Sleep Enhancement Therapies
- Multi-modal sleep therapy, i.e., challenging negative intrusive thought patterns, racing thoughts, and
restructuring behavioural patterns. This involves relaxation training, which reduces somatic tension; changing cognitions
regarding sleep and insomnia; filling out daily activity and sleep logs; re-evaluating sleep schedules; and
establishing wind-down and anchor (wake up) times. The relaxation module, with deep diaphragmatic breathing and muscle
relaxation, followed by meditation and visual imagery (creating pleasant and soothing mental images),
proves to be extremely effective for many patients.
- Lifestyle Changes: avoiding large meals, controlling caffeine and alcohol consumption (to prevent rebound insomnia upon metabolism);
restricting physical activities, mentally challenging activities, watching emotionally-charged programs on TV.
- Stimulus-control therapy can be used to re-associate bed and bedroom with sleep,
and to establish a firm sleep and wake-up schedule. It is important to create a relaxed and cozy atmosphere; have
complete darkness in the room; to remove anything or anybody preventing one from falling asleep
(e.g., TV, pets, snoring spouses); and learning strategies to maximize sleep enhancement.
- Sleep restriction, i.e., creating mild sleep deprivation, can also be implemented. For example,
patients have to learn to refrain from evening napping in front of the TV. Some research recommends avoiding naps
during the day; however, for some people, having 1-2 short naps may actually improve sleep patterns,
depending on the physical and mental condition of the patient.
- Paradoxical interventions can be effective for some patients and for certain types of insomnia.
The patient is told to remain passively awake, and not to exert any effort to fall asleep. It is deeply intertwined with
cognitive restructuring, as the patient has to re-evaluate his or her beliefs about insomnia, and to get rid of performance
anxiety. Even more active paradoxical interventions are possible with patients with high levels of resistance to
treatment, such as displaying stubbornness or a compulsive need for self-control. In these cases it is possible to prescribe
one not to sleep until a certain timeline. As with any paradoxical interventions, every factor should be carefully
considered before enacting.
- Sufficient exposure to daylight is important for regulating circadian rhythms. Patients
should increase their sun exposure; in the winter time, light therapy can be implemented.
Psychological & Counselling Offices in Pickering, Ajax, Whitby, Oshawa,
Scarborough, Toronto, North York, Mississauga, Etobicoke, Brampton, Dundas, Hamilton, Burlington, Oakville, Bradford, Stoney Creek, Paris, Markham, Richmond Hill, Stouffville, Aurora, Cobourg,
Belleville, and Niagara-on-the-Lake. Assessment services provided in the regional municipalities of Durham,
Metro Toronto, York, Peel, Hamilton, St. Catherines, Bruce, Simcoe, Hastings, and the Kawarthas, Ontario