We all think we know what insomnia is: trouble sleeping, tossing and turning, maybe staring at the ceiling until sunrise. But does the public really have a clear picture of insomnia and does that impact the massive health impact it has? In this episode, we will:

Explain how insomnia is not a single problem but a progressive condition, starting with a few rough nights and, in some, developing into a chronic disorder
Explore why insomnia is often a disorder of perception, where patients significantly underestimate how much they sleep
Review what studies show about actual sleep time in insomnia—based on polysomnography, actigraphy, and other objective measures
Identify how public misunderstanding of insomnia has contributed to ineffective treatments and persistent myths
Walk through a new six-level clinical framework for managing insomnia, from public health education to relapse prevention
Highlight why “doing nothing new” after a bad night may be the best form of early treatment—and why CBT-I remains the gold standard when things don’t resolve
Discuss the role of hyperarousal, sleep identity, and over-attention to sleep in making insomnia worse over time

Produced by: Maeve Winter

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The Sleep Solution and The Rested Child

Thanks for listening and sleep well!

史蒂夫说52期 - 知道自己想要什么有那么重要吗？