Jack D. Edinger

Colleen E. Carney

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.

Insomnia and Anxiety

"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"--Provided by publisher.

A Cognitive-Behavioral Therapy Approach, Therapist Guide

Overcoming Insomnia

Rachel Manber

From leading authorities, this treatment planner outlines cognitive-behavioral therapy for insomnia (CBT-I) and shows how to tailor the treatment to individual clients' needs. Clinicians get a solid understanding of how sleep is regulated and the factors that promote or hinder optimal sleep. The book describes CBT-I components and discusses how to select and sequence them for particular clients, including those with psychiatric comorbidities such as anxiety or depressive disorders. Two chapter-length case examples illustrate the use of a comprehensive case conceptualization as the basis for effective intervention. In a convenient large-size format, the book includes reproducible assessment tools, planning forms, and handouts. Purchasers get access to a Web page where they can download and print the reproducible materials. The American College of Physicians recommends CBT-I as the initial treatment for all adult patients with chronic insomnia disorder.

A Case Formulation Approach

Treatment Plans and Interventions for Insomnia

Turn off the light. Turn off your phone. Turn off anxious thoughts. Do you have trouble getting to sleep at night? You aren’t alone. There are so many reasons teens today have a difficult time going to sleep—including early school start times, too much late-night screen time, or just being anxious about what the future holds. You are at an important crossroads in your life, so it’s natural to feel overwhelmed at times. But it’s essential that you get the sleep you need. This book can help. Written by a renowned sleep expert, Goodnight Mind for Teens offers tips based in proven-effective cognitive behavioral therapy (CBT) to help you get your zzzs and be your best during the daytime. You’ll learn how to set your own ideal sleep schedule, overcome sleep lag, cope with sleep anxiety, and manage the anxious, over-stimulating thoughts and worries that are keeping you up at night. If you’re ready to start feeling better, less cranky during the day, and more at ease at bedtime, this book has everything you need to… zzzz…

Skills to Help You Quiet Noisy Thoughts and Get the Sleep You Need

Goodnight Mind for Teens

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.

Solutions to Insomnia for Those with Depression, Anxiety or Chronic Pain

Quiet Your Mind and Get to Sleep

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.

Turn Off Your Noisy Thoughts and Get a Good Night's Sleep

Goodnight Mind

Donn Posner

Cognitive Behavior Therapy for Insomnia in Those with Depression is the book for clinicians who recognize that insomnia is more often a comorbid condition that merits separate treatment attention. These clinicians know that two thirds of those who present for depression treatment also complain of significant insomnia and that one third of such patients are already taking sleep medication, and they may be familiar with the research showing that treating insomnia is often important in the management of depression. But what strategies should clinicians use for treating insomnia? How can motivation be enhanced? What about medications? Students and professionals alike will find the pages of Cognitive Behavior Therapy for Insomnia in Those with Depression replete with advanced tools to address the adherence problems often encountered in this group, and they’ll come away from the book with a wealth of techniques for improving both sleep and overall symptom management as well as for treating the insomnia that occurs in comorbid disorders.

A Guide for Clinicians

Cognitive Behavior Therapy for Insomnia in Those with Depression

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. This treatment program uses cognitive-behavioral 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 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. TreatmentsThatWorkTM represents the gold standard of behavioral healthcare interventions! · All programs have been rigorously tested in clinical trials and are backed by years of research · A prestigious scientific advisory board, led by series Editor-In-Chief David H. Barlow, reviews and evaluates each intervention to ensure that it meets the highest standard of evidence so you can be confident that you are using the most effective treatment available to date · Our books are reliable and effective and make it easy for you to provide your clients with the best care available · Our corresponding workbooks contain psychoeducational information, forms and worksheets, and homework assignments to keep clients engaged and motivated · A companion website (www.oup.com/us/ttw) offers downloadable clinical tools and helpful resources · Continuing Education (CE) Credits are now available on select titles in collaboration with PsychoEducational Resources, Inc. (PER)

A Cognitive-Behavioral Therapy Approach Workbook

Poor sleep is a significant source of distress and is also a symptom of other problems, such as anxiety and depressive disorders. From leading experts in cognitive-behavioral therapy for insomnia (CBT-I), this state-of-the-art book provides a framework for tailoring treatment for clients with an array of sleep difficulties. Clinicians are guided to make important decisions about what treatment components to use and how to optimize their effectiveness. Two chapter-length clinical examples vividly illustrate case conceptualization, treatment planning, and session-by-session implementation. In a convenient large-size format, the book includes reproducible forms and handouts. Purchasers get access to a Web page where they can download and print the reproducible materials.

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. This second edition has been thoroughly updated by the program developers, Jack D. Edinger and Colleen E. Carney. Patients use the Workbook in conjunction with the treatment they receive from their therapist. Patients will receive information about healthy sleep and the reasons for improving sleep habits, and the therapist will develop a program to address that patient's specific sleep problems. Use of a sleep diary, assessment forms, and other homework (all provided in the Workbook) allows patient and therapist to work together to develop an effective sleep regimen tailored specifically for each patient.

Colleen E. Carney

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