Insomnia

Overview

Insomnia is persistent difficulty in falling asleep, staying asleep, or waking too early, despite having the desire and opportunity for sleep. The loss of continuous deep sleep keeps stress‑hormone levels elevated, impairs tissue repair, and prevents the brain’s nightly waste‑clearance cycle.

Health Consequences

A 2024 meta‑analysis confirmed that chronic insomnia is an independent risk factor for atrial fibrillation, myocardial infarction, and hypertension. Fragmented sleep also disrupts leptin/ghrelin balance, promoting weight gain and insulin resistance.

Rebis Treatment Approach

The strategy for treating insomnia at Rebis starts with the recognition that “insomnia” is a problem to be solved, not merely a “symptom” or diagnosis to be treated. At Rebis, we recognize that each person experiences the sleep-wake experience differently, and that as a rule, there are typically multiple factors that contribute to an individual’s experience of “I can’t sleep”!

What you’ll experience in the Rebis ecosystem:

  • Collaborative problem-solving of each patient’s individual narrative using the Five

    Finger Approach

  • Cognitive Behavioral Therapy for Insomnia (CBT‑I) strategies:

    • Proactive Wind-Down Time

    • Sleep Restriction Therapy/Chronotherapy

    • Stimulus Control Therapy

    • Timed light therapy and circadian re‑anchoring

    • Cognitive restructuring and guided distraction techniques

  • Option for Integrative Medicine pathway to address root cause pathology

    • Expanded lab work to assess nutrient, hormone, and inflammation status

    • Integrated stress‑modulation strategies (breathwork, craniosacral therapy)

  • Pharmacologic management strategies, if appropriate

Benefits of Treatment

The restorative quality of sleep is undeniable! Benefits of improved sleep can include: improved mental health, lower blood pressure, better metabolic control, healthier labs, and brighter days!

Connection to Other Health Domains

System Untreated Impact Key Evidence
Cardiovascular &
Metabolic
≈50% higher myocardial-infarction risk; elevated blood pressure J Clin Sleep Med 2024
meta-analysis
Hormone Imbalances Evening cortisol spikes; altered leptin/ghrelin drive hunger Physiol Behav 2022 study
Immune / Chronic Pain ↑ inflammatory cytokines; lowered pain threshold Multiple cohort studies
Gastrointestinal 65% higher risk of developing IBS alongside shift-work insomnia Gut 2025 cohort