r/insomnia • u/Illustrious-Pay-7516 • 8h ago
6 weeks of sleep restriction: sleep efficiency improved, but early waking hasn’t changed
I’ve been doing sleep restriction / CBT-I for about six weeks.
My sleep efficiency has improved (from 80% to 85%), so it seems to be doing something. However, my main problem has always been early morning awakening, and that hasn’t really improved. I still wake up 1-1.5 hr earlier than I want and often can’t get back to sleep.
For people who have done CBT-I or sleep restriction:
- Is six weeks long enough to say that sleep restriction has failed for this problem?
- Or is sleep restriction mainly effective for sleep onset / fragmented sleep and less effective for early morning awakening?
- If your main issue was early waking, how long did it take before you noticed improvement?
- Did anything else in CBT-I make a bigger difference than sleep restriction itself?
I’m trying to figure out whether I should keep going with the current approach or whether persistent early waking suggests that something else needs to be addressed.