People who suffer from Delayed Sleep Phase Syndrome are generally unable to reset their circadian rhythm by moving their bedtime and rising time earlier. In<unk>  an attempt is made to move bedtime and rising time later and later each day, around the clock, until these times reach the number of hours of sleep per night an individual needs to be fully functional.  According to Michael B Russo, MD, the number of hours of sleep per night necessary for an individual to be fully functional is still unknown because the function of sleep has yet to be fully determined.  Some people claim full effectiveness with only 3-5 hours of sleep per night, while others admit to needing 8 (or more) hours of sleep per night to perform effectively.
While<unk>  has been successful for some, it is necessary to rigidly maintain the desired sleep/wake cycle thenceforth. Any deviation in schedule tends to allow the body clock to shift later again.
Here's an example of how<unk>  could work over a week's course of treatment, with the patient going to sleep three hours later every day until the desired sleep and waketime is reached.  This technique assumes that an individual can perform effectively with 8 hours of sleep per night. Shifting the sleep phase by 3 hours per day may not always be possible. Shorter increments of 1-2 hours are needed in such cases.[citation needed]
Example:
Whilst this technique can provide temporary respite from sleep deprivation, patients often find the desired sleep and waketimes soon slip, returning them to a state of delayed sleep onset within a few weeks or even days.  The desired pattern can be maintained - to a degree - by following a strictly disciplined timetable for sleeping and rising, but all too often this cannot be maintained, as the body returns to its previous pattern of late sleep onset, regardless of when the patient rises.
A modified<unk>  (Thorpy et al in J Adolesc Health Care, 1988;9) is called controlled sleep deprivation with phase advance, SDPA. One stays awake one whole night and day, then goes to bed 90 minutes earlier than usual and maintains the new bedtime for a week. This process is repeated weekly until the desired bedtime is reached.
Chronotherapy
Triage
Confabulation
ADOC regimen
GVD regimen
Clinical prediction rule
RVD regimen
Relationship counseling