Overcoming Insomnia

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. The Overcoming Insomnia treatment program uses evidence-based cognitive-behavioral therapy (CBT) methods to correct poor sleep habits. CBT has been proven in multiple studies to improve sleep 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 Jack D. Edinger and Colleen E. Carney, this second edition has been thoroughly updated according to the DSM-5, which now conceptualizes insomnia as a sleep-wake disorder, rather than a sleep disorder only. The DSM-5 has also eliminated the differentiation between primary and secondary insomnias, so this program provides an expanded discussion of daytime related issues as well as delivery issues specific to those with comorbid mental and medical problems. 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 a sleep diary, assessment forms, and other homework (all provided in the corresponding patient Workbook) allows client and therapist to work together to develop an effective sleep regimen tailored specifically for each client, and several sessions are dedicated to increasing compliance and problem-solving.

Jack D. Edinger, Ph.D., is a Professor in the Department of Medicine at National Jewish Health in Denver, CO. Dr. Edinger is one of the world leaders in insomnia treatment and insomnia research. He is recognized internationally for his research and clinical leadership in the areas of insomnia diagnosis and treatment. His early case series studies are among the very first to document the effectiveness of current-day cognitive behavioral insomnia therapy approaches. He has over 32 years of research and clinical experience working with insomnia patients. Colleen E. Carney, Ph.D., is an Associate Professor in the Department of Psychology and Director of the Sleep and Depression Laboratory at Ryerson University in Toronto. Dr. Carney is a world renowned expert in comorbid insomnias and the treatment of insomnia with Cognitive Behavior Therapy (CBT). In the Sleep and Depression Laboratory she trains graduate students and treatment providers in CBT for insomnia. She also provides CBT training workshops worldwide. She uses the treatment described in this book in her randomized controlled trials, funded by such agencies as the National Institute of Mental Health, Canadian Institutes for Health Research and the National Institute for Nursing Research. Dr. Carney is passionate about improving access to empirically supported insomnia therapy to patients.

Chapter 1 Introductory Information for TherapistsChapter 2 Pre-Treatment AssessmentChapter 3 Session 1: Psychoeducational and Behavioral Therapy ComponentsChapter 4 Session 2: Cognitive Therapy ComoponentsChapter 5 Follow-Up SessionsChapter 6 Considerations in CBT Delivery: Challenging Patients and Treatment Settings
Appendix 1 Sleep History QuestionnaireAppendix 2 Daytime Insomnia Symptom Response Scale (DIRS)
References