“I have nights when I can’t sleep at all and other nights when I sleep a lot,” Philippa wrote last week. “If I don’t fall asleep straight away I find I often don’t sleep the whole night! Do you think sleep restriction would work for me?”
My answer to Philippa’s question is an unqualified “yes.” But first I want to look at sleep that’s inconsistent and unpredictable and how anxious it can make you feel.
People sometimes ask whether chronic insomnia is mainly a physiological or a psychological problem. Often it’s both.
Certain beliefs about sleep can interfere with getting a good night’s rest. A reality check can help you sort out truth from myth, which in turn may help you sleep.
If you have chronic insomnia, you may have developed anxiety about sleep. I had lots of sleep-related anxiety until I went through sleep restriction. Once my sleep stabilized, the anxiety disappeared.
Studies have shown that cranial electrotherapy stimulation (CES) is modestly effective at controlling anxiety. It’s FDA approved and widely used in the armed forces for anxiety, PTSD, insomnia, and depression.