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-behavioural therapy methods to correct 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
efficency 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 behavioural program
is developed to address that patient's specific sleep
problems.Use of sleep logs, assessment forms, and other
homework (all provided in this 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. |
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