Thanks for the post, Davy. I would have to disagree with your suggestion that sleep restriction should not be recommended for individuals with serious insomnia. Sleep restriction is evidence-based and has been proven to be an effective way to increase sleep efficiency and improve sleep. With that being said, it is only one technique that can be used to address insomnia — other techniques such as stimulus control and practicing relaxation are also helpful.
Sleep restriction might not be recommended for individuals with mania, obstructive sleep apnea, seizure disorder, or those with careers that can make sleepiness dangerous (such as long-distance drivers or heavy machinery operators). For these individuals, medical advice should be sought prior to implementing sleep restriction.
Finally, there is an alternative to sleep restriction that can make reducing the amount of time allotted for sleep a bit more tolerable. Known as sleep compression, it involves gradually reducing the amount of time allotted for sleep over time to more closely match sleep duration.
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