Insomnia

The therapist reviews sleep hygiene strategies with the patient via a handout, putting particular emphasis on those most relevant to the patient’s situation, in this case caffeine, and helping patient take steps toward implementing the relevant strategies.​

In this video, the therapist orients the patient to the sleep log, and then assists patient in filling in the previous night’s sleep information as an example.  The therapist and patient work together to make a plan for how to complete the log.​

This monologue depicts an active duty psychologist sharing his experiences with and recommendations for treating sleep disturbances and insomnia while deployed with a specific unit.

The therapist and patient review treatment progress by comparing goals at baseline with current report.  The therapist uses psychoeducation to help set realistic expectations for further progress post-treatment.​

The therapist and patient meet again several months post-treatment to check current sleep quality and quantity, reinforce the patient’s use of relapse prevention strategies such as maintaining a consistent sleep schedule and getting out of the bed when awake if sleep problems recur, and discuss if/when to return to treatment.​

This video demonstrates use of a role play strategy as a cognitive intervention for unhelpful negative sleep-related beliefs. The therapist role plays a distressed coworker with sleep problems to elicit coaching from the patient on her understanding of CBTI strategies, reinforces the patient’s progress in treatment, and recommends the patient use skills demonstrated in role play for her own sleep beliefs.​

The patient returns after the first week of implementing sleep restriction and stimulus control, and works with the therapist toproblem solve adherence challenges, specifically getting out of bed once awake in the morning.​

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.  ​

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.

​The therapist provides Psychoeducation on the difference between feeling tired, or physically drained, and sleepy, or imminently able to go to sleep.​