![]() Episodes, which last seconds to a few minutes, can be occasional or frequent and resolve on their own. “It clicked,” Faenza said.Ĭataplexy is the sudden loss of voluntary muscle control and weakness while awake that is triggered by strong emotions including anger, fear or excitement. She was struck by the description of a condition called cataplexy that occurs in Type 1 narcolepsy. It felt like I was going to be in a perpetual state of exhaustion.” - Julie Faenza I wasn’t doing well at work, and I couldn’t do much of anything else. “This was affecting so many things in my world. “I hadn’t even realized I was sleepy.” She had often fallen asleep without warning at home while reading or listening to music, but never while driving.įaenza called her internist who referred her to a sleep disorders clinic. She was uninjured - and greatly relieved that no other cars or pedestrians were in the vicinity. One morning in early spring 2013, after seven hours sleep, Faenza hit the gym at 5:30 a.m., returned home for a shower and breakfast and then drove to work.Īs she was turning into her office complex shortly before 7:30 she suddenly fell asleep, only to be awakened by a violent jolt as her car rolled onto a curb. She also began going to a gym regularly before work exercise reduced her daytime sleepiness. Once she had an engaging legal job, the therapist predicted, her sleep problems would resolve.īy October 2012, Faenza who had married, passed the bar and gotten a job as a legal analyst, began lowering her dose of Adderall under a doctor’s supervision in the hope that might improve her sleep. “You’re bored,” she remembered her therapist telling her. The expectation was that after the twin events, her sleep would improve. “They said, ‘Of course you’re tired, you have so much going on,’” Faenza remembered being told. I hadn’t even realized I was sleepy.” - Julie Faenza Findings from this study indicate that those who discontinued use of sleep medications not only stopped using drugs to sleep but also slept better than when they were taking sleep medications.“I was terrified. Specific strategies included education on sleep regulating systems, sleep scheduling recommendations, sleep hygiene education, sleep consolidation therapy, stimulus control therapy, relaxation training, cognitive therapy and mindfulness training.Īccording to Wetzler, a related study found that of participants who completed at least four treatment sessions of CBT-I, 78 percent of those using sleep medication for three or more nights per week were able to completely discontinue use of sleep medications. The program was designed to involve six to seven treatment sessions. ![]() The multi-component, CBT-I program included comprehensive evaluations of patients' habits, attitudes and knowledge concerning sleep. Participants were between the ages of 14 and 81 years, and 65 percent of the sample was female. Study participants included those with complaints of prolonged (more than 30 minutes) sleep onset latency (SOL), sleep maintenance insomnia (SMI), or both sleep onset and sleep maintenance insomnia (SOMI), and who had attended at least two treatment sessions. ![]() The study gathered data from 115 patients who had visited the Insomnia Treatment Program and Behavioral Sleep Medicine Clinic. "Since these systems also play a role in regulation of mood, pain and other bodily processes, skills developed through CBT-I may also have a positive impact on mood, anxiety, pain and other associated medical or psychiatric conditions." "CBT-I teaches strategies to 'reset' the bodily systems that regulate sleep," said Wetzler. of Sleep Medicine Specialists in Louisville, Ky., results of the study indicate that multi-component CBT-I can be an effective approach for those experiencing chronic insomnia even when anxiety and depression are part of the clinical picture. Among the 64 participants who completed five or more treatment sessions, there were significant improvements on presenting complaints, as well as all other measures, including sleep efficiency, average nightly awakenings, total sleep time and average nights of sleep medication use per week.Īccording to lead author Ryan Wetzler, Psy.D, C.B.S.M. Results indicate that 50 percent to 60 percent of participants with chronic sleep onset insomnia, sleep maintenance insomnia or both experienced remission of their primary sleep difficulty.
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