Case Overview
A 42-year-old patient experienced chronic insomnia after years of nightly alcohol use. Sleep disruptions worsened during early alcohol reduction, causing frequent awakenings, daytime fatigue, and anxiety.
Assessment
A comprehensive sleep evaluation revealed REM sleep suppression and circadian rhythm disruption. Alcohol withdrawal insomnia contributed to poor sleep efficiency.
Treatment Plan
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Structured sleep schedule
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CBT-I therapy
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Alcohol timing elimination
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Relaxation techniques
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Sleep environment optimization
Outcome
Within eight weeks, the patient reported deeper sleep, fewer awakenings, improved daytime focus, and no reliance on alcohol for sleep initiation.
Key Result
Restorative sleep returned through behavioral intervention rather than medication.