How do I tell the difference between Insomnia Disorder and insufficient sleep?ĥ. Are there any contraindications for CBT-I?Ħ. Should patients stop taking sleep medication before starting the CBT-I protocol?ħ. Do I include napping in sleep log scoring?Ĩ. Do I include time out of bed when engaging in stimulus control during middle-of-the-night awakenings as part of the scored ‘TIB’ from the sleep log?ĩ. How do I handle a patient who refuses to complete a sleep log, or insists on using a device like a fitness tracker instead of completing a log?ġ0. If a patient reports excessive caffeine, alcohol, or other substance use, should that be addressed before stimulus control and sleep restriction?ġ1. Can a patient get in bed before our scheduled bedtime if they are sleepy earlier?ġ2. My patient could only come up with stimulating activities to do when out of the bed awake. Would CBT-I be helpful for them?Ģ. Should I treat mental health co-morbidities such as depression, anxiety, or PTSD before providing CBT-I?ģ. Can I use CBT-I if I suspect my patient has another sleep disorder, such as circadian rhythm disorder, shift work, restless leg syndrome, nightmares, or obstructive sleep apnea?Ĥ. I was referred a patient who reports getting very little sleep, wakes up unrefreshed, and is tired during the day. My patient’s sleep problems seem to stem from poor sleep hygiene. įor those who have been trained in an EBP at any time by the Center for Deployment Psychology, a wealth of resources is available in our Provider Portal. For a schedule of upcoming training events, please click here. Please note that these responses do not take the place of becoming trained.
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