Sleep Education for Paradoxical Insomnia

James D. Geyer, Kenneth L. Lichstein, Megan E. Ruiter, L. Charles Ward, Paul R. Carney, Stephenie C. Dillard

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


This case study series investigated a new treatment for paradoxical insomnia patients as there is no standard treatment for this patient group at this time. Four paradoxical insomnia patients had a polysomnography (PSG) sleep study, an unsuccessful brief course of behavioral treatment for insomnia, and then a novel sleep education treatment comprising review of their PSG with video and exploration of the discrepancy between their reported and observed sleep experience. Two patients responded well to sleep education, mainly with improved self-reported sleep onset latency, total sleep time, and Insomnia Severity Index scores; and the other two, who exhibited sleep architecture anomalies, were unresponsive. These findings suggest that sleep education holds promise for some paradoxical insomnia patients. Suggestions for future studies are given.

Original languageEnglish (US)
Pages (from-to)266-272
Number of pages7
JournalBehavioral Sleep Medicine
Issue number4
StatePublished - Sep 2011
Externally publishedYes

ASJC Scopus subject areas

  • Neuroscience (miscellaneous)
  • Medicine (miscellaneous)
  • Psychology (miscellaneous)
  • Clinical Neurology


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