By Michael L. Perlis, Carla Jungquist, Michael T. Smith, Donn Posner
• CBT is a brand new, more and more renowned approach to therapy that gives measurable effects and is accordingly reimbursed by way of insurance firms • identify is prior to the curve, there is not any pageant • Concise, useful guide • comprises 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
For examples of treatment graphs that illustrate a typical course of therapy, see Appendix 3. Clinical Assessment As with most clinical practices, CBT-I has essentially two phases: an assessment phase and a treatment phase. As with most cognitive behavioral practices, the initial assessment process has both retrospective and prospective components. The retrospective component entails the administration of questionnaires and the intake interview. The prospective component requires that patients use diaries to record their symptoms on a daily basis for one to two weeks.
Our sense is that the combination of sleep diaries and actigraphy may be used to alert the clinician to the fact that sleep state misperception is a signiﬁcant component of the patient’s clinical proﬁle. If this is the case, one may expect, in the absence of empirical data on this subject, that such a patient may be less responsive to standard treatment. 32 3. 2. , 20300 Empire Avenue, Building B-3, Bend, Oregon 97701). In the treatment phase, actigraphy may be used to objectively assess sleep continuity gains and to determine if the patient is being adherent.
Get up at your regular time the next day, no matter how little you slept. 2. Get up at the same time each day, 7 days a week. ” 3. Exercise regularly. Schedule exercise times so that they do not occur within 3 hours of when you intend to go to bed. Exercise makes it easier to initiate sleep and deepen sleep. 4. Make sure your bedroom is comfortable and free from light and noise. A comfortable, noise-free sleep environment will reduce the likelihood that you will wake up during the night. Noise that does not awaken you may also disturb the quality of your sleep.