What is a common treatment approach for patients experiencing paradoxical insomnia?

Cognitive Behavioral Therapy (CBT) is a well-established treatment for paradoxical insomnia, which is a condition where individuals perceive that they are not sleeping well despite evidence suggesting otherwise. CBT focuses on changing unhelpful thoughts and behaviors that contribute to insomnia. It typically involves techniques like cognitive restructuring, sleep hygiene education, sleep restriction therapy, and relaxation techniques. This approach addresses the patient's anxiety about sleep and helps them develop healthier sleep patterns and attitudes.

In paradoxical insomnia, the patient’s perception of their sleep is often distorted, leading to increased anxiety and further sleep disturbance. CBT helps to recalibrate these perceptions and promotes better sleep habits without relying on medications. This makes it a highly effective approach for treating this specific type of insomnia, as it targets the underlying psychological components rather than simply attempting to sedate the patient or alter their physiology.

Other treatment options such as increased sedative use or long-term use of stimulants are not suitable, as they may exacerbate sleep issues or create dependency without addressing the cognitive aspects of sleep perception. Similarly, strict sleep scheduling, while it may benefit some forms of insomnia, is less effective for paradoxical insomnia since the underlying issue is often rooted in misperception rather than behavioral irregularities.