"Sleep is individual and deserves individual information" ProSom°
The purpose of this website pages is to allow everyone to determine what is good or not for his/her sleep.
The following advices can only make sense if the reader has a sufficient information basis to understand them and thus accept them.
In a consultation, the simple prescription of instructions is often illusory.
It is very difficult to obtain good results before the following two stages have been carried out:
Nb : Do not force against yourself : "understand before acting"
These guidelines, correctly applied, in "strongly motivated patients", some studies bring about up to 70% good results.
But it can happen that they have no result at all.
The inequality regarding sleep does that some good sleepers respect none of these instructions without any trouble and that others will have to discipline themselves during weeks before they find again trust and rest in their sleep.
In the same way, following a diet in order to become able to control weightgain on a long-term basis is sometimes not enough for some people who suffer of overweight.
The patient who consults is trapped in such a cycle that these "general instructions" have already been held in check by experience.
When it works without being understood and accepted, that type of "diet" doesn’t always allow the prolonged following of the instructions and the relapse reinforces the feelings of helplessness and guilt that are those of the sick person.
His/her feeling of being a victim is strengthened in a pattern of resignation (like in a subject who gives up a diet), and he/she increases his/her intake of sleeping pills.
It is the "yoyo" effect of treatments that are too fast and do not rely on sufficient knowledge.
Nb. The weight of the cultural and familial misunderstandings that we sometimes maintain towards our sleep often inserts a bias in the understanding of these instructions (a bit like an obese who would decide to supress the bread but keep the butter).
The nap is a very representative example to illustrate that misunderstanding. There exist a lot of prejudices as much in the people who are "for" as in those who are "against" the nap, which rely on their personal experience without taking the variability of the needs for sleep into account.
The nap should be used according to each circumstance and chosen in function of reasons based on knowledge and not according to a personal opinion of a "for" or "against" kind.
As De Fontenelle wrote, in 1687, in the history of the oracles, "that means that, apart from the fact that we do not have the principles that lead to the truth, we have others, which get on fine with what is wrong". (De Fontenelle. L’anecdote de la dent d’or, 1687)
.... observe -> understand -> act ->observe -> understand -> act -> ...
The program of the caretaking must proceed in successive levels:
The duration of each stage depends on the quality of the doctor-patient relationship.
Some follow-up consultations will be useful to make a synthesis of the positive and negative results.
They result in the analysis of the problems, taking, thereby, the progress of the patient’s knowledge about sleep into account.
Insomnia often results from performances acquired "thanks to" out of the ordinary somnological abilities. The subject will always be able to have a sleepless night if the circumstances deserve it.
He/she will have recovered definitely if he/she keeps faith in his/her sleep, if he/she knows the consequences of that sleep debt and what he/she has to do in order to recover without causing chaos in his internal clock.
In the opposite case, the "old patterns" (panicking thoughts -> prolonged arousal -> wrong attributions -> counterproductive behaviors) risk to reappear.
The difference between the sick person and the good sleeper is of the same kind as the difference that exists between remorse and regrets. (See the end of the article about the personal management of insomnia)
The purpose of this website is to help everyone to become aware of that difference and acquire his/her autonomy regarding sleep.
\ offers an interactive sleep disorder screening test : "select the items for which you feel concerned" ... ... "your answers are compatible with the following problem(s)... you should discuss these questions with your doctor".
Please do not hesitate to react about this very sensible subject on the public forum of the website, everybody’s personal experience is worthwhile.