Dr. Leisha Cuddihy, a medical professional focused on anxiety and insomnia, joins Dr. Sara Nowakowski, an expert in innovative treatments, and Dr. Micha, a researcher on anxiety patterns. They dive into the rise of sleep-related anxiety, especially post-COVID-19, emphasizing the debilitating cycle of panic. The discussion introduces Acceptance and Commitment Therapy (ACT) as a strategy to shift perspectives on sleep disturbances. The guests advocate for a relaxed approach to sleep management and explore the complexities of treating insomnia effectively.
The rising phenomenon of anxiety about insomnia creates a self-fulfilling cycle of sleeplessness and worry, complicating treatment adherence.
Acceptance and Commitment Therapy (ACT) offers a beneficial approach by helping patients to accept their sleep issues and live meaningfully despite them.
Deep dives
Anxiety About Insomnia: A Growing Concern
There is a rising phenomenon of individuals developing anxiety specifically about having insomnia, which can emerge rapidly after a brief episode of sleeplessness. This differs from chronic insomnia, where anxiety builds over time due to ongoing sleep difficulties. In many cases, people may experience a stressful event, like health concerns related to COVID-19, leading to a short period of insomnia, but then become fixated on the fear of never sleeping again. This heightened anxiety not only exacerbates their sleep issues but also complicates treatment adherence, often creating a self-fulfilling cycle of sleeplessness and worry.
The Impact of Information Overload on Sleep Anxiety
The accessibility of information regarding the critical importance of sleep has created a paradox, where individuals become aware of the risks associated with poor sleep but lack the resources to improve their sleep quality. This constant barrage of information leaves many feeling overwhelmed, as they are not provided with actionable steps to improve their insomnia. Instead, they may develop additional anxieties, such as fearing cognitive decline due to sleep deprivation, which compounds their stress and can lead to further sleep disturbances. Ultimately, the gap between understanding the need for healthy sleep and the means to achieve it can lead to a sense of helplessness.
Adopting Acceptance and Commitment Therapy (ACT)
Acceptance and Commitment Therapy (ACT) is being proposed as a beneficial approach for individuals struggling with anxiety about insomnia. Rather than focusing solely on changing sleep patterns, ACT encourages individuals to accept their current situation and commit to living meaningfully despite their sleep issues. This perspective helps patients understand that a lack of sleep does not preclude them from engaging in daily activities or living fulfilling lives. By reframing thoughts and reducing the fixation on achieving perfect sleep, patients may find relief from the anxiety that fuels their insomnia.
Reframing Expectations Regarding Sleep
It's crucial for both patients and providers to reframe expectations regarding sleep, emphasizing that occasional sleeplessness is a normal part of life and does not inherently lead to dire consequences. By normalizing these experiences and educating patients about the non-immediate cumulative risks associated with insomnia, clinicians can help alleviate the pressure to perform optimally each night. Instead of inducing panic over temporary sleep disturbances, the focus should shift toward fostering an understanding that sleep will naturally return to normal over time. Furthermore, encouraging patients to engage in other activities while awake instead of fixating on their inability to sleep can promote a healthier mindset.
We have long known about the bi-directional relationship between anxiety and insomnia. When I was a fellow, we were taught that treating the anxiety would treat the insomnia. Since that time, more data has emerged on the importance of treating insomnia. More recently, our guests have noticed a pattern of anxiety about insomnia that doesn’t always respond to traditional CBT-I and behavioral intervention. Here today to explore this further are Dr. Leisha Cuddihy, Dr. Sara Nowakowski, and Dr. Michael Grandner.
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