7 tips for managing chronic insomnia

It is important to establish whether insomnia is acute or chronic, as management differs, say two Melbourne sleep experts in a clinical update in the BMJ.

“Insomnia becomes chronic when someone has difficulty either getting to sleep or staying asleep for at least three nights a week (not necessarily every night) for at least three months and is distressed by their sleep symptoms,” write Dr David Cunnington and psychologist Moira Junge.

There may be preoccupation and fear associated with sleep, while pre-sleep arousal is also common.

Cognitive behavioural therapy

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