Difficulty falling asleep. can not sleep, sleep time reduced. wake up early, unable to sleep after waking. frequently awakened from a nightmare, self nightmares all night. slept after the energy is not recovered. onset time may be longer or shorter Shorter days can improve the elderly is difficult to recover for several days. Easily awakened, and some of the sound-sensitive, and some of the light sensitive. Many people like cranky insomnia. For a long time can cause insomnia and depression, neurasthenia, and symptoms in patients with neurasthenia and insomnia will increase. Insomnia can cause human fatigue, anxiety, general malaise, listlessness, slow response, headache, memory is not centralized, and its greatest impact was spiritual, that can cause severe schizophrenia and depression.

Second, for the secondary insomnia, to address the fundamental cause insomnia main diseases or conditions, in general, the cause of insomnia after the insomnia will resolve and heal.

Third, the treatment of primary insomnia, the most important is to adjust the sleep habits and restore the normal circadian rhythm, sleep time, each different, shorter sleep time is not much impact on the human body.

Fourth, after the general cause of insomnia, mental, physical relaxation therapy can be cured.

Sleeping pills in the body mostly through the liver, kidney metabolism, long-term use would increase the burden of liver and kidney, and some also cause enlargement of the liver, liver pain, jaundice, edema, proteinuria, hematuria, and nausea, abdominal distension, loss of appetite , Constipation and other liver and kidney dysfunction and gastrointestinal reactions. Some sleeping pills can lead to lack of energy, mental decline, blood pressure and other stock poisoning symptoms, even lead to dysfunction of respiratory and circulatory conditions. Therefore, the elderly application of antipsychotic drugs should be careful.

Difficulty falling asleep or half-way on the easy to wake up those who can choose short, medium and long half-life of antipsychotic drugs (such as nitrazepam, estazolam, Jia set, etc.); early awakening may use a long half-life of the antipsychotic drugs (such as stability, Fluoride stability, etc.), but the specific need for timely consultation with the relevant dosage physician, must not blind self-medication.

Caused by the body for sleep disorders and endocrine function of the body’s detoxifying the body due to falling circulation circulatory system does not work, use some of these patients can soothe the nerves insomnia and strengthening the immune system, endocrine disorders like drugs, (such as amino acid tablets Etc.), only the body’s circulatory system such as normal, will not be eased until cured insomnia.

Long-term treatment of elderly patients forced against their will should not withdrawal, in which case a small dose of sleeping pills but is necessary. The need to reduce drug doses should be reduced step by step approach to prevent the causes of sleep disorders or rebound phenomena. Chronic pulmonary disorder, because of hypnotics can cause respiratory depression, antipsychotic drugs should be used with caution.

Follow a regular sleep schedule, go to bed the same time every day, same time every morning, the weekend is all about.

Maintain proper sleep environment should be a quiet, clean and comfortable environment. To keep the bedroom dark and quiet light, room temperature should not be too cold heat and humidity not too high too low. Ventilation windows before going to bed, so that the indoor air fresh, oxygen-rich, but should prevent colds.

Select bedding: the elderly prone to bone and joint disease, should avoid sleeping coir rope beds to wooden beds is appropriate, a mattress on the pad, should be soft, smooth, medium thickness, too thick, causing Xure endogenous, too thin is easy attack by the cold outside, are very disturbed nights sleep soundly. Quilts, sheets, pillows must be clean, people feel comfortable. Pillows should have appropriate flexibility, such as kapok pillows, straw pillow, Po velvet pillow, foam pillow, and other bulk. Recently, the market put in a useful medicine filled pillows, the patient may Dialectic “pillow”: headache, red eyes and anger on the inflammation who use chrysanthemum pillow; restless, restless sleep last night, who select the wick pillow; blood pressure, flushing who can Prunella pillow; cervical hypertrophy, patients with cervical pillow; summer sleeping bean pillow, pillow cinnamon winter sleep.

Note that sleeping position to the right side lying in particular, and can be conducive to muscle relaxation, fatigue, stomach to help push food toward the direction of the duodenum, but also to prevent heart pressure. The right side lying for too long, can be swapped for supine. Stretch on the lower extremities, the trunk straight, try to relax muscles, maintain blood smooth, breathing naturally peaceful.

To avoid excitement before going to bed, before going to bed excited, can lead to insomnia and more dreams. So do not do strength activities before going to bed, not watching TV shows and movies tight, do not look at esoteric books.

Regulation of sleep time, sleep time to wake up the body generally comfortable, energy recovery, mental and physical ease as well. Visual own constitution, habits to adjust itself. Generally 60 to 70 years old to sleep 7 to 8 hours, 70 to 80 years and 6 to 7 hours, 6 hours can be over the age of 80 (including 1 hour lunch break).

Hot foot bath before bedtime to promote vasodilation, blood lead down, so dim sleep, shortened sleep soundly into the, sleep more mature, more fragrant.

Do not eat before going to bed, eating before bedtime, especially greasy goods, will increase the burden of gastrointestinal, lift up the diaphragm, chest pressure, abdominal fullness, easy to cause more than a dream, talking in your sleep, hair nightmare, should try to avoid, do not drink beverages containing caffeine and alcohol.

First urine drinking less before bedtime, the elderly kidney deficiency, without cardiovascular disease, should be drinking less before bedtime, and then go to bed urine solution. Avoid filling the bladder to increase the frequency of defecation.

Dodo regularly, exercise may help naturally go to sleep, but not when the movement in the late evening, because it can stimulate the cardiovascular and nervous system, and make you stay awake.

2. bedroom optimal temperature maintained at 18-22 degrees is best. At this temperature the body feels most comfortable, so easy to fall asleep.

3. bedroom walls light colors, preferably in the main. Green, red and other colors easily dignified exciting, can not sleep, for anxiety-based insomnia is taboo. Depressive insomnia should avoid blue, gray and other people down the dark color.

4. bedroom curtains can choose thick fabric shading noise.

5. the right pillow. 15 to 20 cm high pillow most suitable. Pillows are too high not only allows you to not sleep, long-term use will increase wrinkles.

And long-term goal of eventually
Cases to overcome setbacks and difficulties to improve self-confidence, improve personal cases, and the formation of good positive mental health.

Consultation process
Phase 1: To understand the circumstances of the case, for evaluation. Twice.
The first time, through conversations with the case, consultants understand the case, including family status, family relationship, personal growth, including basic information and history. In the conversation, the use of consultants timely interview skills such as listening, silence, asking, compassion, etc., make the case to eliminate the tension, in this process, the consultants made a case for trust. Consultant made it clear that she is completely cured, and enhance the case of self-confidence. And told the case, in the course of treatment, symptoms may recur, this is normal, but be patient and not be so anxious. As long as with the consultant, in strict accordance with the task of consultants to complete the layout, are sure to get good results. Through consultation, to discuss with the patient to develop a consultation plan. Through the initial consultation and case consultants established a good relationship. On this basis, the consultants conducted the case in Pittsburgh Sleep Quality Index Scale, SAS, SDS test, and calculate the score, get the results. Second, the case under the guidance of the consultant to experience hypnosis and hypnotic susceptibility using the Harvard Scale A type to suggest testing. Projects in 12 cases, the score is 10 points, suitable for hypnotherapy.

Stage 2: Consultant to hypnosis therapy. And to behavior therapy and cognitive therapy combined with comprehensive guidance on the treatment of symptoms of insomnia cases.

Third, consultants, using the standard boot program with Harvard, to guide the case into a beautiful garden, let it feel good to relax, rest and feel. After the end of the garden scene, given a positive hint, hint active are: in the future you will sleep as relaxed as it is now very easy to fall asleep. Even after you sleep can hear voices outside, it will not bother you, you can completely ignore it. Second, you are very confident, very optimistic girl. You are very brave, and active life in the face of setbacks and difficulties. Students also get along with very well, we are willing to be your friend. After the positive implied, wake up the case, hypnosis end. At the same time and homework (self-hypnosis eight steps: Sepl heavy hands and feel relaxed, Sep2 feet feel heavy and relaxed, Sep3 extremities become warm, Sep4 take a deep breath and feel the breath very regular, Sep5 also feel my own heart beat so law and calm, Sep6 abdomen will feel warm and more relaxed (solar plexus), Sep7 deeper forehead will feel cool and relaxed, Sep8 continue to lead the ⋯ ⋯), in the eighth when the self-active steps suggested at the same time and requested the case records disturb the sleep of the event.

Fourth, the hypnosis therapy and behavior therapy in the combination of systematic desensitization. Counselors and case analysis with the events disturb her sleep, subjective ratings by the case, “1 minute” is not representative of that anxiety, “10″ represents the very anxiety. The event is one of the highest scores were classmates Huang bed, a score of 9 points; followed by students in a dormitory shouting after going to bed early, was awarded 7 points; again is already twelve, my roommates are still watching movies, and wash loud, waking her up with a score of 4 points. First, the case led into the hypnotic state, so that after the case completely relaxed, and guide the imagination of events disturb her sleep. Comparison of low-scoring first boot into the events of the case and let her experience the feeling of that time, when the cases to the most intense experience when suggesting her to relax. We can present a higher-level events, when the time to experience the most intense, suggesting that she was relaxed. The same method, has been guided to the highest point of its entry incident, as the case when the strongest experience, suggesting her to relax. Events moved toward completion, the wake-up cases, hypnosis end. And homework, so that cases adhere to self hypnosis, and let her listen to music with the resonance treatment.

Stage 3: The rational emotive therapy, cognitive therapy [41. Self-awareness to correct its error, twice.

First, rational emotive therapy, cognitive therapy made her realize that, and dormitories were not on good terms, is not entirely her responsibility, even if she and her classmates get along well now, it does not mean do not get along with other people , guide her draw the right conclusions. Then, after it enters the hypnotic state, her implied conclusion repeated twice. After hypnosis, self hypnosis to layout and the resonance of music to listen to homework.

The second time, began to report cases, and now she can hear voices, but not to worry because these sounds, improved anti-jamming case, and can do not to bad relationships into heart. Sleep latency, sleep will be able to fall asleep, do not wait a long time, and will sleep very heavy, not easy to wake up the other ring. Consultants to guide the case into the hypnotic state, as suggested previously active and positive conclusion to be consolidated.

4 The fourth stage: age regression with. Enhance the case of self-confidence and help her create a positive mental health. Three times.

For the first time, the case again reported improved quality of their sleep, emotional stability, better able to cope with anxiety. Consultants do not want to ask the case hope to continue the treatment, the case offered. Consultant of the growth in the history of the case event. Decided to use age regression 161, the psychological trauma of the incident cases be modified. Guidance counselor divorce cases do not enter the mother said that her scene, and then cognitive reconstruction [41, say that it is not the case. Imagine the case suggests, the mother loves her, hold her, kiss her. Mom will not leave her, she will still be a warm home. Then wake up the case, hypnosis end. This time, no homework.

Second, consultants to guide the case into the death of my father’s situation, modify the event, suggesting that although your father died, but you are still the best daughter of your father, my father had been deeply in love with you, you are very concerned about , I hope you health and happiness. Mother and other relatives are also very much love you, these are the feelings are gone and will not affect you. Then wake up the case, the end of hypnosis.

Third, the case is more cheerful, the mood is very happy. Reported sleep in good shape, and get along with classmates has become easier. Again the use of consultants guided the garden, and guide the case into a relaxed, comfortable and beautiful environment which. Positive implication to the case, suggesting that the case is a brave girl, confident girl, academic excellence, good personal relations. In life, overcome difficulties and optimistic. Then wake up, the end of hypnosis. Consultant asked not to be the next treatment, the case that you feel good, the primary goal of counseling done, consultants decided to let the case together with the cases on the basis of self-adjusting in this period of time, the end of treatment.

Consultation and evaluation results
A self-assessment
After treatment, case reports, significantly improve their quality of sleep, sleep latency, sleep and after sleep feeling very heavy, difficult to be awakened. Emotional stability, tension, fear, and other anxiety syndrome disappeared. Immunity improve relationships with their rational understanding, in good condition.

Assessment Questionnaire 2
Cases after treatment, again in Pittsburgh Sleep Quality Index Scale, SAS, SDS, test cases in the Pittsburgh Sleep Index scores for the l2 points, indicating that sleep quality has greatly improved. SAS is divided into the standard 46 minutes, SDS take-home standards are divided into 48, the score decreased. According to the Chinese norm, the index cases of normal after treatment.

3 consultant assessment
In this case, the treatment of anxiety disorders there is a big improvement in the method and innovation to the main hypnosis and behavior therapy and cognitive therapy combined with comprehensive guidance on the cases, in particular the system integration of desensitization and rational emotive therapy to hypnosis therapy, the treatment of insomnia has achieved good results. At the same time the growth of consultant analysis of case history, with the age regression therapy to repair trauma cases, help the client out of sorrow, out of low self-esteem. In the hypnotic state in the continuous consolidation of a positive implied, making a correct understanding of the case themselves, return to the self-confidence, courage to face life, into a positive, healthy psychology.