Treatment Plans and Interventions for Insomnia : A Case Formulation Approach book cover
1st Edition

Treatment Plans and Interventions for Insomnia
A Case Formulation Approach

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ISBN 9781462520084
Published April 28, 2015 by Guilford Press
286 Pages


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Book Description

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.

Table of Contents

1. Introduction
2. Sleep and Its Regulation
3. Behavioral Regulation of Sleep: The Role of Arousal
4. Other Sleep Disorders
5. The Impact of Comorbid Disorders on Sleep and Insomnia
6. Assessment of Insomnia
7. Behavioral Components of CBT-I: Part I
8. Behavioral Components of CBT-I: Part II
9. Addressing Sleep-Related Cognitions
10. Case Conceptualization and Treatment Planning
11. Case Example 1: Sophie
12. Case Example 2: Sam
13. General Delivery Issues
Appendix A. Therapist Tools
Appendix B. Patient Assessment Forms
Appendix C. Patient Treatment Forms
Appendix D. Further Training and Reading

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Rachel Manber, PhD, is Professor in the Department of Psychiatry and Behavioral Sciences and Director of the Insomnia and Behavioral Sleep Medicine Training Program at Stanford University. She is a clinical psychologist and has been certified by the American Board of Sleep Medicine in the practice of behavioral sleep medicine. Dr. Manber has trained many clinicians to deliver cognitive-behavioral therapy for insomnia (CBT-I) and has led the development and implementation of a nationwide CBT-I training initiative by the Department of Veterans Affairs. She has conducted sleep and depression research for 20 years and has published many articles in medical and psychiatric journals; numerous book chapters; and insomnia self-help books, including, Quiet Your Mind and Get to Sleep: Solutions to Insomnia for Those with Depression, Anxiety, or Chronic Pain, coauthored with Colleen E. Carney.

Colleen E. Carney, PhD, is Associate Professor in the Department of Psychology and Director of the Sleep and Depression Laboratory at Ryerson University in Toronto. She is certified as a cognitive-behavioral therapist by the Canadian Association for Cognitive and Behavioural Therapies, is President of the Behavioral Sleep Medicine Special Interest Group of the Association for Behavioral and Cognitive Therapies, and is a Fellow of the Canadian Psychological Association. Dr. Carney’s areas of research include CBT-I; insomnia in the context of other health conditions, notably depression and chronic pain; evidence-based fatigue management strategies; rumination and sleep; fear of the dark in adults; and improving access to CBT. The author of over 100 publications, including seven books, Dr. Carney is a recipient of the Early Researcher Award from the Canadian Ministry of Research and Innovation and the Pickwick Fellowship from the National Sleep Foundation.


"This manual is destined to become a prime tool in the provision of CBT-I. Manber and Carney deftly instruct therapists in the essential sleep medicine and cognitive-behavioral principles that undergird CBT-I. They guide the therapist in assessing and conceptualizing each case in a way that allows for flexible application and can be nicely tailored to the specific needs of each patient. Perhaps most useful are the two case examples used throughout the book to illustrate how CBT-I principles are applied. This book is a 'must' for all clinicians who are new to CBT-I, but even seasoned behavioral sleep medicine specialists will greatly benefit from the experience and wisdom of these two gifted authors."--Donn Posner, PhD, CBSM, Palo Alto VA Healthcare System; former Clinical Director of Behavioral Sleep Medicine, Sleep Disorders Center of Lifespan Hospitals/Rhode Island Hospital

"This excellent treatment manual provides a step-by-step approach to treating insomnia, whether it is the main problem or a condition coexisting with another medical or psychiatric disorder. The book is practical, up to date, and evidence based. It provides all the 'nuts and bolts' for efficient and effective intervention."--Charles M. Morin, PhD, Professor of Psychology and Director, Sleep Research Center, Laval University, Quebec City, Canada