Edward J. Stepanski describes and demonstrates his approach to treating clients with sleep disorders. Includes a session with a 34-year-old woman who has experienced insomnia since high school.
"Edward J. Stepanski describes and demonstrates his approach to treating clients with sleep disorders. Includes a session with a 34-year-old woman who has experienced insomnia since high school."@en
"Cognitive-behavioral therapy programs that combine specific single therapies have been shown to be effective in the treatment of primary insomnia. These multicomponent programs may be delivered in either an individual or a group format, and the duration of treatment may be up to eight weekly sessions. Gains for patients with insomnia receiving CBT were maintained at a 2-year follow-up; these results were superior to those from pharmacotherapy. Although CBT has been recommended for patients with primary insomnia, data have shown its effectiveness in patients with secondary insomnia. In secondary insomnia, a primary medical or psychiatric disorder is assumed to be causing the insomnia. Individual behavioral therapies for insomnia may include sleep restriction therapy, stimulus control therapy, and relaxation therapy. Sleep restriction therapy increases homeostatic sleep drive by decreasing the time in bed available for sleep. The sleep-wake schedule is manipulated based on the amount of sleep achieved over the previous several nights until an optimal schedule is determined. Many relaxation therapies are used for insomnia, including progressive muscle relaxation, guided imagery, and autogenic training. Cognitive therapy for insomnia is aimed at modifying patients' unrealistic expectations about their sleep as well as their irrational fears about the consequences of poor sleep."
"Dr. Stepanski discusses sleep disorders and engages in an actual therapy session with a real client."
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Sleep Initiation and Maintenance Disorders therapy.
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