Jak pokonać BEZSENNOŚĆ po 40-tce? 3 prawdziwe historie z gabinetu terapeuty - dr Klaudia Tabała
- CBT-I Therapy Foundations: The primary method for treating insomnia is Cognitive Behavioral Therapy for Insomnia (CBT-I), which focuses on changing sleep-related behaviors and beliefs rather than just basic hygiene.
- Sleep Compression/Restriction: One of the most effective techniques is paradoxically shortening the time spent in bed (e.g., to 5.5–6 hours). This builds "sleep pressure" and prevents the brain from associating the bed with anxiety and wakefulness [00:10:32].
- The Sleeping Pill Trap: Drugs like benzodiazepines and "Z-drugs" do not treat the underlying causes of insomnia; they merely "shut down" the nervous system. Long-term use can disrupt sleep architecture, hinder brain detoxification, and lead to dependency [00:30:08].
- Light and Circadian Rhythm: Natural daylight is the strongest regulator of the sleep-wake cycle. Morning sun exposure and avoiding bright light in the evening help natural melatonin production [00:17:41].
- Shift Work Strategies: Shift workers should simulate night conditions after finishing work by wearing sunglasses on the way home and using blackout curtains to ensure restorative sleep during the day [00:18:15].
- Orthosomnia and Wearables: Obsessively tracking sleep data via smartwatches can paradoxically worsen sleep quality. This "orthosomnia" creates anxiety when users see "bad" scores, leading to further sleep interference [00:50:23].
- Mental Offloading: It is crucial to "unload" the mind before bed. Techniques like writing down worries or the next day's to-do list during the early evening (outside of the bedroom) help prevent racing thoughts at night [01:10:09].
- Individualized Relaxation: Methods such as Jacobson’s Progressive Muscle Relaxation or even nature observation (e.g., birdwatching) can lower the nervous system's overall arousal levels [01:13:14].