What is the treatment for psychophysiological insomnia?
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What is the treatment for psychophysiological insomnia?
Gary Feldman (Medical Director, Stramski Disorders Center, Miller Children's Hospital ) gives expert video advice on: What are the most common sleep problems for teenagers? and more...
The treatment there is – what we call stimulus control – is to reduce and to take out a whole lot of stimuli that would keep the teenager from being awake and from their mind being active. And if the lie in bed for a long period of time, that they feel like "I should be asleep by now," then they have to get out of bed a break the association, because that's the key. You want to break the association with lying awake in bed.Treatments are to remove the clock, and not associate activities with bed. Don't do your homework on your bed, don't chat on the phone on the bed, don't IM on the bed. Bed is for sleeping, so you break the kind of association with activities in your bed. And so in a sense what you do is you're retraining them.