Psychotherapy with Suzanne Bergmann LCSW

Therapy for Sleep Disorders

Are sleepless nights and restless days taking a toll on your well-being? If so, you’re not alone. Sleep disorders affect millions of people worldwide, and seeking help through sleep therapy can be a life-changing decision. But what exactly should you expect from sleep therapy? I’m a therapist specializing in sleep disorders, and I’m here to provide you with a comprehensive understanding of what to expect when embarking on the journey of sleep therapy, particularly Cognitive Behavioral Therapy for Insomnia (CBT-I). Sleep issues can profoundly affect our lives, and seeking professional help can be a transformative step. So, let’s explore what you can anticipate working with me and how treatment they can lead you to restful nights.

Understanding Sleep Therapy

The first thing to understand about sleep therapy is that it’s a highly individualized process, beginning with an initial assessment and evaluation. This phase is crucial as it forms the foundation for your entire treatment plan.

  1. Assessment and Diagnosis: During the initial assessment, I will gather comprehensive information about your sleep history, daily routines, and any specific sleep-related concerns you may have. This may involve reviewing a sleep diary, your personal history, and engaging in discussions about your sleep patterns.
  2. Diagnosis and Treatment Plan: Based on the assessment, I will work to diagnose any underlying sleep disorders. Common sleep disorders include insomnia, nightmare disorder, sleep apnea, narcolepsy, restless leg syndrome, and more. As a psychotherapist, I may connect you to a Health Professional to support medical diagnoses. For example, untreated sleep apnea will often result in not feeling well rested even after other treatment. Once a diagnosis is made, a personalized treatment plan will be tailored to address your unique needs and goals.
  3. Education and Sleep Hygiene: Education is a cornerstone of sleep therapy. I will provide you with valuable information about helpful sleep practices often called “sleep hygiene.” These practices encompass tips on creating a comfortable sleep environment, managing stress, and establishing a consistent sleep schedule.  Please note that sleep hygiene is not therapy and is often inadequate as a stand-alone approach to address sleep disorders.

The Transformative Power of CBT-I

Now, let’s dive deeper into Cognitive Behavioral Therapy for Insomnia (CBT-I), often referred to as the gold-standard treatment for those grappling with insomnia. CBT-I focuses on changing behaviors and thought patterns that contribute to sleep difficulties, without relying on medication.

  1. Behavioral Techniques: CBT-I incorporates various behavioral interventions. One crucial aspect is stimulus control, which aims to associate the bed with sleep, rather than wakefulness. This might involve adjusting your sleep schedule and limiting activities in bed.
  2. Sleep Efficiency Training: This fundamental  component, sometimes called sleep restriction, aims to increase sleep efficiency. Initially, this may involve limiting your time in bed to match your actual sleep duration. As sleep improves, you gradually extend your time in bed.
  3. Cognitive Techniques: CBT-I also addresses the thought patterns and worries that often accompany insomnia. I will employ cognitive techniques to challenge and reframe negative thoughts about sleep.  Anxiety and depression are often addressed as underlying conditions to the sleep disruption.

Continuous Monitoring and Lifestyle Adjustments

Sleep therapy is a dynamic and ongoing process. If I am your therapist, I will continually monitor your progress, and together, we will make any necessary adjustments to your treatment plan. This collaborative approach ensures that your therapy remains tailored to your evolving needs.

In some cases, lifestyle changes may be recommended. This can encompass following recommendations from your health providers related to diet and exercise and/or relaxation techniques to reduce stress. These lifestyle changes are designed to complement and support your journey toward better sleep.

Sleep therapy and CBT-I are powerful tools for regaining control over your sleep and ultimately improving your overall well-being. Remember that your therapist is your partner in this journey, and the process is flexible, adapting to your unique circumstances. By engaging with these therapies, you can look forward to improved sleep and a brighter, more well-rested future.

Interested in discussing your specific sleep needs with a therapist?  Contact me for a free phone consultation.

Citations:

  1. American Academy of Sleep Medicine. (2020). Clinical Practice Guideline for the Pharmacologic Treatment of Chronic Insomnia in Adults: An American Academy of Sleep Medicine Clinical Practice Guideline. https://jcsm.aasm.org/doi/10.5664/jcsm.8826
  2. Qaseem, A., Kansagara, D., Forciea, M. A., Cooke, M., & Denberg, T. D. (2016). Management of Chronic Insomnia Disorder in Adults: A Clinical Practice Guideline From the American College of Physicians. Annals of Internal Medicine, 165(2), 125-133. https://www.acpjournals.org/doi/10.7326/M15-2175