Insomnia Insomnia

Psychophysiological Insomnia 77
concentrating. Overall, during the day she feels fatigued, but does not nap
and does not fall asleep unintentionally during the day. She states that she has
been a light sleeper for most of her life but cannot remember a particular
event that triggered the insomnia 10 years earlier. She has a positive family
history of insomnia in two siblings.
She was asked to keep sleep diaries for two weeks and bring them in during
her followup visit. (Figure 1 reproduces one of those logs.)
She was placed on a nightly dose of temazepam and also on a sleep restriction
consolidation program restricting her time in bed to 5 hours. She was
also asked to continue keeping sleep logs and fax them in every 3 weeks, at
which point her time in bed would be adjusted according to her overall sleep
efficiency.
Six months after she was averaging 7–8 hours of sleep at night, she was
gradually tapered off the temazepam. Figure 2 illustrates one of her last sleep
logs after the discontinuation of the temazepam.
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