CBT for Insomnia
Cognitive-behavioral therapy for insomnia (CBT-I) is proved to be an effective therapy for treating insomnia. (Edinger & Means, 2015) (Pigeon, 2010)(Mitchell et.al, 2014)
i. Goals of CBT-I
There are two main streams, one is reverse the cognitive and behavioral processes involved in maintaining sleep disturbance. Another is to teach the client’s coping techniques that patients can use in instances of residual sleep difficulty.(Harvey, 2010).
ii. Components of CBT-I
Multicomponent in CBT-I is preferable. There are separated into two parts, one is behavior therapies; another is Cognitive therapy and restructuring.
The impact of sleep deprivation can impact nearly every aspect of your life. In my life, it has affected me in so many ways. Throughout the day, I feel tired, and when I’m supposed to have a good night’s rest, I am wide awake. The days I don’t have the energy to do anything, are about most days, but even though the effects of insomnia are great they won’t end my life. Although insomnia is common, most people can find a treatment that works for them. There are techniques for stress reduction, relaxation, sleep schedule management and even sleep pills that can control insomnia. Relaxing and scheduling a sleep pattern helps me get a better night’s rest, yet sometimes it’s still tough. Besides, it is better than stressing about it or having anxiety or depression as a result of
Interventions provided during this service: Intensive home based services were provided. WYP educated the client about being sleep deprived and the danger associated with being sleep deprived, while attempting to assist the client to be more independent in his sleep schedule. WYP assisted the client to identify the causes of the client being unable to fall asleep at night. WYP assisted the client to create a sleep schedule by going over routines the clients can do before sleeping. WYP was unable to encourage the client to create a sleep schedule and moved on to assist the client with practicing some coping skills to talk to his mother. WYP role modeled for client by using "I think" and 'I feel" phrases to better communicate with his mother.
In 2007, Prash, Siversten, and Nordhus, made an interesting argument that addressed the limitations of cognitive behavioral therapy for sleep disorders in older adults. They mentioned the lack of CBT trained health officials in the medical industry, making it difficult for someone in need to access CBT easily. They also mention the lack of well-defined guidelines that define an optimum number of treatment sessions and the optimum length of these treatment sessions for sleep disorders. It also is unclear how long CBT may continue to be beneficial for malfunctioning behavior after treatment sessions have been
Cognitive Behavioural Therapy (CBT) is recommended by the NICE guidelines as an effective treatment for many mental health problems, specifically depression and all of the anxiety disorders.
Cognitive Behavioural Therapy (CBT) is a combination of two kinds of therapy; cognitive therapy and behavioural therapy (Bush, 2005). It has been shown to have a positive impact on a wide range of mood and anxiety disorders, such as depression, insomnia and panic attacks as well as more recently psychosis (schizophrenia).
Traditional treatments for chronic insomnia include drugs such as over-the-counter antihistamine preparations, with or without mild analgesics, benzodiazepine receptor agonists, sedating antidepressants, neuroleptics, melatonin, and herbal remedies such as valerian. The pharmacological advance has remained the most extensively used for decades, in spite of extensive concerns about long-term effectiveness, habituation, tolerance, and potential difficulties, especially in elderly people. Growing evidence suggests that non-pharmacological treatments, alone or perhaps in combination with drugs, produce clinically noteworthy and strong improvement. In looking at summary data about treatments, it should be noted, with some recent exceptions, outcome studies of pharmacotherapy are almost entirely restricted to brief treatment duration of less than 6 weeks. Even though little doubt exists about the helpfulness of hypnotic drugs for short-term treatment of acute insomnia, evidence shows that the effects of short-term pharmacotherapy trials degrade over time in patients with chronic insomnia. By contrast, cognitive-behavioural treatments are tough and robustly effective on long-term follow-up. In routine practice, pharmacotherapy and a variety of non-pharmacological interventions are sometimes united. Although clinical experience would seem to propose that this joint approach
Cognitive behavioral therapy for insomnia is a recent framework developed to address the dysfunctional cognitions and behaviors that contribute to poor sleeping patterns. Insomnia often presents as a comorbidity to a medical or psychiatric disorder, but may also be an isolated diagnosis. According to research studies, benzodiazepine-receptor agonists (BzRAs) and cognitive behavioral therapy (CBT) are the two most effective therapies for treatment and management of insomnia. And while both treatments are beneficial for short-term management of insomnia, CBTi produces long-term sustained benefits with no side effects thus being more advantageous that prescription drug use only. CBTi involves five components: stimulus control, sleep restriction, relaxation training, cognitive therapy and sleep hygiene education. Because CBTi is a fairly new approach, trained professionals may be difficult to find; creative delivery of therapy through telephone or Skype appointments may be necessary.
Cognitive Behavioral Therapy (CBT) addresses maladaptive thinking and feelings in individuals. It was originally developed to treat depression and anxiety but is now used for many different disorders. It is a very effective type of therapy because it is time limited. The amount of sessions is usually between four and fourteen. CBT focuses on schemas or core beliefs which are usually negative thoughts like “I’m worthless” or “I’m not loveable” (Beck, 1970).
I have always been enchanted by the idea of sleep. As a child, I laid in bed attempting to understand why I was unable to fall asleep. I knew I wasn’t the only one, but the snoring of my family convinced me otherwise. Biology taught me to understand genetics and environmental cues, but they were unable to explain to me how my sleep pattern was different. Unable to figure the cause of my sleep problems, I delved into self-treatments instead. Curiosity for knowledge in sleep therapy prompted my interest in understanding sleep consequences and health.
Sleep is often over looked as an intervention for ME, but through the improvement of environment, medication, life style changes and self-help strategies, sleep can be improved to help provide symptom relief and increase an individuals energy envelope. (ANZMES, n.d.c; Pemberton & Berry, 2009; Wright,
110). People who don 't sleep enough may have a hard time concentrating and function. Insomnia consists in "difficulty initiating or maintaining sleep or nonrestorative sleep causing significant functional impairment (Reeve et al., 2015, p. 98). It may affect how the person perceives the environment and increase the formation and prolongation of persecutory ideation (Reeve et al., 2015, p. 108). The clinical study demonstrated that treatment of insomnia using cognitive behavioral therapy and ECT (electroconvulsive therapy) can reduce paranoid episodes and improve sleep (Reeve et al., 2015, p. 110). Reeve et al., (2015) states that "melatonin inhibits dopamine release, increases dopamine turnover, and alters dopamine receptor activation" (p.111). Patients diagnosed with sleep disorder need to follow a plan of treatment to avoid complications, such as paranoia, depression, and other psychotic disorders.
Physical and psychological health implications of chronic insomnia in the older adult contribute to a decreased quality of life. There is substantial evidence that suggests insomnia is an independent risk factor for the onset and maintenance of major depression disorder (Pigeon & Perlis, 2007). Depression and
In my paper, I will tackle insomnia from various perspectives: definitions, types, causes, effects, and means of solutions.
Sleep deprivation is a common issue among people around the world, and everyone has or will experience it in their life. Not getting enough sleep makes it difficult for the body to function properly. Insomnia is a well-known disorder, mainly known in the United States; one in ten adults suffers from this disorder (Kloc). There are many reasons why people end up with a sleeping disorder, and the most common reason is stress. When people do not have enough sleep they behave differently, and do not make the same choices as if they were fully rested. There are four stages of sleep. The fourth stage, REM (Rapid Eye Movement) sleep is the most important stage of sleeping. A common side effect of BPD (Borderline Personality Disorder) is sleep
A few of the articles that were used in studying this disorder agreed that sleeping more at night could help those people lose weight. One article that was used said that sleeping pills and tranquilizers could increase a person’s risk of death, (#4, 2010) while another article used in this research said that prescription pills could be used to prevent insomnia. (MediLexicon, Intl., 2012) With the research that is currently being put towards this disorder, researchers should start to agree more on insomnia and ways to prevent or cure it.