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The Night It All Fell Apart

12 min readarticle

Grace's 7-year-old, Lily, gets a stomach bug. Night one: up at 1 AM, 3 AM, 5 AM. Cleaning sheets. Checking temperature. Holding hair back. The nurse in Grace takes over: fluid intake, symptom monitoring, the calm voice she uses in triage. The mother in Grace does not sleep. Night two: Lily is wors...

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In this lesson you will learn:

  • Setbacks are expected in CBT-I —every protocol includes relapse prevention as a core component
  • Conditioned arousal returns faster after disruption but recovers faster too, because new sleep pathways exist
  • Return to the protocol immediately: same wake time, same window, no 'catching up'
  • +1 more takeaway

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