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March 13, 2025

Sleep Compression Therapy: A Complete Guide to This Revolutionary Treatment

Medically reviewed by: 

Dr. Shiyan Ooi

School of Medical Sciences, University of Manchester

Introduction

For those struggling with chronic insomnia or difficulty staying asleep, traditional sleep methods might not always work. One emerging approach that has shown promising results is Sleep Compression Therapy. This structured technique helps individuals consolidate sleep, improve efficiency, and reset their sleep-wake cycle.

In this guide, we'll explore what sleep compression therapy is, how it works, and whether it might be the right solution for you.

What Is Sleep Compression Therapy?

Sleep Compression Therapy is a behavioral technique used to treat insomnia by reducing the time spent in bed while maintaining total sleep duration. The goal is to improve sleep efficiency—ensuring that most of the time in bed is spent sleeping rather than tossing and turning.

How Sleep Compression Therapy Works

Step 1: Assessing Sleep Patterns

Individuals track their sleep habits for one to two weeks to determine their average total sleep time.

Step 2: Restricting Time in Bed

Based on tracked sleep data, the individual reduces their time in bed to match their average sleep duration. For example, if a person only sleeps five hours despite spending eight hours in bed, their time in bed is restricted to five hours.

Step 3: Gradual Expansion

Once sleep efficiency improves (spending 85% or more of time in bed actually asleep), the sleep window is gradually increased until an optimal duration is reached.

Benefits of Sleep Compression Therapy

  • Reduces time spent awake in bed
  • Strengthens the association between bed and sleep
  • Improves sleep efficiency and reduces nighttime awakenings
  • Works as a non-medication approach for chronic insomnia

Learn more about behavioral treatments for insomnia

How Sleep Compression Therapy Compares to Other Sleep Treatments

CBT-I vs. Sleep Compression Therapy

While Cognitive Behavioral Therapy for Insomnia (CBT-I) includes multiple components like cognitive restructuring and relaxation training, Sleep Compression Therapy focuses specifically on adjusting sleep windows to optimize efficiency.

Medication vs. Sleep Compression Therapy

Unlike sleep medications that offer temporary relief but risk dependency, Sleep Compression Therapy provides a long-term behavioral approach to improving sleep naturally.

Read about the risks of sleep medications

Who Can Benefit from Sleep Compression Therapy?

This therapy is particularly useful for individuals who:

  • Have difficulty staying asleep throughout the night
  • Experience fragmented or inefficient sleep
  • Struggle with chronic insomnia
  • Want to improve sleep without medication

How to Get Started with Sleep Compression Therapy

1. Track Your Sleep

Use a sleep journal or tracking device to monitor your average sleep duration.

2. Reduce Time in Bed

Align your time in bed with your average sleep duration and maintain this schedule consistently.

3. Gradually Increase Sleep Window

Once sleep efficiency improves, extend your sleep duration by 15-30 minutes each week.

4. Maintain Good Sleep Hygiene

Optimize your sleep environment by keeping your bedroom dark, cool, and free of distractions.

Better Sleep with Sleep Reset

At Sleep Reset, we provide expert-designed, non-medication solutions to help you optimize your sleep. Our structured programs incorporate evidence-based techniques like Sleep Compression Therapy and CBT-I.

Curious if this approach is right for you? Take our sleep quiz to discover a customized sleep plan.

Conclusion

Sleep Compression Therapy is an effective, science-backed technique for improving sleep efficiency and reducing insomnia. By systematically adjusting your sleep window, you can achieve deeper, more restorative rest without relying on medications.

For expert guidance, Sleep Reset offers personalized solutions to help you regain control over your sleep and wake up feeling refreshed.

Dr. Shiyan Ooi

Dr. Shiyan Ooi is a medical doctor with over a decade of experience treating patients with chronic conditions. She graduated from the University of Manchester with a Bachelor of Medicine and Surgery (MBChB UK) and spent several years working at the National Health Service (NHS) in the United Kingdom, several Singapore government hospitals, and private functional medicine hospitals. Dr. Ooi specializes in root cause analysis, addressing hormonal, gut health, and lifestyle factors to treat chronic conditions. Drawing from her own experiences, she is dedicated to empowering others to optimize their health. She loves traveling, exploring nature, and spending quality time with family and friends.