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What is chronic insomnia?

Someone with chronic insomnia, also known as chronic sleep disorder, has difficulty falling asleep, staying asleep, or wakes up too early for at least three months, three times a week or more. This has negative effects on daily life, such as at school or work.

Causes

Chronic insomnia can be caused by physical conditions, side effects of medication, psychological issues (such as depression or anxiety disorders), or a combination of factors. In women, physical and hormonal changes also play a role.

Diagnosis and treatment

The Center for Sleep Medicine offers specialized care for people with complex insomnia. The treatment team consists of medical specialists, psychologists, and behavior therapists. To make an accurate diagnosis, we use a sleep questionnaire, sleep/wake diary, and, if necessary, a sleep study.

The preferred treatment is sleep therapy, primarily based on cognitive behavioral therapy. This therapy focuses on recognizing and changing negative patterns in thinking and behavior that contribute to insomnia.

We use medication only as a temporary solution for acute issues; it is not recommended for long-term use. Tapering off medication is an important goal of treatment.

Advice

We always provide patients with tips to improve sleep hygiene. For example, maintaining regular bedtimes, avoiding caffeine and nicotine after 6 p.m., and limiting screen time before bed.

Follow-up and aftercare

We regularly evaluate the progress of the treatment. Kempenhaeghe can provide further support or refer to other healthcare providers. We keep the referring doctor informed about the results and progress.