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Stimulus Control
Stimulus control therapy consists of a set of behavioral
rules designed to bring the patient to reassociate the bed
and bedroom with sleep rather than with arousal or the
frustration caused by the inability to sleep. This is
achieved by curtailing sleep-incompatible activities. A
second objective is to establish a consistent sleep-wake
rhythm by setting a regular arising time and by avoiding
naps. Standard stimulus control instructions are:
- Go to bed only when sleepy.
- Use the bed and bedroom for sleep and sexual activity
only; do not read, watch TV, or worry in bed.
- When unable to sleep within 15 to 20 min, leave
the bed and go into another room; return to bed only
when sleepy again (this step is repeated as often as necessary
throughout the night).
- Arise at the same time every morning regardless of
the amount of sleep obtained the night before.
- Do not take naps during the day.
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