Alaska Sleep Education Center

Is CBT the Answer to Your Sleepless Nights?

There are a lot of reasons that attribute to sleepless nights We live fast paced lives that can hinder our ability to stay disconnected from electronics close to bedtime or sometimes in the middle of the night when we cannot rest
Insomnia affects 50 70 million Americans And these are only the cases that are diagnosed A lot that are diagnosed may be individuals that sleep a full seven or more hours but are not receiving a quality night sleep
What is the difference and how does quality matter Quality is defined as the excellence of something or a distinctive attribute Without a complete quality filled seven or eight hours the sleep is unfortunately all for nothing
sleep disorder is a condition that frequently impacts your ability to get enough quality sleep leaving you feeling exhausted or sleepy during the day The most common sleep disorders include insomnia sleep apnea narcolepsy restless legs syndrome RLS and circadian rhythm sleep disorders often triggered by shift work or jet lag
How to tackle anxiety depends on the underlying event One therapy is cognitive behavioral theory CBT and can benefit adults in treating anxiety Defined by Psychology Today cognitive behavioral therapy CBT is a form of psychotherapy that treats problems and boosts happiness by modifying dysfunctional emotions behaviors and thoughts resting on the idea that thoughts and perceptions influence behavior
CBT can guide people through the process of cognitive restructuring which typically involves three steps
Identifying negative thoughts
Challenging negative thoughts and
Replacing those negative thoughts with realistic thoughts
Some may wonder why medication cannot be prescribed versus cognitive behavioral therapy however prescriptions are more a short term answer Long term insomnia treatment requires unraveling the underlying causes of insomnia rather than a relief of symptoms
Recommendations stemming from cognitive behavior therapy include


Changing up your sleep environment with fresh bedding painting the walls and adding a sound machine or essential oil diffuser
Buying a new mattress that has created possible strain on your body
Eliminating blue light in the bedroom by moving the cell phone away from the nightstand
Meditating or relaxation training such as yoga or stretching before bedtime
Journaling at bedtime to write down any worries or to do lists keeping you from a restful nights sleep
Advanced practices most common with CBT are with the following methods
For people who toss and turn at night some may dread bedtime Stimulus control teaches that sleep and sex are the only uses for the bedroom so reading watching tv or scrolling on a Smartphone happens outside this space It also helps teach after 20 minutes of tossing and turning to leave the bedroom and do something relaxing When you are sleepy return to bed
Sleep restriction is another common though sometimes controversial practice that has proven to be an effective treatment step in CBT for insomnia patients Sleep restriction works by causing mild sleep deprivation to make your assigned bedtimes allow you to achieve better quality sleep Each patients reaction to sleep restriction differs and is adjusted by the patients needs
Cognitive reframing used at night restating irrational or threatening thoughts in rational terms to diffuse fear or worry
Thought stopping used during the daytime learning to replace negative thoughts about sleep with positive or productive thoughts
Process time used in the evening journaling thoughtsfeelings and coming to a proactive step to take the next day The following day the practice entails letting go what was written
Impaired sleep can seriously affect your quality of life and productivity Behavioral changes implemented under the guidance of an experienced clinician can improve sleep quality and help you feel more alert and functional on a regular basis Sleep is a third of your life make it count Learn more about CBT in a blog featuring Dr Angie Randazzo
Alaska Sleep Clinic is the most comprehensive mult isite sleep lab in Alaska with clinics in Anchorage Wasilla Fairbanks and Soldotna and we continue to expand our services to those with sleep disorders No other CBT sleep specialist provides care in the state of Alaska with Dr Randazzo available to Alaska Sleep Clinic patients via telemedicine
Dr Angela Randazzo bio
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Jennifer Hines
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Our weekly updated blog aims to provide you with answers and information to all of your sleeping questions.

Brent Fisher, MBA, FACHE, FACMPE
President and Chief Executive Officer

“Alaska Sleep Clinic has a history of providing the most comprehensive sleep medicine services in the state of Alaska. Its potential has only begun. I am here to take these high-quality, comprehensive services to all Alaskans.”

Experience

Brent Fisher has held leadership positions spanning a wide variety of complex and start-up organizations: manufacturing (pharmaceutical & medical device), software development, hospitals (academic and community), medical groups, consulting, hospice, military, engineered devices, engineered plastics, and private equity.

Publications and Organizations

His writings have been published in various magazines, trade journals, and medical journals, including the Physician Executive Journal, Healthcare Executive, Modern Healthcare, Group Practice Journal, New England Journal of Medicine, and Journal of Healthcare Management (Best Article Award).

He has served on the Board of Directors of professional associations, civic organizations, and businesses.

Hobbies and Activities

Brent enjoys being with his family, serving in the community, hiking, camping, fishing, and hunting.