By Michael L. Perlis, Carla Jungquist, Michael T. Smith, Donn Posner
• CBT is a brand new, more and more well known approach to therapy that offers measurable effects and is consequently reimbursed via insurance firms • identify is prior to the curve, there is not any festival • Concise, functional handbook • includes reader-friendly, role-playing routines to use to day-by-day perform
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Additional resources for Cognitive Behavioral Treatment of Insomnia: A Session-by-Session Guide
With therapy, patients ﬁnd that it is difﬁcult to stay awake until the prescribed hour. This, if not paradoxical, is at least ironic for the patient that initially presents with sleep onset difﬁculties. SRT is thought to be effective for two reasons. First, it prevents patients from coping with their insomnia by extending sleep opportunity. This compensatory strategy, while increasing the opportunity to get more sleep, produces a form of sleep that is shallow and fragmented. Second, the initial sleep loss that occurs with SRT is also thought to increase the homeostatic pressure for sleep, which in turn produces shorter sleep latencies, less wake after sleep onset, and higher sleep efﬁciency.
Reducing liquid intake will minimize the need for nighttime trips to the bathroom. 8. Cut down on all caffeine products. Caffeinated beverages and foods (coffee, tea, cola, chocolate) can cause difﬁculty falling asleep, awakenings during the night, and shallow sleep. Even caffeine early in the day can disrupt nighttime sleep. 9. Avoid alcohol, especially in the evening. Although alcohol helps tense people fall asleep more easily, it causes awakenings later in the night. 10. Smoking may disturb sleep.
Finally, it should be noted that sleep restriction may also be contraindicated in patients with histories of mania, obstructive sleep aprea, seizure disorder, parasomnias or for those at risk for falls. Second-Line Interventions 17 Sleep Hygiene Education Sleep Hygiene Education is recommended, along with SRT and SCT, for both sleep initiation and maintenance problems. It may also have some value as a means towards increasing total sleep time. This intervention is not thought to be an effective “monotherapy” (21), but is nonetheless generally considered an integral part of CBT-I.
Cognitive Behavioral Treatment of Insomnia: A Session-by-Session Guide by Michael L. Perlis, Carla Jungquist, Michael T. Smith, Donn Posner