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Insomnia - Sleep Restriction Therapy


12 years ago 0 619 logo logo logo logo logo logo logo logo logo logo 0
Hello Samantha,
 
I just have submitted the question to the Ask the Expert section. I hope Dr. Farvolden should be able to answer it.
12 years ago 0 2606 logo logo logo logo logo logo logo logo logo logo 0
Hello eleveno,
 
I think this would be a great Ask the Expert question, feel free to submit it! 
 


Samantha, Health Educator
12 years ago 0 619 logo logo logo logo logo logo logo logo logo logo 0
Hi Pete,
 
Thanks for your reply. You are right. We must be careful with what we read on the Internet. This therapy is too radical for doing without professional support.
12 years ago 0 223 logo logo logo logo logo logo logo logo logo logo 0
I would proceed very carefully indeed, if you are thinking of following this therapy - messing around further with your sleep patterns might not do you any good at all. The wikipedia quote describes the therapy in very mechanistic and 'one size fits all' terms, but then it's just wikipedia. I'm sure you are researching deeper into this. I'd certainly only try it in conjunction with a professional who knows all about this therapy and can tailor the approach to your individual needs.
12 years ago 0 619 logo logo logo logo logo logo logo logo logo logo 0
I have been having problems with sleep because I usually fall asleep without any problems but I normally wake up very early. This situation is aggravated by an antidepressant that have been prescribed which one of the side effects is insomnia. I read also that insomnia is also a common symptom of depression.
 
There is a method for treating insomnia which is called Cognitive Behavioral Therapy for Insomnia (CBT-I) and one of its components is the Sleep Restriction Therapy which consists in (according to Wikipedia):

"Sleep restriction is probably the most controversial step of CBT-I, since (true to its name) it initially involves the restriction of sleep. Although it is counterintuitive, it is a crucial and very effective component of CBT-I. It involves controlling time in bed (TIB) based upon the person's sleep efficiency in order to restore the homeostatic drive to sleep. Sleep Efficiency (SE) is the measure of reported Total Sleep Time (TST), the actual amount of time the patient is usually able to sleep, compared with his or her TIB.

Sleep Efficiency = (Total Sleep Time / Time In Bed) x 100

  • First, Time In Bed is restricted to the Total Sleep Time
  • Increase or decrease TIB weekly by only 20-30 min
  • Increase TIB if SE >90%
  • Decrease TIB if SE <80%
This process may take several weeks or months to complete, depending on the person's initial Sleep Efficiency and how effective the treatment is for them individually. Daytime sleepiness is a side-effect during the first week or two of treatment, so those who operate heavy machinery or otherwise cannot safely be sleep deprived should not undergo this process."
I would like to know if someone have knowledge about this therapy and their opinions.
 

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