1st Edition

Delivering CBT for Insomnia in Psychosis A Clinical Guide

    308 Pages
    by Routledge

    308 Pages
    by Routledge

    Individuals with psychiatric disorders such as schizophrenia, bipolar disorder, and post-traumatic stress disorder often report Insomnia and difficulties sleeping which can significantly impede recovery, worsen symptoms, and reduce quality of life. This volume presents a detailed theoretical rationale and session-by-session outline for delivering Cognitive Behaviour Therapy for Insomnia to people with these mental health disorders.The treatment has been developed in close collaboration with people living with mental illness, as well as sleep specialists and psychosis experts. Information regarding the efficacy of the programme is presented, along with resources offering information on complicating factors, avoiding relapse, managing stress, and restoring lifestyle balance.

    List of Figures, Tables, and Textboxes  Preface  Acknowledgements  Abbreviations  1. Introduction  I. Conceptual Frameworks and Evidence Base  2. Psychotic Disorders: An Overview of Clinical Features and Treatment Approaches  3. Insomnia Disorder and Other Sleep Disturbances: An Overview  4. Characteristics of Insomnia and Other Sleep Disturbances in Psychotic Disorders  5. Sleep, its Regulation, and Barriers to Good Sleep  6. Understanding Insomnia and Other Sleep Disturbances in Psychotic Disorders  7. Description of Cognitive Behavioural Therapy for Insomnia  8. Assessing Sleep  9. Evidence for CBT-I in Psychotic Disorders  10. Clinical Cases  II. Therapist Manual  11.Tips and Instructions to the Therapist  12. Therapist Manual Session 1: Learning about Sleep and Good Sleep Habits  13. Therapist Manual Session 2: Maximising Energy and Working with Unhelpful Beliefs About Sleep  14. Therapist Manual Session 3: Managing Worries and a Busy Mind and Introducing Relaxation  15. Therapist Manual Session 4: Maintaining Wellness and Working with Triggers for Poor Sleep  III. Client Resource Packs  16. Client Resource Pack Session 1: Learning about Sleep and Good Sleep Habits  17. Client Resource Pack Session 2: Maximising Energy and Working with Unhelpful Beliefs about Sleep  18. Client Resource Pack Session 3: Managing Worries and a Busy Mind and Introducing Relaxation  19. Client Resource Pack Session 4: Maintaining Wellness and Working with Triggers for Poor Sleep  IV. Appendices  Appendix 1: Clinical Interview for Sleep  Appendix 2: Sleep Diary  Appendix 3: Sleep Hygiene Diary  Appendix 4: Some Interesting Facts about Dreaming  Appendix 5: Decision Balance Sheet  Appendix 6: In-Session Feedback  Appendix 7: Time in Bed Restriction Instructions  Appendix 8: Snacks that Provide Energy throughout the Day  Appendix 9: Challenging Unhelpful Beliefs about Sleep  Appendix 10: My Personal Cycle of Insomnia  Appendix 11: Linking Thoughts and Feelings Worksheet  Appendix 12: Relaxing and Fun Activities  Appendix 13: Additional Relaxation Exercises  Appendix 14: Information about Sleeping Tablets  Appendix 15:  Reducing Your Usage of Sleeping Tablets  Appendix 16. Evaluating My Progress  Appendix 17:  Change Plan Worksheet (‘My Goals’) 

    Biography

    Flavie Waters, PhD, is a leading expert in psychosis at the University of Western Australia and North Metro Health Service Mental Health, Western Australia.

    Melissa J. Ree, PhD, is a clinical psychologist and CBT Insomnia expert at The Marian Centre and Sleep Matters, Western Australia.

    Vivian Chiu, BPsych (Hons), is a research psychologist at the University of Western Australia and North Metro Health Service Mental Health, Western Australia.

    “This very well written book. [It] addresses the problems of co-occurring sleep issues in the severely mentally ill. These sleep disturbances, including insomnia and hypersomnia, not only accentuate psychotic symptoms, such delusions, hallucinations, and disorganized speech, but also lead to specific night-time problems, negative beliefs, agitation, and aggressive behaviour. The authors provide a clear step-by-step treatment manual so that clinicians can learn the “Sleep Well, Feel Well” program. The authors also provide highly useful resource packs to be used with clients, including sleep diaries, charts, and activity materials. I highly recommend this book to all clinicians seeking a thorough, straightforward tool for improving the sleep of their clients with schizophrenia and other psychotic disorders.”—Aaron T. Beck, psychiatrist; professor emeritus, department of psychiatry, University of Pennsylvania


    “Long overlooked as a secondary aspect of psychosis, we now recognise how important sleep difficulties can be in the persistence of psychosis and associated disabilities. As we start to prioritise treating this aspect of treatment, Waters and colleagues have produced one of those books you are on the lookout for that provides the “go-to” resource covering everything you need on conceptualisation, assessment, and intervention for this clinical issue.”—Neil Thomas, director, Voices Clinic, Monash Alfred Psychiatry Research Centre; associate professor, Centre for Mental Health, Swinburne University of Technology, Melbourne, Australia