Synopses & Reviews
The statistics show that as much as twenty percent of the population suffers from chronic insomnia--and one-fourth of those with the condition eventually develop an anxiety disorder. As comorbid conditions, they contribute to any number of physical and social problems. Yet too often insomnia is undiagnosed, or treated as merely a symptom of the patient's anxiety. Insomnia and Anxiety is the first clinician guidebook that considers the evaluation and management of insomnia and related sleep disturbances that occur conjointly with the common anxiety disorders. By exploring the ways that one condition may exacerbate the other, its authors present robust evidence of the limitations of viewing insomnia as secondary to GAD, agoraphobia, PTSD, and others in the anxiety spectrum. The book reviews cognitive and emotional factors common to anxiety and sleep disorders, and models a cognitive-behavioral approach to therapy in which improved sleep is a foundation for improved symptom management. Beginning and veteran practitioners alike will find vital insights into all areas of these challenging cases, including: Diagnostic and assessment guidelines. Cognitive-behavior therapy for insomnia. Behavioral strategies for managing insomnia in the context of anxiety. Cognitive strategies for managing comorbid anxiety and insomnia. Sleep-related cognitive processes. Pharmacological treatment considerations. Insomnia and Anxiety is highly useful to clinical psychologists given the range of treatment strategies it describes and to researchers because of its emphasis on the theoretical and empirical bases for its interventions. In addition, its accessible style makes it an excellent training tool for students of therapy and psychopathology.
Synopsis
Where insomnia used to be regarded as a symptom in anxiety disorders, it is now evident that insomnia is more often a comorbid condition that merits separate treatment attention. There is growing recognition among researchers and practitioners that insomnia is often important in the management of Anxiety Disorders.
Insomnia and Anxiety is written for clinicians who work with complex patients, such as those with anxiety and insomnia. In addition to providing standard behavioral strategies for managing both insomnia and anxiety, this book provides advanced cognitive tools to address the cognitive and emotional complaints of those with insomnia and anxiety. Insomnia and Anxiety is also an important training tool for students learning about psychotherapy and psychopathology.
Individuals with comorbid Anxiety Disorders outnumber Primary Insomnia sufferers, yet there are no clinician guide books on this topic. This is a disconcerting omission because treating the insomnia that occurs in comorbid disorders should not only improve sleep, but overall symptom management as well. Thus, this book will fill an important need for both the beginner and for more advanced treatment providers. Additionally, this book is of interest to researchers in the areas of sleep and anxiety. Although there is a treatment focus, there is an emphasis on the theoretical and empirical basis for the therapeutic strategies. The focus on reviewing research findings on cognitive and emotional factors in insomnia and anxiety meets a currently unfilled need for both clinicians and researchers.
Synopsis
Anxiety and Insomnia: An Overview.- Considerations for Assessment.- Anxiety Disorders and Accompanying Insomnia.- Cognitive Behavior Therapy for Insomnia: Treatment Considerations.- Medication Considerations.- Behavioral Strategies for Managing Insomnia.- Sleep-Related Cognitive Processes.- Cognitive Strategies for Managing Anxiety and Insomnia.- Other Issues in Managing the Sleep of Those with Anxiety.
Synopsis
Insomnia is often undiagnosed, or treated as a symptom of anxiety. This is the first guidebook for clinicians that considers the evaluation and management of insomnia and related sleep disturbances that occur conjointly with the common anxiety disorders.
About the Author
Colleen E. Carney, Ph.D. is an Assistant Professor in the Ryerson Sleep and Depression Laboratory. She received her doctorate in Clinical Psychology at Louisiana State University, and completed two postdoctoral training fellowships: one in Cognitive Therapy for Depression and the other in Cognitive Behavior Therapy for Insomnia. She is currently the President of the Insomnia Special Interest Group of the Association for Behavioral and Cognitive Therapies. Dr. Carney's research and clinical focus is on the treatment of the comorbid insomnia that occurs in emotional disorders such as depression and anxiety. She has an active clinical practice at the Duke Insomnia and Sleep Research Program at Duke University Medical Center. Jack D. Edinger, Ph.D. is a Clinical Professor in the Department of Psychiatry and Behavioral Sciences at Duke University Medical Center, and Senior Psychologist at the Durham Veteran's Affairs Medical Center. He is certified in Behavioral Sleep Medicine by the American Academy of Sleep Medicine with 25 years of clinical and research experience with sleep-disordered patients. Dr. Edinger practices at the Duke Insomnia and Sleep Research Program at Duke University Medical Center.
Table of Contents
Anxiety and Insomnia: An Overview.- Cognitive Behavior Therapy Treatment Considerations.- Medication Considerations.- Anxiety Disorders and Comorbid Insomnia: Features, PSG findings, and treatment implications.- Sleep-related worry and helplessness: Fearful information processing.- Strategies for managing insomnia.- Cognitive strategies for managing anxiety and insomnia.- Behavioral strategies for managing anxiety and insomnia.- Case Studies.- Resources.