EDF5531 Cognitive Behaviour Therapies

Question 1 There are several goals for one to maintain sleep hygiene that includes ensuring that one does not engage in other activities when they go to bed apart from sleeping. One should avoid taking any substance that contains caffeine before going to bed, as caffeine triggers a sleeping disorder in humans. (Badin, E., Haddad, C., & Shatkin, J. P. 2016) It is advisable to exercise regularly before going to bed as it helps the body feel relaxed, and one is able to sleep without difficulties. 

Question 2 I would prescribe a therapy of coming up with good bedtime routines for the person with sleeping disorders. This will contribute to helping one to be in a position to avoid any other activities during the stipulated time for sleeping. This therapy helps an individual to be in a position to relax and be settled so as to attract sleep. When this therapy is observed for several nights consistently, one is able to get used to it, and hence the sleep disorder problem is solved. 

Question 3 So as to be in a position to monitor the success of the therapy, I will encourage an individual with a sleep disorder to exercise this therapy and the patient to give me feedback each day in about one or two weeks. (Limandri, B. J. 2018) During this period, the patient will adapt to the rules of the therapy. If the therapy is effective, the individual will be in a position to sleep without any difficulties. With the feedbacks from the specific individual following my therapy, it is possible to know if the therapy is effective or not.

Question 4 Based on the routine, I will educate my patient on particular strategies that they have to follow so that the therapy can be effective such as keeping the therapy consistent. Having like about thirty minutes to prepare before going to bed is important since one can choose to read a book or listen to soft music. I would advise my patient to keep dim lights or avoid lights at all since bright lights distract one from sleeping comfortably. 

Question 5 If the agent does not get any changes in the sleeping habit, then it is clear that the therapy is not effective in solving the sleep disorder. This can be caused by the situation where the agent has been thinking during the time when he was supposed to be sleeping. Taking long before sleepi9ng is another reaction that clearly indicates that the therapy is not very useful to the agent.

Question 6

The second choice would be therapy engaging in daily activities during the day. It is argued that not only the night routines contribute to avoiding sleep disorders but also the healthy daily activities that one does consistently. (Drake, C. L., Kalmbach, D. A., Arnedt, J. T., Cheng, P., Tonnu, C. V., Cuamatzi-Castelan, A., & Fellman-Couture, C. 2019) These daily activities help to limit the sleep disruptions one can have during the night. As a result of body fatigue, it is possible that for one to have a rest, they end up falling asleep and hence engaging in daily activities can be applied as a therapy.

Question 7

Over-the-counter medicines can be used for patients with sleeping disorders so as to help them to gain sleep when they go to bed. Examples of over-the-counter medicine include melatonin and antihistamines. These medicines are prescribed specifically for making insomnia patients to be in a position to get sleep, and it should be taken only under prescription. Over-the-counter medicines are not very advisable since one gets to the point of getting used to them such that they cannot sleep without taking the medication.

Question 8 I would recommend the patient to avoid taking caffeine substances some hours before going to bed since they affect an individual’s sleep. It is healthy for one to do physical exercise before going to bed since it is healthy for the body and makes one to feel the effect of relaxation when they go to bed, which leads to a sleeping mood. One should avoid unnecessary thoughts while in bed since this destructs an individual from sleeping.

Question 9

In a situation where the selected agent uses the over-the-counter medicines with the purpose of gaining sleep and also takes prescribed medicine for other purposes, the sleeping pills may not work since they have been interfered with. Moreover, taking sleep medicines with drinks such as coffee may end up tampering with the prescription, and hence one is not in a position to sleep as expected.

Reference

(2016). Insomnia: the sleeping giant of pediatric public health. Current psychiatry reports18(5), 47.

Limandri, B. J. (2018). Insomnia: Will Medication Bring Rest?. Journal of psychosocial nursing and mental health services56(7), 9-14.

Drake, C. L., Kalmbach, D. A., Arnedt, J. T., Cheng, P., Tonnu, C. V., Cuamatzi-Castelan, A., & Fellman-Couture, C. (2019). Treating chronic insomnia in postmenopausal women: a randomized clinical trial comparing cognitive-behavioral therapy for insomnia, sleep restriction therapy, and sleep hygiene education. Sleep42(2), zsy217.