Cognitive Behavioral Therapy For Insomnia

Mr. M, a 54 year old man is taken to a sleep disorder facility for examination of daytime somnolence and insomnia. He has been battling with anxiety and depression, a disorder he is being treated with. He reports that he has been suffering from Insomnia for several years and only turned worse about 7 years ago. He is troubled with sleep initiation, which usually takes him over one hour to fall asleep. As soon as he is asleep, he wakes up several times, which makes him to struggle again to go back to sleep. He turns in bed without sleep until dawn when he gets up feeling fatigued and drained. The major diagnosis is DSM 5 insomnia disorder. Given the comorbid indications of obstructive sleep apnea and depression, it would perhaps be hard to assess whether Mr. M has DSM-IV primary insomnia since DSM 5 enables the clinician to generate an unpremeditated attribution between obstructive sleep disorder and insomnia.

In my paper, I will tackle insomnia from various perspectives: definitions, types, causes, effects, and means of solutions.

Martha is a 65 year old lady who suffers from insomnia based on the preliminary symptoms of sleeplessness. She is also under severe stress from her mum’s dependence condition which makes her unhappy with her retirement. Martha’s mum’s condition is of great influence to her insomnia disorder for she only thinks of her through out the day, caring for her leaving Martha with little time to check on her health. Insomnia is a disorder that mostly affects the elderly though it may affect people from all ages. It is the lack of sleep even when one feels to have some sleep. It is not a stand alone disease but a symptom which is defined by the duration one lacks quality sleep. Transient insomnia is not having sleep for a week, short term insomnia is lack of adequate sleep for 2-3 weeks, while sleeplessness for a month is termed as chronic insomnia. Various studies have shown that insomnia affects women more often than men and that 30%-50% of elderly Americans experience difficulty in initiating and maintaining adequate sleep. Diagnosing insomnia in a patient the health practitioner would evaluate the patient medical record and other factors that may contribute to insomnia. For example, snoring, psychological factors such as stress levels and drug use. Martha’s physician would check on her medical

Sleep disorders alter ones sleep pattern and often results in the inability to either sleep or sleep soundly. They often cause you to feel restless, tired, fatigued, and irritable. It is estimated that nearly 75 percent of adult Americans experience sleep disorder symptoms at least a few nights per week. At the same time, sleep disturbances in some form are seen in as many as 25 to 30 percent of infants and children (“Sleep Disorders” 2013). Clearly a huge conundrum in the world, sleep disorders affect an inordinate amount of people. Millions of people suffer or have suffered from a sleep disorder at one point in their lives and if mistreated can impact organ systems functioning negatively. Physical disturbances, medical issues,

Ebben, M. R., & Narizhnaya, M. (2012). Cognitive and Behavioral Treatment Options for Insomnia. Mount Sinai Journal Of Medicine, 79(4)

The participants in the CBTI group had to attend five weekly 90-minute group treatment sessions. The groups were comprised of 5–15 participants. The intervention followed a treatment manual that had been used in three previous treatment trials. It included educational materials about sleep and the key CBT for insomnia components, which included sleep restriction, stimulus control, relaxation training, and cognitive strategies. The participants in the TAU group received routine individual treatment for insomnia, which was provided in primary care settings. Routine individual treatments could be from a mental health practitioner or a CBT therapist. The results showed that participants in the CBTI group had better sleeping outcomes post-treatment than those in the TAU group. There were smaller effects at 20 weeks. In addition, there were not significant differences

It is unclear whether excessive thinking or stress mediates both insomnia symptoms and impairment, but therapy targeting dysfunctional beliefs about sleep has shown effectiveness for improvement. The main insomnia therapies targeting dysfunctional beliefs are cognitive-behavioral therapy (CBT), cognitive therapy (CT), and behavioral therapy (BT). CBT includes CT, which focuses on identifying and altering beliefs, and behavioral therapy (BT), which focuses on sleep restriction and maintenance of consistent sleep.12 Both Morin et al. and Eidelman et al. found CBT to improve insomnia and functioning.12,13 CT and BT was also shown improvements in insomnia symptoms, daytime improvement, and dysfunctional beliefs.12 Dysfunctional beliefs may be

The types of therapies used for the mental health and well-being of the client will be cognitive behavioral therapy and cognitive behavioral therapy for insomnia; CBT and CBT-I. Cognitive behavioral techniques are recommended for the treatment of depression (Clark, 2009). The goal of cognitive behavioral therapy will be to assist the client in recognizing the negative thought patterns in her life, evaluate the validity of the thoughts, and to substitute those thoughts with a healthier manner of thinking. We will use CBT-I for reducing sleep interfering thoughts and worries, managing stress, assisting in bringing her mind to

Insomnia is the most common sleep complaint. It occurs when you have trouble falling asleep or staying asleep even though you had the opportunity to get a full night of sleep. The causes, symptoms and severity of insomnia vary from person to person. Insomnia involves both a sleep disturbance and daytime symptoms. The effects of insomnia can impact nearly every aspect of your life. Studies show that

     According to different resources, there are many different kinds of treatments for insomnia. The first is a change in behavior. This therapy is used to re-establish healthy sleep patterns by helping an individual deal with his/her sleep problem. For this method a physician is not needed. A patient can try this on his/her own.

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

Many disorders and diseases can result from abnormal sleeping patterns that are triggered from sleep deprivation. The most common forms of sleep disorders include insomnia, sleep apnea, restless legs syndrome, and narcolepsy (NINDS 10). All of these sleep disorders begin from sleep deprivation and can be managed once they are diagnosed correctly. According to Urban, “Nervousness, dizziness, and sleeplessness may occur”, as a result of sleep deprivation (1). This proves that the slightest health changes can occur if sleep deprivation becomes a problem. According to NINDS, “The disorders and the resulting sleep deprivation interfere with work, driving, and social activities” (10). This shows that the effects of being sleep deprived can drastically change one’s everyday

“Insomnia is the inability to obtain an adequate amount or quality of sleep”(Culvert, Davidson, Wienclaw 2728). Meaning, it is very difficult to fall asleep and stay asleep through the night. I chose this topic because I know that many people suffer from insomnia. Before researching this condition, I didn't know much about it. All I thought was that some people had more difficulty falling asleep than others, but there is so much more to it. Insomnia affects more than 70 million people in the United States(Culvert, Davidson, Wienclaw 2728). While picking this topic, I thought that I knew a lot about insomnia, however I didn't. There is a lot more information on insomnia than I expected there to be.

Insomnia can sap not only your energy level and mood but also your health, work performance and quality of life. Insomnia is the most common sleep complaint among Americans it can be either acute, lasting one to several nights, or chronic, even lasting months to years. According to the Insomnia “ JAMA; The Journal of the American Medical Association, about thirty to forty percent of adults say they have some symptoms of insomnia within a given year and about ten to fifty percent of adults say they have chronic insomnia. (Insomnia “ JAMA; The Journal of the American Medical Association) Insomnia is higher among older people and woman, the reason woman suffer loss of sleep is in connection with menstruation, pregnancy and menopause. Insomnia sometimes may occur when you are stress whether it is short-term or long-term for some people for instance, problems in a marriage or relationship, loss of a love one, a job. But as well in preparing or anticipating for an event like arrival of a newborn baby, weddings, vacations or holidays makes it even harder to fall asleep. My friends Rosa and Ruby are having symptoms of insomnia disorder because they recently had their newborn baby daughter’s. But I hope they are able to maintain a sleeping schedule for their daughters at certain hours in order for them to get their sleep back. Preventing insomnia it is important to remember to maintain a consistent sleeping schedule and also should avoid too much caffeinate drinks during the eight hours before sleeping. Treatment for insomnia, you can go to a psychiatrist they can prescribe antidepressants or another medications to help your sleeping problems and any mood or anxiety disorder you might have. (The literary Insomniac: stories and essays for sleepless

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