Is it Insomnia or Delayed Sleep Phase?

Insomnia is an inability to fall asleep easily or stay asleep throughout the night. Delayed Sleep Phase is when a person is on a later schedule than the norm. The tricky thing is that Delayed Sleep Phase can masquerade as insomnia, because it can also cause difficulty falling asleep.

In Delayed Sleep Phase the circadian rhythm is pushed later, so the person doesn’t get sleepy until later than the norm. So if he tries to go to sleep at a normal time, he lies awake in bed, and experiences insomnia. However, if he goes to bed later when he feels sleepy he will have no sleep problem.

Recently I saw an adult woman who had delayed sleep phase, but who had been diagnosed with insomnia and treated with sleeping pills. One of the clues that she had Delayed Sleep Phase is that she said ” I am never sleepy at bedtime.” We shifted her circadian rhythm earlier, using light therapy and precisely timed melatonin.

Within 6 weeks she was sleeping well through the night, without the sleeping pill she’d previously taken.  Her last comment to me was “Now there’s nothing for me to do but keep on sleeping.”

To learn more about Naturopathic Sleep Medicine and Dr. Catherine Darley please go to www.naturalsleepmedicine.net.  Sleep Well, Naturally.

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