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Sleep and wakefulness therapy


What is sleep and wakefulness therapy and who is it for ? 

What is sleep and wakefulness therapy ?

Sleep and wakefulness therapy, also known as cognitive-behavioural therapy (CBT) for insomnia, is a group of different methods that aim to :


  • reduce the subject’s level of physiological activation


 

  • improve sleep-related habits and behaviours


 

  • re-establish circadian sleep/wake rhythm


 

  • rectify some misconceptions about sleep


Principles and Goals of Sleep and Wakefulness Therapy

The sleep and wakefulness CBTs combine work on the patient’s beliefs and attitudes towards sleep with practical advice on how to get back to a restful sleep. 
 
Sleep and wakefulness therapy is based on the establishment of a patient’s sleep diary to determine the source of his insomnia and in particular the times of intervention. The patient also fills out several questionnaires to determine the internal and external factors that cause his insomnia. The practitioner helps the patient understand his sleep and advises him on solutions to his personal problem.
 
The sleep and wakefulness therapist usually begins the accompaniment by teaching the patient a number of habits and practices to be applied to improve his or her sleep (physical activity at the beginning of the day, reducing the consumption of alcohol or caffeinated products in the afternoon, etc.). 
 
Beyond this advice, the sleep and wakefulness therapist will use various methods to improve the patient’s sleep over the long term: 
 


  • Stimulus control: aims to undo the bed-sleep association and rebuild the bed-sleep association and establish a regular sleep schedule.

  • sleep restriction: to eliminate prolonged awakenings and reduce the amount of time spent in bed during sleep.

  • cognitive restructuring: changing certain beliefs and attitudes about sleep and the consequences of insomnia.


Who is sleep and wakefulness therapy for ?

Cognitive behavioral therapy (CBT) for insomnia is used to accompany subjects suffering from a variety of disorders. However, this type of cognitive-behavioural therapy is particularly suitable for all patients suffering from insomnia, sleepiness, and sleep and wakefulness disorders in general. 
 

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