Adapting Cognitive Behavioral Therapy for Insomnia

Cognitive Behavioral Therapy for Insomnia (CBT-I) has emerged as the standard first-line treatment for insomnia. Patients are becoming increasingly complex as referrals for CBT-I become more widespread, and they often present with more than one comorbid psychological and/or medical condition. The busy clinician desires a reference book that they can consult to guide treatment based on the specific needs of the client in front of them. This book will allow for the clinician who is already familiar with the basics of CBT-I to quickly determine how best to deliver and/or modify it depending on the unique needs of their client or patient population.

• Summarizes research on cognitive behavior therapy for insomnia (CBT-I)
• Directs clinicians how to modify CBT-I for co-morbid patient conditions
• Discusses co-morbid sleep, psychiatric, and medical disorders
• Specifies modifications across the lifespan for different client ages and conditions
• Includes special populations: short sleepers, athletes, minorities, and more

Sara Nowakowski Baylor College of Medicine Medicine-Health Services Research 2450 Holcombe Blvd., Suite 01Y Houston, TX 77586 United States. Dr. Nowakowski is a licensed clinical psychologist and board certified in sleep medicine. Her research in sleep includes projects on sleep and menopause; psychological well-being pre-post hysterectomy, sleep pre-post acute hospital stay in aging patients, and a bedrest study of aging participants. Her research and clinical expertise focuses on assessment and treatment of sleep disorders.

Sheila N. Garland, PhD is a Registered Clinical Psychologist, Associate Professor in Psychology and Oncology at Memorial University in Newfoundland and Labrador, Canada, and Senior Scientist with the Beatrice Hunter Cancer Research Institute in Halifax Nova Scotia. She received her PhD in Clinical Psychology from the University of Calgary, Alberta, and completed a 3-year post-doctoral fellowship in Behavioral Sleep Medicine at the University of Pennsylvania. As Director of the Sleep, Health, and Wellness Lab, she delivers, evaluates, and provides training on behavioural sleep medicine interventions in chronic disease populations and in those with co-morbid psychiatric disorders. Her research explores the mechanisms and effectiveness of interventions to improve sleep and other symptoms in cancer survivors.

Dr. Michael Grandner is a licensed clinical psychologist, Director of the Sleep and Heath Research Program at the University of Arizona, and Director of the Behavioral Sleep Medicine Clinic at the Banner-University Medical Center in Tucson, AZ. His work focuses on translational sleep research and Behavioral Sleep Medicine, including studies of sleep as a domain of health behavior and the development and implementation of behavioral interventions for insufficient sleep and sleep disorders. Specific areas of focus include: (1) Downstream cardiovascular, metabolic, and behavioral health outcomes associated with habitual sleep duration and/or insufficient sleep, (2) Upstream social, behavioral, and biological determinants of habitual sleep duration, insufficient sleep, and poor sleep quality, and (3) Development and implementation of behavioral interventions for sleep as a domain of health behavior.

Leisha Cuddihy, PhD, DBSM is a licensed Clinical Psychologist providing behavioral sleep medicine services at the Spectrum Health Sleep Disorders Center and Helen DeVos Children’s Hospital Behavioral Health. She received her PhD in Clinical Psychology from the University of Arizona, and completed a 1-year post-doctoral fellowship in Behavioral Sleep Medicine at the University of Michigan. She is Certified in Behavioral Sleep Medicine by the American Board of Sleep Medicine and is a Diplomate in Behavioral Sleep Medicine by the Board of Behavioral Sleep Medicine. In her full-time clinical practice, she sees adult and pediatric patients struggling with insomnia, circadian rhythm disorders, positive airway pressure non-adherence, and disorders of excessive daytime sleepiness. In collaboration with her sleep medicine colleagues, she often assists patients with managing insomnia as they reduce or discontinue sleep aids. She specializes in CBT-I but is passionate about using a variety behavioral sleep medicine strategies to help patients resolve sleep problems.