4: KKDP 12 Treatment for Sleep Disorders

Question 1

CBT:

Answer 1

Cognitive Behaviour Therapy for Insomnia

Question 2

CBT (Definition):

Answer 2

A type of psychotherapy that combines cognitive and behavioural therapies to help people change unhealthy thought processes, feeling and behaviours

Question 3

Insomnia can be maintained/worsed:

Answer 3

Because people have inappropriate behaviours that develops the insomnia

Question 4

Dysfunctional Cognitions:

Answer 4

• Misunderstanding about the causes of insomnia
• Fear of sleeplessness
• Amplifications of the consequences of insomnia e.g. frustration and anxiety

Question 5

Inappropriate behaviours:

Answer 5

• Remaining in bed for long periods of time
• Constant clock watching when in bed
• Use of stimulants such as caffeine too close to bedtime

Question 6

CBT involves:

Answer 6

Focusing on overcoming the causes of a persons sleep problems and changing their maladaptive responses

Question 7

Cognitive component 1:

Answer 7

Aims to help a person change their maladaptive thoughts associated with the bedroom

Question 8

Cognitive component 2:

Answer 8

Assists the individual learn how to control or eliminate worries that prevent sleep onset.

Question 9

Behavioural component:

Answer 9

Two therapy techniques:
Stimulus Control therapy
Sleep Hygiene Education

Question 10

Stimulus Control Therapy:

Answer 10

Strengthen the bed and bedroom as cues for sleep

Question 11

Stimulus Control Therapy Example:

Answer 11

Apply CC and OC principles to re-establish an association between sleep and the bedroom

Question 12

Sleep Hygiene Education:

Answer 12

Provide information about practices that tend to improve and maintain good sleep

Question 13

Sleep Hygiene Education Example:

Answer 13

Change the individual’s basic lifestyle habits that influence sleep onset

Question 14

Bright Light Therapy:

Answer 14

Involves timed exposure of the eyes to intense but same amounts of light. The aim is to shift an individual’s sleep-wake cycle to a desired schedule.

Question 15

For Bright Light Therapy to work:

Answer 15

The light needs to be used at the right intensity, right time and right amount of time.

Question 16

Bright Light Therapy exposure:

Answer 16

Can be used to reset the biological clock.