[_qbxp]

I had bad insomnia during graduate school, tried just about everything under the sun (medication, sleep studies, lifestyle changes, herbs) and eventually did CBT-I with a therapist, and that was my ultimate solution. She had me start with going to bed at 3am and waking up at 7am for a week. I was absolutely exhausted, felt like my days were dreams. Then, we pulled forward he’s time to 2am. Checked how long it took me to fall asleep, and if I reported it was quick, then pull it to 1am, etc. until I was falling asleep quickly but also felt refreshed. I kept this all down on some worksheets provided.

The key was absolutely no matter what, no matter how tired I felt, I had to wake up at 7am and get out of bed. No naps.

We found the optimal spot to be 11pm lay in bed, and wake up at 7am. I always keep that schedule, deviating only by 30min or so even on weekends. Haven’t had trouble sleeping since!

I also think going from graduate school (little solid schedule) to a corporate 9-5 job helped. Covid has mangled that a bit, but I still keep the same sleep schedule.

tl;dr- CBT-I was a life-changer for me.

[drpancake]

CBT-i more or less fixed me too. It should be noted that sleep restriction (the practice you're describing here) is only part of CBT-i but it seems to be the most important.

I also gave up coffee and I stop looking at screens 30-60 mins before my bed time. Before the therapy ~30% of my nights were sleepless.

This article helped a lot: http://ilya.sukhar.com/blog/an-algorithmic-solution-to-insom...

[wakkaflokka]

Really good point - there was a bunch of other restrictions/lifestyle changes that probably helped contribute. I think the main one was going from two cups of coffee (morning, and then afternoon) to one cup (morning) really helped me.

Also the recommendation that if I couldn’t fall asleep within 15-ish minutes, to get out of bed and do something until I’m tired again instead of lay there and “try” to sleep.

[drpancake]

Yes the 15-20 min rule helps a lot! I tried a morning coffee again recently (I miss it) but it messed up my sleep that night. But that could be due to my mind playing its tricks on me rather than the caffeine remaining in my system.

[jacquesm]

Good point about the naps. That's the one rule I still violate every now and then and it is almost certain to be followed by a bad night.