Reddit Reddit reviews Overcoming Insomnia: A Cognitive-Behavioral Therapy Approach Therapist Guide (Treatments That Work)

We found 2 Reddit comments about Overcoming Insomnia: A Cognitive-Behavioral Therapy Approach Therapist Guide (Treatments That Work). Here are the top ones, ranked by their Reddit score.

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Overcoming Insomnia: A Cognitive-Behavioral Therapy Approach Therapist Guide (Treatments That Work)
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2 Reddit comments about Overcoming Insomnia: A Cognitive-Behavioral Therapy Approach Therapist Guide (Treatments That Work):

u/sleepbot · 5 pointsr/psychotherapy

This site has tons of great downloads, but no manuals (edit: actually I think they do have links to a few manuals). The VA and Center for Deployment Psychology are also both supporting the use of CBT for insomnia. I don't have a copy of the protocol to distribute though, sorry. It's good to know though, since insomnia is comorbid with so many other problems, is one of the most common residual symptoms of depression, precedes new episodes of depression, and improvement in sleep reduces depression. If nothing else, it's worth being familiar with stimulus control instructions and sleep restriction so you can provide helpful suggestions on the fly. I heard a presentation recently from an expert in the field (Rachel Manber, she's overseeing the VA rollout of CBTI), where she presented unpublished data that advice about insomnia from therapists delivering CBT-D was either useless, silly, or the opposite of how we'd normally treat insomnia.

The full set of stimulus control instruction for insomnia are:

  1. Lie down to go to sleep only when you are sleepy.
  2. Do not use your bed for anything except sleep; that is, do not read, watch television, eat, or worry in bed. Sexual activity is the only exception to this rule. On such occasions, the instructions are to be followed afterward, when you intend to go to sleep.
  3. If you find yourself unable to fall asleep, get up and go into another room. Stay up as long as you wish and then return to the bedroom to sleep. Although we do not want you to watch the clock, we want you to get out of bed if you do not fall asleep immediately. Remember the goal is to associate your bed with falling asleep quickly! If you are in bed more than about 10 minutes without falling asleep and have not gotten up, you are not following this instruction.
  4. If you still cannot fall asleep, repeat step 3. Do this as often as is necessary throughout the night.
  5. Set your alarm and get up at the same time every morning irrespective of how much sleep you got during the night. This will help your body acquire a consistent sleep rhythm.
  6. Do not nap during the day.

    A lot of this has been lumped into "sleep hygiene," but it's used both as an independent treatment and as a core component of CBTI. It's based primarily on classical conditioning, but has the effect of undoing a lot of counterproductive strategies people with insomnia often engage in (e.g., spending increasing periods of time in bed). Also, stimulus control instructions were featured in an episode of Doogie Howser, in which they were referred to as the "Bootzin Method," though nobody, even Dick Bootzin who created stimulus control instructions, ever called it by that name. If you're in the market for a book on insomnia, this is a good one. Other authors to consider are Michael Perlis and Charles Morin.

    Oh, and here's free training on cognitive processing therapy for PTSD.
u/slothtrop6 · 3 pointsr/insomnia

What does that mean, you took an online course? -- https://catalog.pesi.com/sales/bh_001249_cbti_organic-27056

You dodged the question. I imagine you're not a medical practitioner, let alone more qualified to answer questions than anyone else. You seem to want users to interact with you privately rather than just dispensing with the obvious right out in the open, which is yet another red flag.

For anyone else curious about CBT and CBTi, here are some links:
https://depts.washington.edu/dbpeds/therapists_guide_to_brief_cbtmanual.pdf

http://re-timer.com/wp-content/uploads/2015/07/Chapter11.pdf

https://www.re-timer.com/wp-content/uploads/2015/07/Chapter7.pdf?da81fc

http://re-timer.com/wp-content/uploads/2015/07/Chapter6.pdf

recommended reading : https://www.amazon.ca/Overcoming-Insomnia-Cognitive-Behavioral-Approach-Therapist/dp/0195365895/ref=sr_1_12?crid=2RNKK3P1YLBNC&keywords=cognitive+behavioral+therapy+insomnia&qid=1566190567&s=gateway&sprefix=cogniti%2Caps%2C156&sr=8-12