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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.
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.
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.
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