09/06/2026
I’m at the conference in Glasgow today presenting a talk on how clinicians can help breast cancer patients who are struggling with their sleep.
Around half of women report sleeping difficulties around the time of a breast cancer diagnosis. Understandably, worries about the diagnosis and treatment can make it difficult to switch off at night.
Sleep can then become even more disrupted during treatment because of side effects and physical discomfort from surgery.
One of the challenges is that when people are trying to maximise their chances of recovery, they often become focused on getting enough good quality sleep. Unfortunately, the harder someone tries to force sleep, the harder it can become!
This is the insomnia paradox.
Of course, we want to help people achieve the best sleep possible to support their overall health and wellbeing. But we also need to normalise sleeping difficulties during periods of stress, illness and treatment. It’s normal to have disrupted sleep when you’re understandably very anxious about something like cancer. We should ensure that people struggling with persistent insomnia are directed towards evidence-based treatments such as CBT-I, which is the first-line treatment for chronic insomnia.
So far, the conference has been fantastic. I’ve really enjoyed speaking with inspiring surgeons about their experiences and discussing how we can improve support for patients in the future.