The Clinician’s Guide to Cognitive and Behavioural Therapeutics (CBTx) for Insomnia. A Scientist-Practitioner Approach

Based on Dr Colin Espie’s 45 years of clinical and research experience, this expert manual for clinicians and healthcare professionals shows how best to assess insomnia and deliver effective treatment in everyday practice using cognitive and behavioural therapeutics (CBTx). The book provides in-depth background on the importance of sleep, the interactions between sleep and health, what insomnia is, and insomnia’s negative impact on patients. Using detailed examples, metaphors, and practical guidance, it provides clear instructions on the evaluation of sleep complaints and on the why and how of selecting a specific CBTx to suit the presenting patient. Delving beyond treating patients at the individual level, the book also considers how to develop an effective and efficient insomnia service at population scale.

• Provides detailed instruction on delivering evidence-based cognitive and behavioural therapeutics for insomnia disorder using practical examples on a chapter-by-chapter basis, assisting clinicians to introduce evidence-based assessment and treatment techniques for insomnia into their everyday clinical practice
• Thoroughly explains treatment formulation to assist in developing personalized treatment approaches for insomnia, enabling clinicians in the selection of CBT components to match treatment to the individual patient’s presentation
• Explains how to deliver evidence-based CBTx at scale, guiding the clinician in developing an evidence-based insomnia treatment service as part of broader healthcare delivery

CONTENTS

Acknowledgements
Glossary
Introduction
Section 1. Sleep, its Function, and Insomnia:
1. What is sleep?
2. Why does sleep matter?
3. What is insomnia?
Section 2. CBT and its Application to Insomnia:
4. Why is CBT relevant to insomnia?
5. What is CBTx?
Section 3. Assessing Insomnia from a CBT Perspective:
6. How do I evaluate a patient and understand their presenting complaint?
7. How do I incorporate validated scales and measures into clinical evaluation?
8. Should I consider objective assessments of sleep-wake functioning as part of clinical evaluation?
Section 4. Treating Insomnia Using the CBTx Approach:
9. How do I use this book to develop personalised CBTx?
10. How and when should I deliver behavioural therapeutics?
11. How and when should I deliver cognitive therapeutics?
12. How and when should I deliver relaxation therapeutics?
13. How and when should I incorporate sleep hygiene and education?
Section 5. Implementing CBTx for Insomnia at Scale:
14. How do I design and deliver a CBTx service?
References
Index.