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Medical Author:

Siamak T. Nabili, MD, MPH

Siamak T. Nabili, MD, MPH

Dr. Nabili received his undergraduate degree from the University of California, San Diego (UCSD), majoring in chemistry and biochemistry. He then completed his graduate degree at the University of California, Los Angeles (UCLA). His graduate training included a specialized fellowship in public health where his research focused on environmental health and health-care delivery and management.

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Medical Editor:

Melissa Conrad Stöppler, MD, Chief Medical Editor

Melissa Conrad Stöppler, MD, Chief Medical Editor

Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.

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Insomnia from shift changes

• Behavioral therapy has been useful in modifying the insomnia and symptoms of sleep deprivation in shift workers.
• A person should shift their schedules forward in a clockwise direction, from days to evening, then evenings to night shift, and allow sufficient time to adapt (at least one week) between shift changes.
• Bright light is a potent stimulus to circadian rhythm. Bright light is being examined as a rhythm synchronizer.
• Shift workers should stress the importance of good sleep habits with regular bedtime and awakening.
• Supplemental naps may be necessary to ensure work time alertness.
• Discuss the use of naps with a doctor.
• Some people promote using short-acting sedatives in the first few days following a shift change, but not everyone agrees.

Insomnia from Acute Stresses

• Stress may be positive or negative, and concerns about sleep may vary. Many stressors will go away with support and reassurance.
• Education about the importance of good sleep habits is also helpful.
• Some people may need short-term treatment with medications. A doctor will often work toward the lowest effective dose with a short-acting sedative to achieve proper sleep.

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