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Cognitive Behavioral Treatment For Sleep Disturbances

Clinical cognitive-behavior therapy has about 70-80 percent success rate for helping those who suffer from chronic insomnia. When sleep disturbances exits along with other psychological disorders like depression, anxiety, the initial treatment should be to address the underlying condition. But sometimes, even after resolving the underlying condition, the sleep disturbances exists. Most persons with sleep disturbances should be examined for specific behaviors and thoughts that may cause the sleep problems. When people experience sleep disturbances, they try to compensate by engaging in activities to help them get more sleep.

They sleep later in the morning or spend excessive times in bed. Bedtime, waking time, time to fall sleep, number and durations of awakening, actual sleep time and quality of sleep are called s different sleep patterns and every doctor make a note of it from their patients suffering from sleep problems. A person may develop poor sleep habits like watching T.V. or eating too much before going to bed, and also they have irregular sleep patterns like taking long naps during daytime to compensate the lost sleep at night. There are some people who develop a fear of not sleeping and a pattern of worrying about the consequences of not sleeping.

Cognitive-behavior therapy tries to change a patient’s dysfunctional beliefs and attitude about sleep. It helps in restructuring the thoughts. Thoughts like that they have got to sleep for eight hours that night or thinking that they will get sick if they don’t sleep or that they can’t function properly or even they go for taking medication to get sleep. Focus too much on sleep, which can become something like performance anxiety. So in Cognitive-behavior therapy, after identifying the dysfunctional thought patterns, a physician can offer alternative interpretations of what is getting that person anxious so a person can think about their sleep disturbances in a different way.

In cases of erectile dysfunction related to sleep disorders, apart from being treated with Viagra cognitive and behavioral therapy might also be required.

Cognitive-behavioral therapy is very effective and it contains three therapeutic domains including stimulus control, sleep restriction therapy and relaxation training. It has been proven to be beneficial in improving sleep pattern in chronic insomnia. However, there is no clinical evidence revealing its effectiveness upon sleep disorders in hemodialysis and peritoneal dialysis patients. This therapy improves both immediate and long-term self-reported sleep and pain in older patients with osteoarthiritis and comorbid insomnia without directly addressing pain control.

Patients who had indergone cognitive-behavior therapy showed significantly decreased sleep latency and wake after sleep onset, it also significantly reduced pain and increased sleep efficiency. These improvements persisted in Cognitive-behavioral therapy patients who were also further assessed for sleep quality and they are supposed to go for a one year follow-up visits. When the person undergoes a cognitive-behavioral therapy, they learn how to improve their sleep and in each sittings improvements persists. So this can not only improve sleep but that improvement of sleep may lead to improvement in co-existing medical or psychiatric illness. So the success treatment of sleep disturbance may improve the quality of life for patients in this world population.

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