Primary Insomnia (cont.)
IN THIS ARTICLE
What other therapies treat and cure primary insomnia?
Behavioral therapy: Behavioral therapy is now considered the most appropriate treatment for persons with sleeplessness without any medical, psychiatric, or environment cause.
Stimulus control therapy: The purpose of this therapy is to reestablish the connection between the bed and sleep by prohibiting the person from engaging in nonsleep activities while in bed. The following instructions are given:
Sleep restriction therapy: This involves limiting the amount of time the person spends in bed to the actual amount of time the person usually spends sleeping. This results in sleep deprivation, which accumulates and causes more rapid sleep onset on subsequent nights. As sleep improves, the person is allowed to gradually increase time in bed by 15 to 30 minutes.
Relaxation therapies: The person is taught to identify and control tension. Relaxation-based interventions are advised based on the observation that persons with insomnia often display high levels of arousal both at night and during the daytime. The various techniques available to deactivate the arousal system are:
Cognitive therapy: This consists of identifying person-specific activities associated with thinking that disrupts sleep, challenging their validity, and replacing them with substitutes such as reattribution training (a simple technique that has been used successfully to help persons to recognize that their minds play a part in causing their physical symptoms), reappraisal, and attention shifting.
Paradoxical intention: This method consists of persuading a person to engage in his or her most feared behavior (for example, staying awake). This serves to eliminate performance anxiety so that sleep may come more easily.
What is the outlook for a person with primary insomnia?
The outlook for primary insomnia is good if the person adopts good sleep habits. It is important to note that one's health is not at risk if one does not get 6 to 8 hours of sleep every day and that different people have different natural sleep requirements. However, the following have been associated with insomnia:
Medically reviewed by Jon Glass, MD; American Board of Psychiatry and Neurology
Medically Reviewed by a Doctor on 8/26/2016
Aparna Ranjan, MD
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