Appointments
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Are you a mynexuzhealth user? Book your appointment yourself via the mynexuzhealth website or the appointment module in the mynexuzhealth app.
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+32 16 34 71 00 - weekdays from 08:00 to 17:00
Why and how do we sleep?
What does a normal sleep cycle look like? Why is a healthy sleep pattern so important? And why does one person need more sleep than another?
Click on the page below to read more about our sleep.
What is insomnia?
Insomnia is a sleep disorder in which you have difficulty falling asleep, staying asleep, or wake up early and cannot get back to sleep. This affects your daily functioning. Insomnia can be occasional or chronic if the symptoms persist over a longer period.
Causes
Insomnia is often the result of an interplay of various factors. The three main elements contributing to the onset and persistence of insomnia are vulnerability factors, triggering factors and maintaining factors.
Vulnerability factors
Due to personal characteristics or circumstances, someone may be more prone to developing insomnia than another person. Examples include hereditary factors, psychological disorders, physical health problems or personality traits (e.g. perfectionism, strong sense of responsibility, need for control).
Triggering factors
Certain events or situations may initially trigger insomnia. Difficulty sleeping can be a reaction to stress, worries, or major changes in your life, such as moving house or the loss of a loved one.
Sometimes sleep is temporarily disturbed, for example due to jet lag, physical complaints or a busy period at work. Sleep often recovers on its own when the triggering factor disappears or diminishes. However, sometimes the disturbance persists, leading to chronic insomnia.
Maintaining factors
When insomnia persists, certain factors can maintain it and prevent sleep from improving. Examples of maintaining factors include anxious thoughts about not being able to sleep, irregular bedtimes, excessive daytime sleeping, caffeine or alcohol consumption, worrying, etc.
If these maintaining factors persist, insomnia can become chronic and the disorder is harder to break.
Tips for a healthy sleep pattern
Click on the tips below to read more.
To be able to fall asleep, it often helps to prepare for bedtime. This means avoiding stimulating activities just before sleeping and winding down your day gradually. This can lower your overall tension level. About 1 to 1.5 hours before bedtime, focus on calm activities such as watching television, reading, drawing, listening to music… It may help to put away or switch off multimedia devices. If you remain active, you may not be able to fall asleep because your body and/or mind is still too tense.
A certain degree of regularity in your bedtimes can help you sleep better. For most people, due to busy or irregular lifestyles, it is not possible to always go to bed and wake up at exactly the same time. Still, a regular rhythm can have a positive impact on sleep quality.
- Try (where possible) to get up at the same time every morning. This has a big impact on your biological rhythm. If this is not always possible, try to vary as little as possible.
- Take into account your own sleep needs. If you estimate that you need 8 hours of sleep, there is no point in staying in bed for 10 hours. This increases the chance of lying awake at night.
Above all, find a balance that suits your life. Try not to be too strict with yourself and be flexible when needed. By seeking a healthy balance between structure and flexibility, you increase your chances of better sleep.
A quiet, dark and not too warm sleep environment is ideal for a good night’s rest. It is best to turn your alarm clock around so that you do not constantly see the time. Choose a mattress and pillow you are comfortable with. Also ensure a well-ventilated and fresh bedroom.
People without sleep problems sometimes already feel sleepy at the mere sight of their bed. The whole sleep environment almost triggers sleepiness. For people with a sleep disorder, the opposite often happens: even if they feel sleepy, that feeling disappears as soon as they go to their bedroom and lie down.
How can you increase your chances of feeling sleepy and falling asleep easily?
- Avoid using your smartphone, reading, eating, watching television or working in bed (or in the bedroom). Not at night, and not during the day. These activities are not compatible with sleep. Only sleeping in bed helps the brain understand that this is the place for sleep. With the exception of intimacy.
- If you lie awake for a long time, get up and do something relaxing in another room, such as watching television or reading—an activity that, in the evening, promotes sleepiness. Return to bed when you start feeling sleepy. Avoid doing household chores or stimulating activities such as exercising, working or gaming during the night.
If you suffer from insomnia at night, daytime naps can have a negative effect on your sleep the following night. They disrupt the natural sleep–wake rhythm. The longer you stay awake during the day, the easier it will be to fall asleep when you go to bed.
If it is still important for you to nap, set an alarm for 20 minutes and take it as early in the day as possible.
A heavy meal just before bedtime can burden your digestion and make it harder to fall asleep. Try not to eat large meals two to three hours before sleeping. Light, easily digestible snacks may help promote sleep.
Do not eat if you wake up during the night, as your body can get used to it and, over time, you may start waking up hungry during the night. If you need to go to the toilet at night and it disturbs your sleep, try not to drink too much in the evening.
Although alcohol can initially make you sleepy, it disrupts sleep. Alcohol can make sleep lighter and cause you to wake more often during the night. It is therefore better to limit alcohol consumption.
Caffeine is a stimulant that increases alertness and can therefore make it harder to fall asleep. After ingestion, it remains in your system for several hours, so it is advisable to limit or avoid caffeine-containing drinks such as coffee, tea, cola and energy drinks from the afternoon onwards.
Sensitivity and tolerance to caffeine, as well as its impact on sleep, can vary from person to person.
Nicotine has a stimulating effect and can disrupt sleep. Even if smoking a cigarette gives a feeling of relaxation, nicotine mainly has a stimulating effect on the body. People who smoke often have difficulty falling asleep or staying asleep. This also applies to using an e-cigarette or vape with nicotine, or using nicotine pouches.
The best advice is to stop smoking. Secondarily, it is recommended not to smoke in the hours before bed or when you get up at night.
Regular exercise has a positive effect on sleep quality. It not only helps you fall asleep faster, but also to sleep more deeply. Note: intensive exercise just before bedtime can have the opposite effect. Physical activity can be valuable, but do not exceed your physical limits, as this will have a negative impact on sleep.
Worrying
Everyone sometimes lies awake worrying or thinking. If worrying becomes a habit that regularly disturbs sleep, it can be exhausting. Worrying is a form of mental activation that can also make the body more tense, making it harder to fall asleep.
Worrying and insomnia
- Worrying as a cause of insomnia is common, especially during periods of stress, change or uncertainty.
- Worrying in itself can also be a maintaining factor in insomnia.
What can help?
- Anti-worry techniques can help identify and reframe worrying thoughts.
- Relaxation exercises, such as breathing exercises or muscle relaxation, help calm the body and reduce worrying.
- By consciously directing your attention to the here and now, through mindfulness, mental unrest can diminish.
Possible treatments
Cognitive behavioural therapy for insomnia
Cognitive behavioural therapy for insomnia (CBT-i) is a scientifically proven and effective treatment method for people with chronic insomnia.
The therapy addresses the maintaining factors of your insomnia in order to break the vicious cycle of chronic poor sleep. The goal is to improve the quantity and quality of sleep.
What does the therapy involve?
The sleep training consists of 7 group sessions:
- Information session on sleep and sleep hygiene
- Behavioural interventions
- Cognitive therapy
- Relaxation techniques
- Anti-worry techniques
- Letting-go attitude
- Booster session and relapse prevention
Who is eligible to participate?
Participation in this sleep training is only possible after an intake interview with our psychologists.
Sleep medication
In certain situations, medication can be a temporary solution. It is important to know when and how medication can help in a responsible way.
Short-term treatment
In cases of temporary (acute) insomnia, for example due to stress or a difficult event, and if the symptoms are very severe, sleep medication can be used as a short-term treatment. The aim is then to break the vicious cycle of poor sleep and increasing stress.
These medicines only suppress the symptoms but do not address the underlying cause of insomnia.
Risk of dependence
Some sleeping pills carry the risk of dependence, meaning you may need increasingly larger doses or find it even harder to sleep without the medication. That is why they are only prescribed for a short period. Weighing the pros and cons is essential.
Not for long-term use
For long-term (chronic) insomnia, sleeping pills are not recommended. In that case, it is important to work on a sustainable solution, for example through sleep advice, adopting healthy sleep habits and possibly cognitive behavioural therapy for insomnia.