In this video, the therapist collaboratively teaches the patient how to score the sleep log and determines sleep efficiency, confirms a diagnosis of insomnia, and uses the log as a starting point for next steps.
This video demonstrates how to review a patient’s baseline sleep log by soliciting the patient’s observations and providing therapist feedback on potential problem areas, prior to scoring the sleep log in the next video.
This clip from the sleep-focused assessment follows the therapist differentiating an intrinsic circadian preference for an early sleep schedule from the patient getting in bed early to chase sleep and out of bed at an early time for work obligations.
In this video, the therapist demonstrates a portion of a sleep-focused assessment with Kim, identifying the patient’s sleep schedule and perpetuating factors that may be contributing to difficulty falling and staying asleep, using a “walk me through your 24-hour day” approach. Notice how the therapist assesses for details in a conversational style.
This video follows the previous video by demonstrating use of motivational interviewing skills to increase the patient’s readiness to implement stimulus control, including a decisional balance activity, motivational and confidence rulers, and helping the patient develop a change plan.
In this video, the therapist introduces stimulus control, identifies a significant barrier to the patient engaging fully in this intervention, and attempts to problem-solve the barrier.
The therapist in this video targets a “perpetuating factor” from the 3P Model-specifically, conditioned arousal, or the idea that the patient’s bed has become conditioned with wakefulness and worry, which is counterproductive restful sleep. He uses the patient’s experiences to recommend an initial intervention to set the stage for stimulus control (“use the bedroom for sleep and sex only”) to counter conditioned arousal.
This video demonstrates the introduction of the 3P Model of Insomnia etiology to the patient, using a handout. The therapist guides the patient to consider personal examples of each aspect of the model, to prime for subsequent intervention in the next video based on this model.
This video shows the therapist turning the completed sleep log data from the CBTI Coach application into a collaborative review for specific problem areas that may guide treatment. This review not only provides feedback for the patient but also acts as psychoeducation for the patient.
In this video, the therapist introduces the CBTI Coach application for a personal smartphone as an alternative form of sleep log and assists the patient in setting up a cue for data entry. The video incorporates screenshots and step by step instructions to help familiarize providers with this app.