Cut the Facebook wire
Review the patient's estimation scale as well as the activity diary.
Follow the previous session home assignment.
2. Facts about sleep
- How much do you know about sleep? Do you want me to tell you a little about how it works?
Examine briefly how much the patient is aware of sleep and try to fill the gaps. Take advantage of the patient material. Also, be careful to normalize and validate the patient's problems with not being able to sleep.
Some punks about sleep and sleep problems
Sleep is a basic need
The body and the brain rest and repair
Biological clock is controlled by light and darkness
Normal sleep is between 6-9 hours a day, with individual variations. The most common is 7 hours.
Children sleep more and deeper
Short sleep consists of a larger proportion of deep sleep - one sleeps more efficiently
Sleep problems are common (about 1/3 sufferers)
The older, however, becomes more easily awake
Diseases can interfere with sleep
Everyone wakes up several times during the night - but you do not remember when the awakening is too short to be coded into long-term memory
Sleep problems can cause and / or aggravate depression and therefore it is important to treat
3. Analysis of sleep patterns
Examine how the patient usually sleep and try to estimate an approximate vocal time and sleep time and calculate the patient's sleep efficiency. Here it is good to engage the patient because this later will be a task the patient will perform by means of the sleep diary.
- About when do you go to bed?
- How long does it usually take to fall asleep?
- When do you wake up? Do you also get up then?
- Are you awake at night? How long? What do you usually do then?
One way to illustrate the patient's sleep is to draw a simple "clock" on the board where the patient can fill in between which time patients are in bed and when patients actually sleep. Show sleep habits
Based on this picture, you can calculate the patient's "bedtime", "sleep time" and "sleep efficiency". This can give a reference if the patient is sleeping too much and has some compensatory behaviors that may help maintain sleep problems.
Sleep efficiency = (sleep time / bed time) x 100
- Help me count, how long do you spend in bed and how long do you sleep about a normal night?
"Look now, we'll figure out something called sleep efficiency. You do this by dividing the time you sleep with the amount of time spent in bed. Do you have a calculator on your mobile phone? Can you help me count ...
Myths about sleep
Here it may also be appropriate to ask what the patient thinks about the most common myths about sleep.