Dec 18, 2019 in Therapy

Cognitive Behavioral Therapy for Insomnia

For those who suffer from chronic sleep problems, insomnia seems to be an unsolvable problem. While this may take time and discipline, the success rate of cognitive-behavioral therapy for insomnia may exceed that of medication and last much longer after t

Joe Uppal

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For those who suffer from chronic sleep problems, insomnia seems to be an unsolvable problem. 22The anxiety associated with the inability to sleep often aggravates the issue, making it even harder to achieve a healthy recovery. 22Cognitive behavioral therapy for insomnia may also be effective in cases that persist for months or years. 22While this may take time and discipline, the success rate of cognitive-behavioral therapy for insomnia may exceed that of medication and last much longer after treatment is complete. 22

Cbt with medicine tend to exclude people with depression, apnea and the recent use of hypnotic medications. 5There may be other factors that the physician must consider when advising on insomnia treatment. 5Even with some insomniacs in need of additional sleeping medications, CBT can provide the best template for them to be effective. 5Cognitive-behavioral therapy can also identify co-existing problems with depression, anxiety and other physical problems that may need to be addressed separately by other means. 5

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Joe Uppal

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Even if your sleep disorder requires the use of prescription drugs, experts recommend combining a drug regimen with therapy and a change in healthy lifestyle. 3It also focuses on improving relaxation abilities and changing lifestyle habits that affect your sleep patterns. 3Because sleep disorders can be caused as well as triggered by emotional health problems such as anxiety, stress and depression, therapy is an effective way to treat the underlying problem, not just the symptoms, and helps you create a healthy sleep pattern for lifeto develop. 3A recent study at Harvard Medical School found that CBT is more effective in treating chronic insomnia than prescription sleep aids. 3

The epworth Sleep Questionnaire asks patients to rate their chances of falling into a range of activities, including driving, resting after lunch, and continuing a conversation. 22Sleep studies are often used to assess other sleep disorders, but are generally not required to diagnose chronic insomnia. 22Cognitive behavioral therapy for insomnia differs significantly from the therapy that is not associated with a sleep disorder. 22

Insomnia is a common sleep disorder that can make it difficult to fall asleep, fall asleep, or wake up prematurely and cause you to fall asleep. 1Insomnia Cognitive Behavioral Therapy is a structured program designed to identify and replace thoughts and behaviors that cause or worsen sleep problems with habits that promote sound sleep. 1To find out how you can best treat your insomnia, your sleep therapist may let you have a detailed sleepbook for one to two weeks. 1

The vicious circle of sleep disorders and how to fight insomnia. 4In addition, CBT helps people with sleep disorders build a healthy sleep pattern. 4With online programs like Sleepio, users can now access these proven, bespoke techniques and receive ongoing support via the Internet. 4Cognitive behavioral therapy also teaches people how to sleep more reliably night after night. 4

The order of delivery of treatment may vary, but it is common practice to begin with sleep education and treatment basics first and then begin stimulus control and sleep restriction therapy. 7Further therapy components (sleep hygiene, cognitive therapy, relaxation training) follow, whereby their individual order can vary. 7Proof of good knowledge of sleep science and the principles of treatment is likely to improve the compliance of the treatment and thus the desired outcomes. 7

European Organization for the Study and Treatment of Cancer (quality of life questionnaire) and for three consecutive nights in the sleep laboratory. 19Pooled analyzes showed significant sleep improvement only in the treated patients, which was well preserved and, in some cases, improved up to one month after the end of the intervention. 19The treatment of insomnia has been linked to several other positive findings, including the reduced use of sleep medications, the reduction of anxiety and depression, and improved global quality of life. 19

Psg is not required by current standards for the diagnosis of insomnia (American Academy of Sleep Medicine, 2014), but it does provide important information and can rule out conditions that cause insomnia and are not noticed by patients. 19In this view, the PSG should be recorded to accurately rule out other sleep disorders such as Restless Legs Syndrome or obstructive sleep apnea. 19In order to obtain a more complete clinical profile of patients and timely treatment, closer collaboration between sleep and oncology specialists is desirable. 19Screening for sleep disorders is advisable in routine oncological practice, as it often results in insomnia in the form of cancer and adversely affects patients' quality of life. 19

Insomnia also includes subjective reports of daytime symptoms such as fatigue or low energy, problems with cognitive functions such as attention, concentration and memory, and mood disorders such as irritability and dysphoria, all of which can lead to dysfunction and are often the main cause causing patients to seek treatment. 19Patients diagnosed with breast cancer very often report insomnia (Ohayon, 2002). 19Despite the widespread prevalence of the phenomenon in this population, insomnia is largely under-reported. 19It has a high prevalence in women with breast cancer for several reasons, such as an overall increase in psychological burden after cancer diagnosis and sleep disorder due to increased frequency and severity of menopausal hot flushes often caused by chemotherapy (Fiorentino) et al., 2010). 19

 

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