Delivering CBT for Insomnia in Psychosis A Clinical Guide Practical Clinical Guidebooks Series

Individuals with psychiatric disorders such as schizophrenia, bipolar disorder, and post-traumatic stress disorder often report Insomnia and difficulties sleeping which can significantly impede recovery, worsen symptoms, and reduce quality of life. This volume presents a detailed theoretical rationale and session-by-session outline for delivering Cognitive Behaviour Therapy for Insomnia to people with these mental health disorders.The treatment has been developed in close collaboration with people living with mental illness, as well as sleep specialists and psychosis experts. Information regarding the efficacy of the programme is presented, along with resources offering information on complicating factors, avoiding relapse, managing stress, and restoring lifestyle balance.

List of Figures, Tables, and Textboxes Preface Acknowledgements Abbreviations 1. Introduction I. Conceptual Frameworks and Evidence Base 2. Psychotic Disorders: An Overview of Clinical Features and Treatment Approaches 3. Insomnia Disorder and Other Sleep Disturbances: An Overview 4. Characteristics of Insomnia and Other Sleep Disturbances in Psychotic Disorders 5. Sleep, its Regulation, and Barriers to Good Sleep 6. Understanding Insomnia and Other Sleep Disturbances in Psychotic Disorders 7. Description of Cognitive Behavioural Therapy for Insomnia 8. Assessing Sleep 9. Evidence for CBT-I in Psychotic Disorders 10. Clinical Cases II. Therapist Manual 11.Tips and Instructions to the Therapist 12. Therapist Manual Session 1: Learning about Sleep and Good Sleep Habits 13. Therapist Manual Session 2: Maximising Energy and Working with Unhelpful Beliefs About Sleep 14. Therapist Manual Session 3: Managing Worries and a Busy Mind and Introducing Relaxation 15. Therapist Manual Session 4: Maintaining Wellness and Working with Triggers for Poor Sleep III. Client Resource Packs 16. Client Resource Pack Session 1: Learning about Sleep and Good Sleep Habits 17. Client Resource Pack Session 2: Maximising Energy and Working with Unhelpful Beliefs about Sleep 18. Client Resource Pack Session 3: Managing Worries and a Busy Mind and Introducing Relaxation 19. Client Resource Pack Session 4: Maintaining Wellness and Working with Triggers for Poor Sleep IV. Appendices Appendix 1: Clinical Interview for Sleep Appendix 2: Sleep Diary Appendix 3: Sleep Hygiene Diary Appendix 4: Some Interesting Facts about Dreaming Appendix 5: Decision Balance Sheet Appendix 6: In-Session Feedback Appendix 7: Time in Bed Restriction Instructions Appendix 8: Snacks that Provide Energy throughout the Day Appendix 9: Challenging Unhelpful Beliefs about Sleep Appendix 10: My Personal Cycle of Insomnia Appendix 11: Linking Thoughts and Feelings Worksheet Appendix 12: Relaxing and Fun Activities Appendix 13: Additional Relaxation Exercises Appendix 14: Information about Sleeping Tablets Appendix 15: Reducing Your Usage of Sleeping Tablets Appendix 16. Evaluating My Progress Appendix 17: Change Plan Worksheet (‘My Goals’)

Flavie Waters, PhD, is a leading expert in psychosis at the University of Western Australia and North Metro Health Service Mental Health, Western Australia.

Melissa J. Ree, PhD, is a clinical psychologist and CBT Insomnia expert at The Marian Centre and Sleep Matters, Western Australia.

Vivian Chiu, BPsych (Hons), is a research psychologist at the University of Western Australia and North Metro Health Service Mental Health, Western Australia.