Sleep cannot be ordered to happen. The harder someone tries to force it, the more awake they may feel. After many difficult nights, the bed itself can become associated with frustration and worry rather than rest. [1]
Cognitive behavioural therapy for insomnia (CBT-I) is a well-supported first-line treatment for chronic insomnia. It may involve working with anxious thoughts about sleep, adjusting time spent in bed, establishing consistent rhythms and strengthening the connection between bed and sleep. It is more than basic advice about switching off a phone. [2]
Some components can be delivered digitally with appropriate professional support. Other situations call for in-person assessment, especially when symptoms are complex or another illness is present. The aim is not to control every night, but gradually to rebuild confidence in the ability to sleep. [3]
References
- Riemann D, et al. European Insomnia Guideline: Diagnosis and treatment update 2023.
- Edinger JD, et al. AASM clinical practice guideline: behavioral treatments for chronic insomnia. 2021.
- NIH/NHLBI. Insomnia: Treatment (including CBT-I).
This information does not replace an individual medical assessment. Seek urgent assistance in an emergency.