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Sleep Restriction Therapy

Goal
1. Time in bed should be time asleep
Protocol
1. Keep the wake-up time constant
2. Start with at least 5 hours in bed nightly
3. Re-evaluate sleep efficiency weekly (100 * total time sleeping / total time in bed)
4. When sleep efficiency >90%, increase time in bed by 15-20 minutes
  1. Alternatively limit time in bed for 15 minutes more than sleep
Contraindications
1. Epilepsy
2. Bipolar Disorder
3. Parasomnias such as Sleep Walking

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This page was written by Scott Moses, MD. This page was last revised on 5/21/2009 10:33:33 PM. This page was last published on 2/26/2010. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.