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It Is Not Over Yet – CBT for Insomnia – My Experience


12 years ago 0 619 logo logo logo logo logo logo logo logo logo logo 0
~m,
 
Thank you for your reply. Fortunately I am sleeping better now, thanks to Seroquel that my doctor have prescribed me.
12 years ago 0 1022 logo logo logo logo logo logo logo logo logo logo 0
Eleveno... I sure hope you find some help with your sleep problem.  Sleep is so important.  I have had many problems with sleeping for most of my life.  Lots of interrupted sleep when I wake up screaming.  I've tried many drugs and many techniques but now I just accept that I need that little pill to sleep and am so grateful that my pdoc found this solution for me.  Don't give up trying to find your solution... it can get better.
12 years ago 0 619 logo logo logo logo logo logo logo logo logo logo 0
I just have suspended the CBT program for insomnia. To know about my reasons you can read another post of mine: "Depression Does Not Come Alone"
12 years ago 0 619 logo logo logo logo logo logo logo logo logo logo 0
It is my objective to write on these posts about my experience with CBT for insomnia as I am going along the program. I just finished week 2 of a 6 week program. If you want to know more about week 1 scroll down to find the correct post.
The topic of week 2 was “Understanding sleep and insomnia”. I have to say that I am little sceptical but I think the philosophy of any CBT program is to act like a scientist, to follow the advice and to evaluate the results later.
 
This week was also educational in nature, with a review of the concepts involving sleep and insomnia. It was presented a quiz to solidify the learning experience. Then I was told to keep a “Thought Evaluation” (very similar to “Thought Records” of the CBT program for depression) when having some negative thoughts about sleep. It seems many insomniacs do not understand what sleep is and have some wrong views about it.
 
I also was told to keep doing the sleep diary and to not watch the clock at night. This sleep diary is subjective because it is impossible to know all the data while sleeping (or not sleeping). Any way it is better to have an approximate baseline than nothing. And it is the only way to know if I am making progress or not.
 
The most effective way to follow the program is without sleeping pills but it is not mandatory. In my case, and because I am taking an antidepressant which cause sleep problems by itself, I need to take something to help with this side effect. Right now I have 2 solutions prescribed by my doctor: (1) an antidepressant with mild sedative effects and (2) an antipsychotic with moderate sedative effects. I am using the solution (1) most of the days leaving solution (2) only when I feel I really need to rest and as a last resource.

It is all for this week. Next week the topic will be “Sleep Hygiene and Relaxation”.
12 years ago 0 11212 logo logo logo logo logo logo logo logo logo logo 0
Eleveno,
 
The CBT program for sleep sounds like a great idea! I am glad you decided to more forward with it.  I look forward to hearing about it and your progress. Maybe I will learn something by reading your work I've never been a good sleeper myself. 


Ashley, Health Educator
12 years ago 0 619 logo logo logo logo logo logo logo logo logo logo 0

I have been thinking in my sleep problems and what I could do about it. As I found the CBT program for depression very useful I thought what it could be doing CBT for insomnia. I did some research about CBT programs for insomnia and it seems there is some evidence that these programs have helped some people dealing with their sleep problems.

But I had a problem before considering going the CBT route to help with my insomnia. The problem was that I already had a lot of work with CBT for depression and have still to do some activities for the maintenance and prevention of relapses. So adding more CBT activities could be counterproductive and have the opposite effect.

If I presented this case to my therapist I know he probably would discourage me since he thinks I am perfectionist and have some obsessive behaviours. In part I agree with him. So working in more CBT programs would fuel my obsessions and create more anxieties.

But I have been experiencing persistent insomnia since I had a nervous breakdown 2 years ago and nor medication nor talk therapy have helped me. Actually medication helped but as soon as I finished the treatments the insomnia returned.

Also as my depression was getting better I didn’t notice any improvement in my sleep.

I considered the facts (pros and cons) and I made the resolution of starting a CBT program for insomnia 1 week ago. It’s a program of 6 weeks and I am aware of possible side effects: more obsessions and anxieties but I will follow up with my therapist at the same time.

Now I am glad I chose to start the program and I plan to post here on the forums my experience every week. The first week of the program was educational in nature. It described what was sleep and principal sleep problems. It was said that most people with depression and anxiety also experience sleep problems and the fact they are being treated for depression or anxiety doesn’t mean they will start sleeping better. It was also recommended that people being treated for depression and anxiety should consider an additional treatment for insomnia if they have sleep problems. I understand that the writer of the program is “selling his fish” but this makes some sense. In my case I did not start sleeping better after the depression start lifting.

In the first week I also was told to keep a sleep diary, write my sleep history and establish a goal for the program.

If you have read so far I congratulate you because it has been a long post. Next week I will post my experience with week 2 of the program.


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