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” from the kick-off session can be used to illustrate the mechanism of sleep pressure and to discuss individual behavior. If patients have difficulty getting out of bed despite strong motivation, document this, discuss it within the treatment team, and potentially address it together with the patient so that the entire treatment team can provide further support.