Web Therapy Can Help Ease Insomnia

http://www.time.com/time/health/article/0,8599,1902070,00.html

Getting a decent night's sleep shouldn't be such a crapshoot. But for an estimated 30% of American adults who suffer from at least occasional insomnia, nightfall is no guarantee of slumber.To combat wakefulness, Americans filled more than 50 million prescriptions in 2008 for sleeping pills like Ambien, and spent more than $600 million on over-the-counter sleep-inducing supplements such as melatonin and valerian root. Others seek medical treatment or psychological therapy to get to sleep, while the rest of us accept our nocturnal tossing and turning as just another of life's unavoidable nuisances, and gulp an extra cup of coffee the next morning to compensate.

But despite our best efforts, about 10% of Americans still suffer from persistent insomnia (defined as difficulty initiating or maintaining sleep) — namely falling asleep or being functionally impaired by sleepiness during the day — and researchers continue to search for its causes and cure. Now a new study in the journal Sleep suggests a surprising treatment for the sleepless: the Internet. Web-based treatments have emerged for all kinds of bad habits and disorders, such as overeating, smoking, depression — and insomnia.Compared with face-to-face counseling or medical treatments, online therapies are typically simpler and less expensive. Major health insurers like Blue Cross and Aetna even offer web-based anti-insomnia programs for free (you can check out the retail versions at cbtforinsomnia.com or myselfhelp.com for as little as $20). And there's growing evidence that online therapy really works: in the new Sleep study, 81% of participants who completed a five-week, online program for insomnia reported improvement in sleep.

"There may be some unique things that you get from an Internet program, like the feeling that you are really in the driver's seat," says the study's author, Norah Vincent, a clinical psychologist, who adds that many of the 40 participants who completed her multimedia program reported both better sleep quality and less daytime fatigue than a control group. "People like to have autonomy in solving problems. I think it motivates them more," she says.Based on cognitive behavioral-therapy techniques, Vincent's virtual therapy combines videos, text and audio clips to teach the sleepless everything about good sleep hygiene, from how to relax the body before getting into bed to how not to stress out when you fail to doze off right away. (One of the worst things you can do when you can't fall asleep is to lie there and dwell on the consequences of not getting enough sleep.) Participants were asked to keep digital sleep diaries and practice the techniques that were demonstrated onscreen. They were also allowed to download audio clips of a sleep therapist and an actor in a staged, one-on-one session and listen to them on their iPods.