Delivering CBT for Insomnia in Psychosis

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.

“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

• List of Figures, Tables, and Textboxes Preface Acknowledgements Abbreviations 1. Introduction I. Conceptual Frameworks and Evidence Base 2. Psychotic Disorders: An Overview of Clinical Features and Treatment Approaches 3. Insomnia Disorder and Other Sleep Disturbances: An Overview 4. Characteristics of Insomnia and Other Sleep Disturbances in Psychotic Disorders 5. Sleep, its Regulation, and Barriers to Good Sleep 6. Understanding Insomnia and Other Sleep Disturbances in Psychotic Disorders 7. Description of Cognitive Behavioural Therapy for Insomnia 8. Assessing Sleep 9. Evidence for CBT-I in Psychotic Disorders 10. Clinical Cases II. Therapist Manual 11.Tips and Instructions to the Therapist 12. Therapist Manual Session 1: Learning about Sleep and Good Sleep Habits 13. Therapist Manual Session 2: Maximising Energy and Working with Unhelpful Beliefs About Sleep 14. Therapist Manual Session 3: Managing Worries and a Busy Mind and Introducing Relaxation 15. Therapist Manual Session 4: Maintaining Wellness and Working with Triggers for Poor Sleep III. Client Resource Packs 16. Client Resource Pack Session 1: Learning about Sleep and Good Sleep Habits 17. Client Resource Pack Session 2: Maximising Energy and Working with Unhelpful Beliefs about Sleep 18. Client Resource Pack Session 3: Managing Worries and a Busy Mind and Introducing Relaxation 19. Client Resource Pack Session 4: Maintaining Wellness and Working with Triggers for Poor Sleep IV. Appendices Appendix 1: Clinical Interview for Sleep Appendix 2: Sleep Diary Appendix 3: Sleep Hygiene Diary Appendix 4: Some Interesting Facts about Dreaming Appendix 5: Decision Balance Sheet Appendix 6: In-Session Feedback Appendix 7: Time in Bed Restriction Instructions Appendix 8: Snacks that Provide Energy throughout the Day Appendix 9: Challenging Unhelpful Beliefs about Sleep Appendix 10: My Personal Cycle of Insomnia Appendix 11: Linking Thoughts and Feelings Worksheet Appendix 12: Relaxing and Fun Activities Appendix 13: Additional Relaxation Exercises Appendix 14: Information about Sleeping Tablets Appendix 15: Reducing Your Usage of Sleeping Tablets Appendix 16. Evaluating My Progress Appendix 17: Change Plan Worksheet (‘My Goals’)