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What to do if pati­ents are unable to report their usu­al bed times and sleep dura­ti­on?

To deter­mi­ne the sleep win­dow, avera­ge values of bed times and sleep dura­ti­on are nee­ded. Howe­ver, some pati­ents may be unable to relia­bly report their sleep-wake beha­vi­or — for exam­p­le, due to acu­te cri­ses, sub­stance use, or seve­re illness-related sym­ptoms that cau­se a dis­rupt­ed and irre­gu­lar sleep rhythm. If pati­ents have only recent­ly been admit­ted […]

How can I sup­port pati­ents who spend very long peri­ods in bed?

Pati­ents often report exten­ded bedti­mes of more than 12 hours, espe­ci­al­ly in the inpa­ti­ent set­ting. This is par­ti­cu­lar­ly pro­no­un­ced in cer­tain dis­or­ders, such as depres­si­on or anxie­ty dis­or­ders. For the inter­ven­ti­on to be effec­ti­ve, it is very important that time befo­re and after the sleep win­dow is spent out­side of the bed. The “sur­fer image” […]

How can pati­ents spend the addi­tio­nal time out­side of bed?

When pati­ents imple­ment a sleep win­dow adapt­ed to their cur­rent sleep time, more time must be spent out­side of bed. A com­mon feed­back from pati­ents is that the bed/bedroom is their only place of retre­at. Some pati­ents may need moti­va­ti­on to get up and spend time out­side of bed. An indi­vi­dua­li­zed dai­ly rou­ti­ne can sup­port […]

Can SLEEP­ex­pert help when exter­nal fac­tors disturb sleep?

Pati­ents often report dif­fi­cul­ties fal­ling asleep and stay­ing asleep. Upon clo­ser inquiry, exter­nal fac­tors can some­ti­mes be the cau­se. Simp­le solu­ti­ons such as ear­plugs or a sleep mask can some­ti­mes help in the­se cases. Asses­sing the cau­se is important becau­se dif­fi­cul­ties fal­ling or stay­ing asleep that do not meet dia­gno­stic cri­te­ria of insom­nia dis­or­der are […]