Treatment Plans and Interventions for Insomnia

Rachel Manber, PhD, is Professor in the Department of Psychiatry and Behavioral Sciences and Director of the Insomnia and Behavioral Sleep Medicine Training Program at Stanford University. She is a clinical psychologist and has been certified by the American Board of Sleep Medicine in the practice of behavioral sleep medicine. Dr. Manber has trained many clinicians to deliver cognitive-behavioral therapy for insomnia (CBT-I) and has led the development and implementation of a nationwide CBT-I training initiative by the Department of Veterans Affairs. She has conducted sleep and depression research for 20 years and has published many articles in medical and psychiatric journals; numerous book chapters; and insomnia self-help books, including, Quiet Your Mind and Get to Sleep: Solutions to Insomnia for Those with Depression, Anxiety, or Chronic Pain, coauthored with Colleen E. Carney. Colleen E. Carney, PhD, is Associate Professor in the Department of Psychology and Director of the Sleep and Depression Laboratory at Ryerson University in Toronto. She is certified as a cognitive-behavioral therapist by the Canadian Association for Cognitive and Behavioural Therapies, is President of the Behavioral Sleep Medicine Special Interest Group of the Association for Behavioral and Cognitive Therapies, and is a Fellow of the Canadian Psychological Association. Dr. Carney’s areas of research include CBT-I; insomnia in the context of other health conditions, notably depression and chronic pain; evidence-based fatigue management strategies; rumination and sleep; fear of the dark in adults; and improving access to CBT. The author of over 100 publications, including seven books, Dr. Carney is a recipient of the Early Researcher Award from the Canadian Ministry of Research and Innovation and the Pickwick Fellowship from the National Sleep Foundation.

1. Introduction
2. Sleep and Its Regulation
3. Behavioral Regulation of Sleep: The Role of Arousal
4. Other Sleep Disorders
5. The Impact of Comorbid Disorders on Sleep and Insomnia
6. Assessment of Insomnia
7. Behavioral Components of CBT-I: Part I
8. Behavioral Components of CBT-I: Part II
9. Addressing Sleep-Related Cognitions
10. Case Conceptualization and Treatment Planning
11. Case Example 1: Sophie
12. Case Example 2: Sam
13. General Delivery Issues
Appendix A. Therapist Tools
Appendix B. Patient Assessment Forms
Appendix C. Patient Treatment Forms
Appendix D. Further Training and Reading
References