Cognitive Behavioral Therapy for Insomnia in the Context of Comorbid Mental Health Conditions

An estimated 6%–10% of the U.S. population meets the criteria for insomnia disorder—a figure that is even higher among individuals experiencing psychiatric conditions. Evidence suggests that although experiencing sleep difficulties is a diagnostic criterion in several psychiatric conditions and is experienced in the context of some medical disorders, insomnia is a distinct disorder, intricately interwoven with co-occurring medical and psychiatric conditions. This insightful new book explores Cognitive Behavioral Therapy for Insomnia (CBT-I) in a manner relevant to patients seen by mental health clinicians. CBT-I is an effective nonpharmacological treatment approach grounded in the sciences of sleep and behavior change. The volume's distinguished contributors carefully consider the components of CBT-I and provide guidance on customizing treatment for patients with and without co-occurring psychiatric conditions. After an initial review of the etiology, pathophysiology, and diagnostic features of insomnia, the authors explore a range of topics, including the following: • Evidence supporting the efficacy of CBT-I and its components• Pharmacological approaches and strategies for tapering patients off hypnotic medications while they undergo CBT-I• Applying CBT-I in the context of specific psychiatric disorders such as ADHD, depression, schizophrenia, bipolar disorder, and substance use• Adapting CBT-I for unique patient populations, including adolescents, pregnant
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