Poor sleep is a significant source of distress and is also a symptom of other problems, such as anxiety and depressive disorders. From leading experts in cognitive-behavioral therapy for insomnia (CBT-I), this state-of-the-art book provides a framework for tailoring treatment for clients with an array of sleep difficulties. Clinicians are guided to make important decisions about what treatment components to use and how to optimize their effectiveness. Two chapter-length clinical examples vividly illustrate case conceptualization, treatment planning, and session-by-session implementation. In a convenient large-size format, the book includes reproducible forms and handouts. Purchasers get access to a Web page where they can download and print the reproducible materials.
This title is part of the Treatment Plans and Interventions for Evidence-Based Psychotherapy Series, edited by Robert L. Leahy.
Reviews and Endorsements:
“Manber and Carney have written a wonderful resource for clinicians interested in learning how best to evaluate and successfully treat those with insomnia. The book includes elements that are often missing from treatment manuals. Beyond the details of therapy techniques, it helps the clinician prioritize treatment goals and presents innovative reproducible forms and patient handouts, well-written patient-therapist dialogues, and guidance for what to do when patients have comorbid disorders. The case studies show in detail how decisions are made at each stage of therapy.”
—Richard R. Bootzin, PhD, Departments of Psychology and Psychiatry, University of Arizona
“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 and Canada Research Chair (Sleep Disorders), Department of Psychology, Laval University, Québec, Canada
List of Figures, Tables, and Forms
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
About the Authors:
Rachel Manber, PhD, is Professor in the Department of Psychiatry and Behavioral Sciences at Stanford University and Director of the Insomnia and Behavioral Sleep Medicine Program at the Stanford Center for Sleep Medicine and Research. She is a clinical psychologist and has been certified by the American Academy 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 an insomnia self-help book, 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.