1st Edition

Cognitive Behavior Therapy for Insomnia in Those with Depression A Guide for Clinicians

By Colleen E. Carney, Donn Posner Copyright 2016
    236 Pages
    by Routledge

    236 Pages
    by Routledge

    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.

    Chapters: 1. Insomnia and Depression: An Overview  2. Nonpsychological Treatments for those with Insomnia and Depression  3. Cognitive Behavior Therapy for Insomnia: Treatment Considerations  4. Assessment of Insomnia in Those with Depression  5. Behavioral Strategies for Insomnia  6. Cognitive Factors and Treatment of Insomnia  7. Encouraging Adherence and Troubleshooting Potential Barriers  8. Rumination Strategies for MDD-I  9. Combining depression and insomnia therapies  10. Case Study  Appendices:  A. Core Sleep Diary  B. Expanded Sleep Diary  C. Daytime Insomnia Symptom Response Scale  D. TRAP/TRAC BABIT Worksheet  E. Daily Activity Monitoring Form  F. Goal Tracking Form  G. Blank Pro-Depression and Anti-Depressant Worksheet  H. Blank Pro-Insomnia and Pro-Sleep Worksheet  I. Blank Pro-Fatigue versus Pro-Energy Worksheet  J. BABIT Continuum Exercise  K. Behavioral Experiment Monitoring


    Colleen E. Carney, PhD, is an associate professor in the department of psychology at Ryerson University and the director of the Sleep and Depression Laboratory in Toronto, Canada. She was previously on faculty at Duke University Medical Center, where she was awarded the prestigious National Sleep Foundation Pickwick Fellowship and where she also established the Comorbid Insomnia Clinic. She is the president of the Behavioral Sleep Medicine Special Interest Group of the Association for Behavioral and Cognitive Therapies and a fellow of the Canadian Psychological Association. She is also certified in cognitive behavior therapy by the Canadian Association for Cognitive and Behavioral Therapies, and is an active writer, presenter, and workshop trainer.

    Donn Posner, PhD, is currently working at the Palo Alto VA on clinical research in insomnia. Before this he served as a clinical associate professor of psychiatry at the Warren Alpert Medical School at Brown University and as director of behavioral sleep medicine for the Sleep Disorders Center of Lifespan Hospitals. Dr. Posner is a member of the American Academy of Sleep Medicine and is one of the first certified behavioral sleep medicine specialists recognized by that group. He is also a founding member of the Society of Behavioral Sleep Medicine and was recently awarded the society’s Peter Hauri Career Distinguished Achievement Award.

    "This excellent, timely, and well-written volume provides the information that clinicians need to understand the reasons to consider and use various treatments, as well as how to deliver evidence-based cognitive behavioral therapy for insomnia and related problems in depression. The authors employ an artful combination of literature review, guidelines, and case materials to derive best practices for sleep problems in depression. I recommend this book enthusiastically."

    —Keith S. Dobson, PhD, professor of clinical psychology at the University of Calgary

    "Treatment of insomnia as a comorbidity to, not simply a symptom of, depression is paramount to patient well-being. This incredibly useful clinical guide reflects Carney and Posner's impressive knowledge of sleep medicine and psychotherapy, guiding clinicians through CBT-I in a practical, logical way. With nearly half of depressed patients meeting criteria for insomnia disorder, this groundbreaking text will prove invaluable to clinicians who desire to comprehensively treat patients with insomnia and depression."

    —Shelby Harris, PsyD, director of behavioral sleep medicine at the Sleep-Wake Disorders Center at Montefiore Medical Center

    "This is an extremely valuable contribution by two leaders in the insomnia field. A wealth of research findings is woven into a well-organized text, including chapters on pathophysiology, diagnostic considerations, medical treatment, cognitive treatment, behavioral treatment, and adherence challenges. The examples of therapist-client interactions greatly enrich the value of this book. Overall, this is a practical and ‘must-read’ contribution for those treating patients with depression."

    —James K. Wyatt, PhD, D.ABSM, FAASM, director of the Sleep Disorders Service and Research Center at Rush University Medical Center