Are you tired of being tired? Do you find yourself staring at the ceiling at night, unable to drift off to sleep? Perhaps thoughts circling around in your head that you can’t shut off? If so, you may be suffering from insomnia, a common sleep disorder that affects millions of people worldwide.
Insomnia is a condition where a person has difficulty falling asleep, staying asleep or unintentionally waking up too early in the morning without being able to fall back asleep. It can be a temporary issue caused by stress or anxiety, which is usually regarded as normal and harmless, or it can become a chronic problem that lasts for months or even years. Whatever the cause, insomnia can have a significant impact on a person’s quality of life, leaving them feeling tired, irritable, and unable to concentrate during the day.

One effective way to manage insomnia, besides medications (hypnotics and sedatives) is through cognitive-behavioural interventions. These are techniques that help you change negative thought patterns and behaviours that may be contributing to your sleep difficulties. For example – commonly seen in insomnia – negative thoughts about bedtime fearing that you won’t be able to sleep when night rolls around; or becoming reliant on alcohol to help you fall asleep which has its own health consequences.
By addressing these underlying factors that exacerbate insomnia symptoms, you can improve your overall sleep quality and feel more rested.
A type of behavioural intervention that can be helpful for insomnia is the use of sleep hygiene. This involves developing a regular sleep schedule, creating a relaxing bedtime routine, and avoiding caffeine, alcohol, and screens before bed. By establishing healthy sleep habits, you can train your brain to know when it’s time to sleep and when it’s time to wake up. Keeping these times regular has many benefits for health due to processes inside your body knowing whats potting on the outside!
Cognitive-behavioural intervention might include relaxation training. This can involve deep breathing exercises, progressive muscle relaxation, or mindfulness meditation along with thought blocking or visualisation. These techniques can help calm your mind and body before bed, making it easier to fall asleep and stay asleep throughout the night. A trained health professional will assist you to learn, practice and implement these techniques as part of your daily routine to ensure they are effective.
If you’re struggling with insomnia, it’s important to speak with your healthcare provider to determine the best course of action for your specific situation. They may recommend cognitive-behavioural interventions, medications, or a combination of both.
An occupational therapist can work with you to create a personalized sleep plan that addresses your specific needs and concerns. This may involve developing healthy sleep habits, such as establishing a regular bedtime routine and may also suggest changes to your environment to promote better sleep. OT’s are also experts in optimising daytime function which may be affected or be affecting your sleep.

In conclusion, cognitive-behavioural interventions can be an effective way to manage insomnia and is normally recommended as a first-line of treatment before medication. By developing healthy sleep habits and relaxation techniques, you can improve your overall sleep quality and feel more rested during the day. So why suffer through another sleepless night?
Talk to your healthcare provider about the possibility of occupational therapy for insomnia, and start sleeping soundly once again.
The South African Sleep and Health Society has more reading resources on sleep disorders, including insomnia here.