Psychotherapy and Insomnia

By Dr. Randi Fredricks, Ph.D.

Behavioral and psychological counseling are recommended for people with poor sleep habits. Recognition that psychological and behavioral factors play an important role in insomnia has led to the increased use of psychotherapy in helping sleep disorders.

A study at Loughborough University in the U.K. noted that psychological treatment for insomnia improved sleep quality, reduced hypnotic drug use, and improved health-related quality of life for long-term medication users with chronic sleep difficulties.

Other research has shown psychotherapy to be superior to prescription sleeping medication. In a study at Harvard Medical School, researchers said the widespread use of psychotherapy "could improve the quality of life of a large numbers of patients with insomnia."

Research has indicated that psychotherapy can provide lasting change for people with sleep disorders. One study found that psychotherapy provided clinically significant sleep improvements within 6 weeks and that the improvements lasted through 6 months of follow-ups.

A number of studies on insomnia and psychotherapy have used cognitive behavioral therapy (CBT) as an effective method for treating sleep disorders.

One study found that CBT actually helped to change people’s fundamental beliefs about sleep habits, concluding, "CBT is effective for reducing dysfunctional beliefs about sleep and such changes are associated with other positive outcomes in insomnia treatment." These findings highlight the importance of targeting sleep-related beliefs and attitudes in psychotherapy.

Insomnia can be triggered by psychological stress. Dealing with stress, through psychotherapy and other techniques, may be the key to a better night’s rest. Many trials have shown that psychological intervention can be beneficial for insomnia.

A combined program of sleep counseling, sleep restriction methods (i.e., the only time spent in bed is when sleeping), and control of stimuli that interfere with sleep, significantly increased sleep time in a group of people with insomnia.

A steady sleeping and eating schedule combined with dietary modifications and counseling sessions using behavioral therapy has been shown to reduce insomnia.

References
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About the Author

Dr. Randi Fredricks, Ph.D. is a psychotherapist and author specializing in the treatment of mental health using integrative medicine and natural therapies. She works with individuals, couples, and families at her office in San Jose, California. Dr. Fredricks' publications include the landmark book Healing & Wholeness: Complementary and Alternative Therapies for Mental Health. No part of this article may be reproduced in any form or by any electronic or mechanical means, including information storage and retrieval systems. Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of Dr. Randi Fredricks as articles often present the published results of the research of other professionals. Copyright © 2012. To cite this article, please use the following citation: Fredricks, R. (2008). Healing & Wholeness: Complementary and Alternative Therapies for Mental Health. Bloomington, IN: Author House.


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