a healthy balance of fruits, vegetables and whole grains.
8. I watch television or have a computer in my bedroom.
9. My spouse/partner complains about my snoring.
10. I am frequently sleepy during the day and often wake up feeling tired.
11. I often experience a tingling or crawling sensation in my legs and feet.
12. I frequently find myself accidentally falling asleep during the day.
Answering “true” to any of the first four questions will help confirm the fact that you may be suffering from serious insomnia.
Answering “true” to questions five through eight, however, suggests that you have already established the lifestyle habits conducive to a good night’s sleep. Having difficulty sleeping despite following a healthy exercise, diet and daily routine suggests that you could be suffering from some form of insomnia. You may want to try using natural sleep remedies to manage your condition, and considering seeking the advice of a medical professional if it persists.
Answering “true” to the last four questions may indicate that you suffer from severe insomnia or a related sleep disorder, and you should seek the advice of a medical professional.
Copyright © 2005 Donald Saunders – http://help-me-to-sleep.com
How to identify and treat sleep disorders
August 12, 2009 by insomniac
Filed under Night Terrors
Sleep disorders are the first effects of our daily worries, stress, unhealthy lifestyle, physical inactivity. And when sleep goes wrong, everything tends to degrade in our lives. Nights are too short, sleep is disturbed by worries of everyday life, insomnia. our nights are not what they were! And if the problems of the day are having nocturnal effects, it means that it is becoming a vicious circle: in fact, lasting sleep disorders can cause persistent daytime fatigue, decreased concentration and irritability. The professional and social life are affected and sometimes even our life as a couple too! These matters are not to be taken lightly and should be tackled seriously. The first thing we have to do is to find the origin of the disorder, then find the appropriate treatment, and finally this will surely reflect on the conditions and quality of sleep.
In today’s society we are subject to all sorts of pressures, at work, on personal and social levels and many times it is very difficult to manage all this and we tend to have less and less sleep as time goes by. Stress, ill-being, anxiety increase the tendency to sleep disorders. Sleep disorders are not an illness in themselves but they are the results of deeper problems that are generally difficult to disentangle. Many times a change in lifestyle is the solution to change this. When we are under stress or daily pressures we also tend to be more sedentary, we do less sports and spend less energy. Besides this we often tend to have bad habits, especially when it comes to diet, all this affects our sleep. There are also other factors that may cause sleep disorders like snoring, sleepwalking, sleep apnea, respiratory problems and gnashing of teeth.
Of course, some diseases such as snoring or sleep apnea that impede sleep require medical follow-up study. But for most of us, it is not the cause of sleepless nights.There are many other causes for sleep disorders which range from people with night terrors, people with depression whose sleep is disrupted. Many times those who suffer from depression tend to take refuge in sleep, and the more they sleep during the day the more they suffer from night waking or early rising. Depression produces insomnia, and vice versa. It is therefore the most complex mechanisms that require assistance sometimes even psychotherapy or medication.
What are the effects of sleep disorders on our everyday life?
Obviously, the first consequence of a sleep disorder is excessive and persistent
The Importance of Knowing Insomnia Causes
Insomnia affects a wide range of people and often people have a very hard time treating the problem because they can’t pinpoint the causes. Insomnia can make you feel irritable, stressed, angry, depressed, anxious, not able to think straight etc. The longer it goes on the worse it gets.
These causes and risk factors of insomnia can be difficult to identify. However, if you are able to determine the causes of your insomnia, then you will have an easier time finding a treatment that works for you.
Insomnia Causes – Emotional And Physical Factors
Events in your emotional life can cause you to suffer from insomnia. Maybe you are stressed out about a big deadline at work, or worried about your child starting school.
Perhaps a major life change, such as a death in your family, has occurred. Emotional disorders can also cause insomnia; for example, depression is a mood disorder that is frequently linked to insomnia.
The problem is that insomnia only amplifies the depression. If you already have a mental or mood disorder and are having insomnia you need to see your doctor.
Insomnia can also be caused by physical conditions. Asthma and arthritis are two common conditions that are associated with insomnia.
Insomnia Causes – Consumption
Insomnia can also be caused by the consumption of certain foods, drinks, and medications. Many people avoid drinking alcohol, coffee, and sodas before bedtime because they can cause problems sleeping.
Nicotine is a stimulant that can also affect sleep habits. Additionally, it is recommended that sugary or spicy foods that can cause indigestion be avoided at night.
Sleep problems can also be caused by medications that are taken for chronic conditions. Such medications include:
* Arthritis medications
* Anti-depressants
* Blood pressure medications
* Asthma medications
* Diet pills
* Allergy medications
If you believe side effects of your medication is at the root of your sleep disorder, switch to non-drowsy medication or consult your doctor.
Insomnia Causes – Your Nighttime Environment
Where you sleep at night can play a major role in how well you sleep. Although you’d like to think that your room is a positive, sleep-inducing environment, this is not always the case.
Your bedroom should let in minimal noise at night, and you should adjust the room temperature to suit your preferences. Also, by ensuring that your room is as dark as possible, you will also create an environment more conducive to sleep.
Cause And Effect
Identifying the cause of your insomnia is the first step to determining what the best method of treatment might be. Insomnia only gets worse over time so don’t wait around. Insomnia is also easier to treat in the beginning. Good luck on your journey towards health and wellness!
Treatment for Chronic Insomnia
Insomnia is the most common sleep problem reported by adults. Approximately one-half of all adults have occasional sleep problems during the course of any year. Insomnia is characterized by the inability to fall asleep or to maintain sleep, usually due to an underlying condition or cause. Both men and women of all ages suffer from insomnia, but it is more common in females and older adults. Individuals suffering from insomnia may experience any or all of the following symptoms:
Difficulty falling asleep
Difficulty staying asleep
Waking too early in the morning
Typically, insomnia is associated with feelings of restlessness, irritability, anxiety, unrefreshing sleep, and daytime fatigue. Medical or psychiatric conditions that are sometimes associated with insomnia include depression, anxiety, substance abuse disorders, obstructive sleep apnea, restless legs syndrome, and chronic medical conditions. Medications and other substances, such as caffeine, alcohol, or nicotine, can also play an important role in the development or persistence of insomnia. Some commonly used medications, such as antidepressants, antihypertensive, antihistamines, and decongestants, have been known to cause insomnia and sleep disruption. Before discontinuing any medication, however, it is very important to discuss your concerns with your doctor first.
For most people with insomnia, the symptoms last a few days to weeks, and then resolve spontaneously. In many of these cases, the underlying cause of insomnia may be a transient life stress or change in the daily routine of an individual. However, for those who have chronic insomnia, lasting for three months or longer, the effects of poor sleep can take a significant toll on quality of life and general well-being. The effects of chronic insomnia include reduced quality of life, impaired social functioning, diminished work productivity, missed work days, impaired memory and concentration, and depression. In essence, chronic insomnia can deprive individuals of their ability to function both socially and professionally, which can then lead to increasing problems in these areas of life.
In addition to decreased job performance, insomnia is associated with increased absenteeism. People with insomnia are at increased risk for various kinds of accidents, both at work and while operating motor vehicles.
Managing Insomnia
Chronic insomnia is characterized by its chronicity. Thus, individuals with chronic insomnia can expect that the problem may be life-long. However, there are successful treatments available that can help to control the severity and to minimize the long-term effects of insomnia.
Scientific research has demonstrated that the most successful treatment protocol for chronic insomnia is a combination of medication and cognitive behavioral therapy (CBT). CBT is a series of behavioral interventions used to improve one’s ability to initiate and to maintain sleep. Specifically, CBT is a group of techniques that can be learned to help one sleep better. Generally, CBT is conducted in individual or small group formats, over a period of several weeks. As mentioned earlier, CBT is most successful in conjunction with medication for the treatment of chronic insomnia. However, treatment with medication is not required in every case.
So what exactly is CBT?
CBT encompasses several different techniques, which may be used all together or individually. These various techniques include sleep hygiene training, relaxation therapy, stimulus control therapy, sleep restriction, and cognitive therapy. Sleep hygiene training refers to re-learning habits that encourage and promote sleep. Maintenance of a quiet sleep environment may mean excluding a pet from the bedroom or getting a bed partner to seek help for a snoring problem. Relaxation therapy helps to reduce physiologic and cognitive arousal at bedtime. Some people may be unaware of how tension and stress affect their sleep. Stimulus control therapy works by limiting the presence of external stimuli or factors that may bring anxiety or stress into the bedroom environment. Implementation of this technique can help to establish the bedroom as a place to relax and unwind, away from the stresses of the world. Sleep restriction limits the amount of time spent lying awake in bed. This technique requires close oversight by a physician or psychologist, using sleep diaries, to ensure successful treatment. Cognitive therapy works to refute an individual’s thoughts about sleeplessness and the fear and anxiety related to these thoughts. Cognitive therapy has the potential to provide patients with good tools to deal with insomnia.
CBT is generally conducted by psychologists or physicians with specialized training in these techniques. Unfortunately, CBT for chronic insomnia is not readily available everywhere; however, by doing some research through internet resources or by contacting the National Sleep Foundation (www.sleepfoundation.org) or the American Academy of Sleep Medicine (www.aasmnet.org), you may be able to find someone in your area. At the Dallas Center for Sleep Disorders, we offer Insomnia Workshops with CBT for chronic insomnia. You can contact us for more information (www.dallas-sleep.com or 972-473-7300).





