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El. knyga: Delivering CBT for Insomnia in Psychosis: A Clinical Guide

(University of Western Australia and North Metro Health Service Mental Health, Western Australia.), , (University of Western Australia and North Metro Health Service Mental Health, Western Australia)
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Individuals with psychiatric disorders such as schizophrenia, bipolar disorder, and post-traumatic stress disorder often report Insomnia and difficulties sleeping which can significantly impede recovery, worsen symptoms, and reduce quality of life. This volume presents a detailed theoretical rationale and session-by-session outline for delivering Cognitive Behaviour Therapy for Insomnia to people with these mental health disorders.The treatment has been developed in close collaboration with people living with mental illness, as well as sleep specialists and psychosis experts. Information regarding the efficacy of the programme is presented, along with resources offering information on complicating factors, avoiding relapse, managing stress, and restoring lifestyle balance.

Recenzijos

This very well written book. [ It] addresses the problems of co-occurring sleep issues in the severely mentally ill. These sleep disturbances, including insomnia and hypersomnia, not only accentuate psychotic symptoms, such delusions, hallucinations, and disorganized speech, but also lead to specific night-time problems, negative beliefs, agitation, and aggressive behaviour. The authors provide a clear step-by-step treatment manual so that clinicians can learn the Sleep Well, Feel Well program. The authors also provide highly useful resource packs to be used with clients, including sleep diaries, charts, and activity materials. I highly recommend this book to all clinicians seeking a thorough, straightforward tool for improving the sleep of their clients with schizophrenia and other psychotic disorders.Aaron T. Beck, psychiatrist; professor emeritus, department of psychiatry, University of Pennsylvania

Long overlooked as a secondary aspect of psychosis, we now recognise how important sleep difficulties can be in the persistence of psychosis and associated disabilities. As we start to prioritise treating this aspect of treatment, Waters and colleagues have produced one of those books you are on the lookout for that provides the go-to resource covering everything you need on conceptualisation, assessment, and intervention for this clinical issue.Neil Thomas, director, Voices Clinic, Monash Alfred Psychiatry Research Centre; associate professor, Centre for Mental Health, Swinburne University of Technology, Melbourne, Australia

Figures, Tables, and Text Boxes
viii
Preface xi
Acknowledgements xii
Abbreviations xiii
1 Introduction
1(8)
PART I Conceptual Frameworks and Evidence Base
9(122)
2 Psychotic Disorders: An Overview of Clinical Features and Treatment Approaches
11(7)
3 Insomnia Disorder and Other Sleep Disturbances: An Overview
18(10)
4 Characteristics of Insomnia and Other Sleep Disturbances in Psychotic Disorders
28(11)
5 Sleep, its Regulation, and Barriers to Good Sleep
39(11)
6 Understanding Insomnia and Other Sleep Disturbances in Psychotic Disorders
50(10)
7 Description of Cognitive Behavioural Therapy for Insomnia
60(22)
8 Assessing Sleep
82(15)
9 Evidence for CBT-I in Psychotic Disorders
97(10)
10 Clinical Cases
107(24)
PART II Therapist Manual
131(74)
11 Tips and Instructions to the Therapist
133(7)
12 Therapist Manual Session 1: Learning about Sleep and Good Sleep Habits
140(15)
13 Therapist Manual Session 2: Maximising Energy and Working with Unhelpful Beliefs about Sleep
155(16)
14 Therapist Manual Session 3: Managing Worries and a Busy Mind and Introducing Relaxation
171(17)
15 Therapist Manual Session 4: Maintaining Wellness and Working with Triggers for Poor Sleep
188(17)
PART III Client Resource Packs
205(58)
16 Client Resource Pack Session 1: Learning about Sleep and Good Sleep Habits
207(12)
17 Client Resource Pack Session 2: Maximising Energy and Working with Unhelpful Beliefs about Sleep
219(13)
18 Client Resource Pack Session 3: Managing Worries and a Busy Mind and Introducing Relaxation
232(16)
19 Client Resource Pack Session 4: Maintaining Wellness and Working with Triggers for Poor Sleep
248(15)
PART IV Appendices
263(28)
Appendix 1 Clinical Interview for Sleep
265(8)
Appendix 2 Sleep Diary
273(1)
Appendix 3 Sleep Hygiene Diary
274(1)
Appendix 4 Some Interesting Facts about Dreaming
275(1)
Appendix 5 Decision Balance Sheet
276(1)
Appendix 6 In-Session Feedback
277(1)
Appendix 7 Time in Bed Restriction Instructions
278(2)
Appendix 8 Snacks that Provide Energy throughout the Day
280(1)
Appendix 9 Challenging Unhelpful Beliefs about Sleep
281(1)
Appendix 10 My Personal Cycle of Insomnia
282(2)
Appendix 11 Linking Thoughts and Feelings Worksheet
284(1)
Appendix 12 Relaxing and Fun Activities
285(1)
Appendix 13 Additional Relaxation Exercises
286(1)
Appendix 14 Information about Sleeping Tablets
287(1)
Appendix 15 Reducing Your Usage of Sleeping Tablets
288(1)
Appendix 16 Evaluating My Progress
289(1)
Appendix 17 Change Plan Worksheet (`My Goals')
290(1)
Index 291
Flavie Waters, PhD, is a leading expert in psychosis at the University of Western Australia and North Metro Health Service Mental Health, Western Australia.

Melissa J. Ree, PhD, is a clinical psychologist and CBT Insomnia expert at The Marian Centre and Sleep Matters, Western Australia.

Vivian Chiu, BPsych (Hons), is a research psychologist at the University of Western Australia and North Metro Health Service Mental Health, Western Australia.