We all think we know what insomnia is: trouble sleeping, tossing and turning, maybe staring at the ceiling until sunrise. But does the public really have a clear picture of insomnia and does that impact the massive health impact it has? In this episode, we will:<ul><li>Explain how insomnia is not a single problem but a progressive condition, starting with a few rough nights and, in some, developing into a chronic disorder</li><li>Explore why insomnia is often a disorder of perception, where patients significantly underestimate how much they sleep</li><li>Review what studies show about actual sleep time in insomnia—based on polysomnography, actigraphy, and other objective measures</li><li>Identify how public misunderstanding of insomnia has contributed to ineffective treatments and persistent myths</li><li>Walk through a new six-level clinical framework for managing insomnia, from public health education to relapse prevention</li><li>Highlight why “doing nothing new” after a bad night may be the best form of early treatment—and why CBT-I remains the gold standard when things don’t resolve</li><li>Discuss the role of hyperarousal, sleep identity, and over-attention to sleep in making insomnia worse over time</li></ul>Produced by: Maeve Winter More <ul> <li>Twitter: <a href='https://twitter.com/drchriswinter'>@drchriswinter</a> </li> <li>IG: <a href='https://www.instagram.com/drchriswinter/'>@drchriwinter</a> </li> <li>Threads: @drchriswinter</li> <li>Bluesky: @drchriswinter</li> <li> <a href='https://www.amazon.com/Sleep-Solution-Why-Your-Broken/dp/0399583602'>The Sleep Solution</a> and <a href='https://www.amazon.com/Rested-Child-Tired-Irritable-Disorder/dp/0593330080/ref=tmm_pap_swatch_0?_encoding=UTF8&qid=1665968940&sr=1-1'>The Rested Child</a> </li> </ul> Thanks for listening and sleep well!

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163 - Insomnia and Public Health: You're Looking Tired And More Than A Little Human

Sleep Unplugged with Dr. Chris Winter

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