2 ms·
As a life-long insomniac who also almost named his company stellar (https://soundmind.co https://soundmind.co) and is in the sleep space, I have quite a bit of
by pedalpete 3y ago
As a life-long insomniac who also almost named his company stellar (https://soundmind.co https://soundmind.co) and is in the sleep space, I have quite a bit of experience with this.
Note, at SoundMind, we are not an insomnia device.
I think back to my conversation with a sleep doctor after a night at a sleep lab when I was 8 years old. I've literally never been a sleeper.
Their recommendations were just the basic sleep hygiene stuff the conversation went like this...
1) Go to bed at the same time each night - "Yeah - I'm 8, it's called bedtime".
2) Don't drink coffee after 3pm - "I'm 8 years old, I don't drink coffee"
3) Limit alcohol(?) - "Yeah, I'm 8"
I am deeply saddened and have some indignation that CBT-I is still the "gold standard", but unfortunately, that's where we are.
If I knew of something better, I'd be building that, instead of what we are building at SoundMind, which increases the efficiency of deep sleep.
CBT-I has notoriously low adherence rates.
My biggest issue with CBT-I is the sleep restriction stuff.
My take.
Have someone who shows up who is experiencing insomnia. Most non-chronic episodes will resolve within a 5 week period.
So a person is put on sleep restriction, at the end of sleep restriction where they are limited in the number of hours they can sleep, and that is slowly increased over a 6 week period. At the end, their insomnia is magically gone.
So, I ask, at what time did your insomnia disappear?
It's as if somebody had a cold and you said "eat chocolate every day for 6 weeks, and then we'll see if your cold is gone", and low and behold, as if magic, chocolate cures the common cold.
Don't get me wrong, sleep hygiene is important, just like brushing your teeth. Do it!
If you have anxiety which is causing you trouble sleeping, then recognize that and deal with the anxiety, but don't call it insomnia.
Sorry Ed, but you can't make a claim that you've helped 10,000 patients improve their sleep "PERMANENTLY".
I wish you guys all the best, but mostly, I hope that you figure out something better than CBT-I and have a larger aim.