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IntroductionThereisManagingInsomnia:anexamplesequenceofCBT-basedsessionsforsleeptreatmentThismanualwasdevelopedusingthebestavailable scientificevidence,Cognitiverestructuring(CBT-Ionly)helpspatientslearntoquestionandcounternegativeorunhelpfulthoughtsaboutsleep.Inaddition,BBTI doesnotsystematicallyaddressorrestructureerroneousbeliefsandattitudesaboutsleep,insomnia,andthepotentialconsequencesofpoorsleepCanbeusedto treatinsomniawithandwithoutunderlyingconditionsBBTIisindicatedforthetreatmentofinsomnia,definedasdifficultyfallingorstayingasleep,earlymorning awakenings,orcomplaintsofnon-restorativecbt-ieducationalproductsconsultantworkprivatebehavioralsleepmedicineconsultantpiinitiatedgrantsn/asocietal affiliationsapa,aasm,sbsm,abct,andsbmdisclosureStatementasafirst-linetreatmentforinsomniaasitwasfoundtobeaseffectiveasmedicationforbrief treatmentandlikelymoredurableovertime(NIHConsensandStateSciStatements,,(2),)CBT-Iisrecommendedasstandard,first-linetreatmentforinsomnia perpublishedclinicalguidelinesbytheChronicInsomniaTaskForceCognitiveBehavioralTherapyforInsomnia.CBT-Ialsooftenincludessleephygiene education,relaxationtrainingandothercounter-arousalmethodsFortunately,effectivetreatmentsareavailablethatcanhelppeoplefallasleepfaster,stayasleep, andfeelmorerestedduringthedayCognitivebehavioraltherapyforinsomnia(CBT-I)isashort,structured,andevidence-basedapproachtocombatingthe frustratingsymptomsofinsomniaCognitiveBehavioralTherapyforInsomnia(CBT-I)*(mostpeoplewithinsomniashouldgetthistreatment)Targetsnegative thoughtsandbehaviorpatternsthataffectyoursleepTREATMENTDESCRIPTIONCognitiveBehavioralTherapyforInsomnia(CBT-I)*(mostpeoplewith insomniashouldgetthistreatment)TargetsCognitive-behavioralproceduresforinsomniahavebeenextensivelytestedthroughouttheworldandareeffective SessionIntroductionandsleepassessmentAssesssleepproblem(option:haveGROSSINDICATIONTypically,sessionsareneededwithatrainedprovider CBT-IandBBT-Ihavedemonstratedeficacy.CognitiveBehavioralTherapyforInsomnia(CBT-I)isanon-pharmacological,evidence-basedtherapeutic techniquefortreatinginsomniaManagingInsomnia:anexamplesequenceofCBT-basedsessionsforsleeptreatmentAbout%ofpeoplewithchronicinsomnia benefitfromthisCognitive-BehavioralTherapyforInsomniaintheMilitary(CBTI-M)WhatisCognitiveBehavioralTherapyforInsomnia?TherapistMaterials SessionIntroductionandsleepassessmentAssesssleepproblem(option:haveclientcompleteitemsleepquestionnaire)Assessforcomorbidmentalhealthissues (anxiety,depression)orsubstanceuse(includingcaffeine)ProvideeducationonnormalsleepCognitiveBehavioralTherapyforInsomnia(CBT-I)Multi-component CBT-Icombinesoneormoreofthecognitivetherapystrategieswitheducationaboutsleepregulationplusstimuluscontrolinstructionsandsleeprestriction therapyCognitiveBehavioralTherapyforInsomnia(CBT-I)isamulti-componenttreatmentforinsomniathattargetsdifficultieswithinitiatingand/ormaintaining sleepandisdeliveredchronicinsomnia.BBTIwasdevelopedtoaddresscommonbarriersencounteredinthedis-seminationofevidence-basedCBT-IPDF CognitiveBehavioralTherapyforInsomnia(CBT-I)hasbeenrepeatedlyshowntobeefficaciousandisnowconsideredthefirst-linetreatmentforFind,readand citealltheresearchyouBriefTherapiesforInsomniaCBT-I(sixtoeightin-personvisitsoverweeks)