Treatment Plans and Interventions for Insomnia: A Case Formulation Approach

This book will guide therapists in helping their adult patients, including those with comorbidities, to sleep better using cognitive behavioral therapy for insomnia (CBT-I). This book is unique in teaching clinicians and clinicians in training to apply CBT-I in a flexible, patient-tailored manner. The book provides a case conceptualization framework for making important clinical decisions about how to select the most relevant treatment component, in what order to introduce them, and when to alter the standard guidelines to the unique needs of each patient. A case formulation approach is a must for those who see complicated cases and have a limited number of sessions in which to address multiple problems, including sleep. There has never been a book like this so even expert sleep specialists will buy this book because it is the first source for how to tailor treatment and address complex problems encountered with comorbidities.

A full course of treatment of two cases is provided, including assessment, case conceptualization, treatment planning, and vignettes.  In the spirit of promoting patient-centered implementation of CBT-I the book does not provide a rigid session-by-session protocol.  Nonetheless, to aid therapists as they learn to use this treatment, a template for a six-session treatment protocol (an insomnia assessment session plus five treatment sessions) is included.

Goodnight Mind

Do you find yourself lying awake at night, ruminating about the events of the day? Do you toss and turn, worrying about what you have to do in the morning or what you did earlier in the day? If so, you are not alone. In fact, insomnia is the most common sleep disorder faced by the general population today. The most common complaint in those who have trouble sleeping is having a “noisy mind.” Sometimes, no matter how hard you try, it seems like you cannot silence all the internal dialogue. So what do you do when your mind is spinning and your thoughts just won’t stop? Accessible, enjoyable, and grounded in evidence-based cognitive behavioral therapy (CBT), ‘Goodnight Mind’ directly addresses the effects of rumination-or having an overactive brain-on your ability to sleep well. Written by two psychologists who specialize in sleep disorders, the book contains helpful exercises and insights into how you can better manage your thoughts at bedtime, and finally get some sleep. Traditional treatment for insomnia is usually focused on medications that promote sedation rather than on the behavioral causes of insomnia. Unfortunately, medication can often lead to addiction, and a host of other side effects. This is a great book for anyone who is looking for effective therapy to treat insomnia without the use of medication. This informative, small-format book is easy-to-read and lightweight, making it perfect for late-night reading.

Overcoming Insomnia A Cognitive-Behavioral Therapy Approach Therapist Guide

It is estimated that one in ten U.S. adults suffers from chronic insomnia. If left untreated, chronic insomnia reduces quality of life and increases risk for psychiatric and medical disease, especially depression and anxiety. There are two forms of insomnia: secondary insomnia, in which it is comorbid with another condition such as psychiatric disorders, chronic pain conditions, or cardiopulmonary disorders, and primary insomnia, which does not coexist with any other disorder, Though insomnia may be caused by any number of things, it is primarily sustained by the development of poor sleep habits (such as varying sleep-wake schedule, daytime napping, and spending excessive time in bed) as an attempt to manage the problem. This treatment program uses cognitive-behavioral therapy methods to correct those poor sleep habits. CBT has been proven in multiple studies to improve sleep hygiene by reducing time spent in bed before sleep onset, reducing time spent awake after first sleep onset, and increasing the quality and efficiency of sleep. Developed by the authors, this evidence based treatment can be used for both primary and secondary insomnia sufferers. Patients are first given information about healthy sleep and the reasons for improving sleep habits, then a behavioral program is developed to address that patient’s specific sleep problems. Use of sleep logs, assessment forms, and other homework (all provided in the corresponding workbook) allows client and therapist to work together to develop an effective sleep regimen tailored specifically for each client. Finally, several sessions are dedicated to increasing compliance and problem-solving.

Overcoming Insomnia A Cognitive-Behavioral Therapy Approach Workbook

If you suffer from poor sleep, you know just how frustrating it can be to feel like you’ll never get a good night’s rest. Insomnia is a common health problem and can cause a significant reduction in quality of life. Daytime fatigue, irritability, poor concentration, and decreased energy are just some of the problems you may face. If you experience more than just the occasional sleepless night and think you may have insomnia, this workbook can help. Use this book on your own or in conjunction with visits to a qualified health care professional. In as little as two weeks, you could start to see improvement in your sleep patterns. This book guides you through the biology of human sleep and provides helpful recommendations for facilitating sleep. Follow the “sleep rules”described and discover how to make small changes in your behavior that will make it easier to fall and stay asleep. Combat unhelpful thoughts and learn to problem solve before bedtime so your mind is ready to rest when you are. Track your sleep habits with user-friendly sleep logs and calculate your ideal time in bed. The strategies in this book are easy to implement and will no doubt set you on the path to sounder, more restful sleep.

Cognitive Behavior Therapy (CBT) for Insomnia in those with Depression

Cognitive Behavior Therapy (CBT) for Insomnia in those with Depression is written for those who work with complex patients, such as those with depression and insomnia. In addition to providing cognitive and behavioral strategies for managing insomnia, this book provides advanced tools to address the adherence problems often encountered in this group, as well as a template for combining CBT for depression and CBT for insomnia. CBT for Insomnia in those with Depression is an important training tool for students learning about psychotherapy and psychopathology. Those with comorbid depression outnumber Primary Insomnia sufferers, yet until now, there were no clinician guide books on this topic. This is a disconcerting omission because treating the insomnia that occurs in comorbid disorders should not only improve sleep, but overall symptom management as well. Thus, this book fills an important need for both the beginner and for more advanced treatment providers.

Insomnia and Anxiety

The statistics show that as much as twenty percent of the population suffers from chronic insomnia—and one-fourth of those with the condition eventually develop an anxiety disorder. As comorbid conditions, they contribute to any number of physical and social problems. Yet too often insomnia is undiagnosed, or treated as merely a symptom of the patient’s anxiety. Insomnia and Anxiety is the first clinician guidebook that considers the evaluation and management of insomnia and related sleep disturbances that occur conjointly with the common anxiety disorders. By exploring the ways that one condition may exacerbate the other, its authors present robust evidence of the limitations of viewing insomnia as secondary to GAD, agoraphobia, PTSD, and others in the anxiety spectrum. The book reviews cognitive and emotional factors common to anxiety and sleep disorders, and models a cognitive-behavioral approach to therapy in which improved sleep is a foundation for improved symptom management. Beginning and veteran practitioners alike will find vital insights into all areas of these challenging cases, including: Diagnostic and assessment guidelines. Cognitive-behavior therapy for insomnia. Behavioral strategies for managing insomnia in the context of anxiety. Cognitive strategies for managing comorbid anxiety and insomnia. Sleep-related cognitive processes. Pharmacological treatment considerations. Insomnia and Anxiety is highly useful to clinical psychologists given the range of treatment strategies it describes and to researchers because of its emphasis on the theoretical and empirical bases for its interventions. In addition, its accessible style makes it an excellent training tool for students of therapy and psychopathology.

Quiet Your Mind and Get to Sleep: Solutions to Insomnia for Those with Depression, Anxiety or Chronic Pain

A busy and hectic life can profoundly affect your ability to get a good night’s rest. And it’s even more difficult to feel relaxed when you stay awake worrying that you won’t fall asleep. This vicious circle can quickly rob you of your quality of life, which is why it is so important to seek the most effective treatment for your insomnia. This workbook uses cognitive behavior therapy, which has been shown to work as well as sleep medications and produce longer-lasting effects. Research shows that it also works well for those whose insomnia is experienced in the context of anxiety, depression, and chronic pain. The complete program in Quiet Your Mind and Get to Sleep goes to the root of your insomnia and offers the same techniques used by experienced sleep specialists. You’ll learn how to optimize your sleep pattern using methods to calm your mind and help you identify sleep-thieving behaviors that contribute to insomnia. Don’t go without rest any longer-get started on this program and end your struggles with sleep.

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© 2018, Dr. Colleen E. Carney