Delayed Circadian Rhythms

Peter Forster Insomnia, Insomnia Treatment, Psychobiology

Delayed circadian rhythms occur in a condition known as delayed sleep-wake phase disorder (DSWPD). This condition needs to be distinguished from disrupted circadian rhythms, a condition in which there are no strong circadian rhythms and therefore it’s hard for people to fall asleep, and when they do fall asleep they tend to have fragmented or light sleep. People with delayed …

Insomnia Relief

Peter Forster Best Practices, Insomnia, Insomnia Treatment

How to find insomnia relief is a question that many people we work with struggle with. A recent editorial in JAMA Psychiatry and the accompanying research article suggests that the online program that we’ve been recommending to our patients for years (SHUTi) is the treatment of choice for insomnia. We have been extremely pleased with the results from this program which can …

CBT for Insomnia Reduces Depression

Peter Forster Best Practices, Insomnia, Insomnia Treatment

An online sleep program using CBT for insomnia (Cognitive Behavioral Therapy for Insomnia – CBTi) has been shown to reduce depression in a study published in the April 2016 edition of Lancet Psychiatry. CBT for Insomnia CBTi is the most effective program for treating chronic insomnia and chronic insomnia is a major risk factor for developing depression. Unfortunately, CBTi is …

Mood Charting for Complicated Problems

Peter Forster Best Practices

I want to share a link to a blog post one the Moodsurfing site which talks about the value of mood charting when trying to understand complicated problems. The story is about Lucy, a patient at Gateway (name changed, of course) and our session yesterday. I think that the story neatly illustrates why keeping track of symptoms is so important when …

Melatonin and Sleep

Peter Forster Basic Science, Insomnia, Insomnia Treatment, Psychobiology

What is the relationship between melatonin and sleep? And why are the results that people have from taking melatonin supplements to help induce sleep so variable? A recent article has suggested that the two melatonin receptors, melatonin one (M1) and melatonin two (M2) that have been shown to existing humans may have different effects on sleep. A quick review may …