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Inadequate Sleep Hygiene

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Cognitive Behavioral Therapy (CBT)

What is it?

This insomnia can also be called “bad sleep habits.” It involves the things that you normally do every day. These habits keep your sleep from being refreshing. They can also keep you from feeling alert during the day. These activities are all things that you should be able to control. These specific behaviors fall into the following two general categories:

  1. Practices that keep you awake

  2. Practices that bring disorder to your sleep schedule

Many common factors may keep you awake at night. At first, alcohol may make you sleepy. But it is also more likely to wake you up during the night. Drinking coffee or colas that contain caffeine can make you more alert. The nicotine in a cigarette can have the same effect. People often use these substances to “keep their edge” during the day. This “edge” is not always gone by the time they try to go to sleep.

Other factors that cause you to stay awake when they occur too close to bedtime include the following:

  • Worry
  • Excitement
  • Mental stress
  • Physical exercise

Many other practices can keep you from having a regular pattern of sleeping and waking up. Perhaps you are unable to fall asleep because you spend too much time in bed. Maybe you don’t go to bed and wake up at the same times everyday. Or maybe you nap too often, too long, or too close to your bedtime. These bad habits can confuse your body. This will cause you to stay awake when you should really be asleep.

This disorder can affect you in the following negative ways:

  • Mood changes
  • Depression
  • Short attention span
  • Poor concentration
  • Daytime sleepiness
  • Frustration with sleeping
  • Caffeine dependence
  • Alcohol abuse or dependence

It may often be obvious to other people around you that the things you are doing are hurting your sleep. You, however, may be completely unaware of it. You may also find that your sleep problems tend to come and go. This is because you are likely to change your sleep habits over time.

Who gets it?

It is typically not found in young children. It may develop as early as the teen years.

It may also begin at any time throughout adulthood. The timing of when it begins depends on when the habits that disturb sleep are developed. The rate at which it affects males and females is not known.

How do I know if I have it?

First, you need to determine if you have insomnia:

  1. Do you have trouble falling asleep, staying asleep, waking up too early, or feeling refreshed after sleeping?

  2. For a child, does the child resist going to sleep or sleeping alone?

  3. Does this problem occur even though you have the opportunity and the time to get a good night’s sleep?

  4. Do you have at least one of the following problems? You have:
  • Low energy
  • Lack of motivation
  • Attention, concentration or memory problems
  • Poor performance at school or work
  • Extreme mood changes
  • Daytime sleepiness
  • Trouble making errors at work or while driving
  • Tension, headaches or stomach aches
  • Frustration or worry about your sleep

If your answer to each of these questions is yes, then you might have insomnia. Now continue to see if you might have inadequate sleep hygiene:

  1. Have you had these problems for at least one month?

  2. Do you have at least one of the following bad habits?
  • You have a bad sleep schedule. You nap a lot, go to bed and wake up at different times every day, or spend too much time in bed.

  • You often use products with alcohol, nicotine, or caffeine near bedtime.

  • You actively do things that excite your mind, body, or emotions near bedtime.

  • You often use the bed to do things other than sleep. This includes reading and watching TV.

  • You do not keep a comfortable sleeping environment.

If you also answered yes to these questions, then you may have inadequate sleep hygiene.

It is also important to know if there is something else that is causing your sleep problems. They may be a result of one of the following:

  • Another sleep disorder
  • A medical condition
  • Medication use
  • A mental health disorder
  • Substance abuse

Do I need to see a sleep specialist?

Talk with a family doctor about your difficulty sleeping. See if you are able to correct the bad sleep habits that are affecting your sleep. Are you having a hard time improving your habits? Or are you still having a sleep problem even after making these changes? If so, then you may need to see a sleep specialist.

What will the doctor need to know?

First, the doctor will need to know when your insomnia started. He or she will also want to know what else has been going on in your life. The doctor will need to know about any other medical problems you have today or had in the past. Be sure to tell the doctor if you are taking any medications.

Keep a sleep diary for two weeks. The sleep diary will help the doctor see your sleeping patterns. The sleep diary information gives the doctor clues about what is causing your problem and how to correct it.

Will I need to take any tests?

Doctors do not need any tests to treat most insomnia patients. A sleep specialist may give you a written test to analyze your mental and emotional well-being. The specialist may need to test your blood in the lab if he or she thinks that you may have a related medical problem.

How is it treated?

Many cases of insomnia will respond to changes that you can make on your own. You can often sleep better by simply following the practices of good sleep hygiene.

Sleep hygiene consists of basic habits and tips that help you develop a pattern of healthy sleep. There are also easy ways to make your bed and your bedroom more comfortable. See the Resources section of this site to find out how you can start down the path to better sleep.

You need to seek help from a therapist if stress or depression is the cause of your sleep problems.

When self-treatment does not work, a doctor can provide help. Doctors can teach you different ways to improve your sleep. An example of this is to use relaxation exercises when you go to bed. They can also help you find ways to take your mind off of sleep. Staying out of bed until you are very, very sleepy is helpful too. These methods are a part of what is known as behavioral therapy.

A doctor may also prescribe sleeping pills to help improve your sleep. These pills are called hypnotics. You should only take sleeping pills when supervised by a doctor.

Updated March 1, 2005


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