Your evaluation will include the review of daily activities and sleep habits. A detailed medical and social history is taken. Ample time is allowed to also explore aspects of your daily experience that may impact your sleep, such as mood, lighting, activity, meals and medications.
The management of insomnia is always multi-factorial and a plan will be developed with you which will improve your ability to sleep. It may involve behavioral changes as well as medication. Ongoing follow up may occur in person, by telephone or email.
Many times the small changes we make to improve sleep habits are supported well in group sessions. These are instructional sessions designed to support your understanding and change. Small groups of people gather weekly for four weeks to learn about sleep and practice habit changes in structured sessions. Individuals share their successful techniques and failures. These groups will be led by Dr. Joyce Walsleben.
Sleep hygiene is the inclusion of many behavioral techniques which reinforce good sleep. It includes the start of systematic sleep times, decreasing foods and drinks which interfere with sleep, providing darkness for sleep and light for wake, quiet at night and activity by day.
Behavior Modification is simply the change in your habits which will impact sleep. Many different techniques can be suggested. Relaxation therapy and techniques of visualization can be included under behavioral modification.
Circadian Rhythm Disturbances
Circadian rhythm refers to our activity within a 24 hour day. Sleep and wake is but one set of activities. Most of our bodily functions are modulated by changes across 24 hours. One example of a circadian disturbance is jet lag. Shift workers experience these symptoms weekly as they shift from night work to day time socializing The symptoms of circadian rhythm disturbance can be very disruptive to sleep and wake time performance and safety. Treatments exist to improve these symptoms. The treatments may include medication or behavioral changes.