Michael T. Smith – författare

The latest information on heifer development in beef cattle for the food animal practitioner! Topics include rebuilding the US cowherd, physiology and endocrinology of puberty, nutritional development and the target weight debate, long-term reproductive health, effect of prenatal programming on development, economics of development, synchronization of estrus and ovulation, post breeding heifer management, management strategies for adding value to heifers, and more!

Cognitive behavior therapy which has been adapted to treat so many problems, has also brought data-driven and data-yielding treatment to insomnia. Focusing on this evidence-based modality, Cognitive Behavioral Treatment of Insomnia is a much-needed treatment manual that provides clinicians with the why’s and how’s of this approach in concise and practical terms.This book, which is written as a reader-friendly guide, is intended for clinical trainees, non-insomnia sleep specialists, and for expert CBT clinicians from outside the sleep medicine field who wish to begin the process of learning to provide empirically validated CBT-I. The Book is organized into seven parts: definition of insomnia; review of the conceptual; framework for treatment; overview of the components of therapy; session-by-session guide; dialogues; assessment and eligibility for CBT-I; and sample documentation. The organizing principles for the guide can best be expressed as two seemingly simple questions: “Who is appropriate for CBT-I?” “What does one need to know to set up a Behavioral Sleep Medicine service?”The guide provides all that one needs to confidently answer these questions.

Cognitive behavior therapy which has been adapted to treat so many problems, has also brought data-driven and data-yielding treatment to insomnia. Focusing on this evidence-based modality, Cognitive Behavioral Treatment of Insomnia is a much-needed treatment manual that provides clinicians with the why’s and how’s of this approach in concise and practical terms.This book, which is written as a reader-friendly guide, is intended for clinical trainees, non-insomnia sleep specialists, and for expert CBT clinicians from outside the sleep medicine field who wish to begin the process of learning to provide empirically validated CBT-I. The Book is organized into seven parts: definition of insomnia; review of the conceptual; framework for treatment; overview of the components of therapy; session-by-session guide; dialogues; assessment and eligibility for CBT-I; and sample documentation. The organizing principles for the guide can best be expressed as two seemingly simple questions: “Who is appropriate for CBT-I?” “What does one need to know to set up a Behavioral Sleep Medicine service?”The guide provides all that one needs to confidently answer these questions.

This second edition updates our 2005 book. While the original continues to attract interest due to its concise yet comprehensive format, the aggregation of 21 years of research on cognitive behavioral therapy for insomnia (CBT-I) has substantially transformed the field. Most notably, insomnia has been reconceptualized. In 2005, insomnia was typically viewed as a symptom of other “primary” disorders, leading to two assumptions: (1) that treating the primary disorder would resolve insomnia, and (2) that behavioral treatment of insomnia in the presence of comorbidity would be ineffective. As a result, CBT-I was reserved for relatively rare cases of uncomplicated insomnia. These assumptions have now been debunked. Research demonstrates that chronic insomnia frequently persists despite successful treatment of comorbid conditions and that CBT-I is nearly as effective for comorbid insomnia as it is for uncomplicated insomnia. More, CBT-I has meaningful “halo effects,” with responders often showing significant improvements in comorbid conditions. In depression, CBT-I outcomes may rival those of antidepressant medications or CBT for depression alone. Collectively, these findings support directly targeting chronic insomnia and the recommendation that CBT-I be a first-line therapy. This position has been codified by the American College of Physicians and endorsed by numerous professional organizations worldwide. We further argue that there is great clinical value to, when possible, treating insomnia first, as a gateway therapy that facilitates broader clinical improvement. Finally, this edition integrates over two decades of additional clinical experience, enriching both the clinical guidance and patient-centered communication presented throughout the manual. About the Authors (from the text).