Please Note: These videos are intended for individual provider use only. Use of these videos or audio components, in whole or in part, for any other purpose, including for instructional purposes, is expressly prohibited and is a copyright violation. Reproduction and distribution of the video without written permission of HJF is prohibited. Any illegal reproduction or use of this content will result in immediate legal action. If you have any questions or concerns, please contact Christopher.Adams.ctr@usuhs.edu.
| Cognitive Behavioral Therapy for Insomnia Videos | ||
 Insomnia Assessment - JohnIn this video, the therapist demonstrates a portion of a sleep-focused assessment with John, 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 learns more about the patient’s sleep while simultaneously building rapport....Watch now |
Using the CBT-I Coach App In this video, the therapist introduces the CBT-I 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....Watch now |
Reviewing the Sleep Log This video shows the therapist turning the completed sleep log data from the CBT-I 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. ...Watch now |
| Psychoeducation - The 3 Ps Model of Insomnia 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.…Read More |
Psychoeducation - Conditioned Arousal 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.…Read More |
Introducing Stimulus Control 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. …Read More |
| Motivational Enhancement 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.…Read More |
Insomnia Assessment - Kim 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.…Read More |
Assessing Circadian Tendency 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.…Read More |
| Sleep Log Review -Kim 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.…Read More |
Teaching Sleep Log Scoring 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.…Read More |
Sleepiness Vs. Tiredness The therapist provides psychoeducation on the difference between feeling tired, or physically drained, and sleepy, or imminently able to go to sleep. …Read More |
| Motivational Enhancement - Kim In this video, the therapist assists the patient in setting realistic goals for sleep weaving in psychoeducation and using motivational interviewing skills such as reflecting, reframing, and checking in with the patient.…Read More |
Introducing Sleep Restriction This video demonstrates how to introduce sleep restriction by recommending a new sleep schedule based on the patient’s baseline total sleep time with a coaching approach. The therapist acknowledges the counterintuitive nature of the intervention, explores with the patient the treatment rationale using the sleep log as evidence for effectiveness, and develops a plan to work around potential barriers to implementation, such as what to do with increased time out of bed and weekends. …Read More |
Behavioral Strategies for Adherence The patient returns after the first week of implementing sleep restriction and stimulus control, and works with the therapist to problem solve adherence challenges, specifically getting out of bed once awake in the morning. …Read More |