Insomnia Treatment Cognitive Behavioral Therapy

By | March 31, 2017

Computerized CBT for insomnia in a primary care setting

Computerized CBT for treating insomnia ina primary care setting Norah Vincent, Ph.D. Overview of TalkInsomnia: Costs Treatments for insomniaEffectiveness Good candidatesImpact on comorbid conditions Patient acceptanceDelivery in primary care setting Abnormal Sleep: Insomnia DisorderDifficulty with falling asleep, staying asleep, awakening too early, or nonrestorative sleep*Daytime impairment

*Associated with twice as many healthcarevisits relative to other symptoms Edinger et al. (2004). Research DiagnosticCriteria for Insomnia Disorder. Prevalence of Insomnia40% difficulty sleeping 9% (US, NZ, UK, CD)69% in primary care 19%Only 52% of patients discuss Focus Group Data:Patients: need to convince physician of seriousnessopen to behavioral treatment even if medication user

Physicians:assess underlying cause expect resistance to discontinuing with medicationsManagement of insomnia Considered symptom rather than disorder quot;I didn't get a chance to ask him last night(one of those nights when we were both out and too tired to talk when we got homequot; (senioroncologist) quot; wasn't able to think of anything that fullyfit the situation (mind you he's been pretty exhausted most of this week)quot; (radiologist) Costs of InsomniaDirect

Treatmentsbehavioral pharmacologicaltransportation to health setting Costs of Disturbed SleepTotal direct costs of insomnia to USA $13.9 (1995) and $15.4 billion (1990)health care services $11.9 billion prescription medications $1.97 billion 20% of nursing home admissions are due tocaregivers primary difficulty with elder's sleep2727Sanford (1975). Br Med J 3, 471473. Cost of InsomniaMembership of insurance plans in USA

138 829 adults with insomnia vs matched controlsample Direct (outpatient, emergency, drugs)Indirect (absenteeism, shortterm disability) Cost StudyConclusions: Costs were $1253 greater for those with insomnia(6 month) Cost StudyMembers of insurance plan (150 000 covered) in midwestern USA1254 with Insomnia diagnosis vs 1175 (randomly selected controls)Divided sample based on severity Insurance Study: Costs of InsomniaAnnual direct costs

subthreshold $912moderatesevere $1254 no insomnia control $643 Costs were 75% larger for group with moderatesevereinsomnia relative to controls Costs of InsomniaPhysician consultation 1012 per year (mild to moderate insomnia)vs 5 (good sleepers) ization rates: 21.9% (severe) vs 12%(good sleepers) Costs of InsomniaIndirect Losses related to disorderCognition

Online Cognitive Behavioral Therapy for Insomnia Get Help from an Online Therapist

Welcome! My name is peter Strong and I ama professional online psychotherapist. I specialize in Mindfulness Therapy. which is one of thebest treatments for insomnia. It's using Cognitive Behavioral Therapy in conjunction with Mindfulness. As you may know, most insomnia is the productof reactive thinking. We get lost in worrying and anxietyproducing thoughts that seem toflood the mind when we are trying to get to sleep. This level of cognitive reactivitykeeps the mind in a state of high arousal and this prevents the onset of the naturalsleep response. So, the most important treatment for anxietythinking is to actually change the way that

you relate to your thoughts. Instead of tryingto fight your thoughts and make them go away it's actually much more effective to welcomeyour thoughts. When you are lying in bed, don't hight your thoughts but actually welcomethem in hold them in this space of friendly awareness, rather than hostile aversion. Ifyou fight your thoughts, you simply make them stronger and this maintains that state ofcognitive reactive arousal that prevents the onset of sleep. If you would like to learn more about mindfulnessbasedcognitive behavioral therapy for insomnia please visit my website and email me and thenwe can schedule a Skype therapy session to

help you overcome your insomnia. With themindfulness approach you will notice significant changes within one to two weeks. So, Pleasecontact me and let's schedule a session. Thank you!.

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