What is CBT-I?
Almost 60% of adults now report insomnia at least two nights per week. Cognitive Behavioural Therapy for Insomnia has been developed by Dr. Gregg `Jacobs based on decades of research and clinical practice at Harvard Medical School and the University of Massachussetts Medical School involving over 10,000 patients, where CBT-I has consistently shown that 90% of patients reduce or eliminate sleeping pills after taking this 6 week program. CBT-I has been reccomended as the preferred treatment for chronic insomnia by the New England Journal of Medicine, Lancet. In the USA it has been reccomended by the National Institutes of Health, Consumer Reports and the American Psychological Association.
A study conducted by Dr. Clarles Morin of Laval University demonstrated that 85% of insomnia sufferes (19 years or more having insomnia) did eliminate the use of benzodiazepine all together after CBT-I.
Sleeping pills are harmful and have serious side effects that far outweight their benefits; increase risk in morbidity and mortality; are only moderately effective for insomnia and may stop working over time; sleeping pills do not cure insomnia as it does not treat the causes of insomnia.
How does CBT-I work?
The success of the CBT-I is based on a central theme: insomnia can only be treated by addressing all of the underlying causes. In most instances the causes of insomnia are distorted sleep thoughts (cognitions) and problematic sleep behaviours (habits) which are learned and can be unlearned.
Session 1 = Assessment
Session 2 = Sleep Education/Cognitive Restructuring
Session 3 = Sleep Medication/ Sleep Scheduling
Session 4 = Stimulus Control
Session 5 = Relaxation Response
Session 6 = Sleep Hygiene
The course consists of 6 sessions of 30 mins for one-on-one sessions (in person or online) or 90 mins to two hours for group sessions (max 8 patients). Four weekly sessions followed by two bi-weekly sessions. A typical session consists of psychoeducation about insomnia, presentation of new techniques and discussion of both newly presented material and patient's practice of previously learned techniques.
CBT-I Fees
One on One 30 mins.
In person = 40 Euro per session, total cost 240 Euro.
Online = 35 Euro per session, total cost 210 Euro.
Group between 90 mins to 2 hours
Max 10 patients. Cost for course including Assessment = 200 Euro. Concessions available for those struggling financially.
NEW TERM - Starting in RocDoc, Ashbourne - Wednesdays from 7 to 9 PM, 4 weeks consecutive then 2 biweekly Wednesdays.
4th April - Session 1
14th April - Session 2
21st April - Session 3
28th April - Session 4
1 week break
9th May - Session 5
1 week break
23rd May - Session 6
If you are interested please contact me on 085-7867809 or send me an email katisimpson@clarityireland.com.
In person = 40 Euro per session, total cost 240 Euro.
Online = 35 Euro per session, total cost 210 Euro.
Group between 90 mins to 2 hours
Max 10 patients. Cost for course including Assessment = 200 Euro. Concessions available for those struggling financially.
NEW TERM - Starting in RocDoc, Ashbourne - Wednesdays from 7 to 9 PM, 4 weeks consecutive then 2 biweekly Wednesdays.
4th April - Session 1
14th April - Session 2
21st April - Session 3
28th April - Session 4
1 week break
9th May - Session 5
1 week break
23rd May - Session 6
If you are interested please contact me on 085-7867809 or send me an email katisimpson@clarityireland.com.
More on CBT-I
Online Insomnia Therapy: A Dream Come True for Some Patients - Scientific America
Insomnia treatment: Cognitive behavioral therapy instead of sleeping pills - Mayo Clinic
Cognitive behavioral therapy offers a drug-free method for managing insomnia - Harvard Health Publishing
Stanford Health Care Website
New developments in cognitive behavioral therapy as the first-line treatment of insomnia - NCBI
-Morin, C.M., Hauri, P.J., Espie, C.A., et al. (1999). Nonpharmacologic treatment of chronic insomnia: an American Academy of Sleep Medicine Review. Sleep, 22(8): 1134- 1147.
-Smith, M.T., Perlis, M.L., Park, A., et al. (2002). Comparative meta-analysis of pharmacotherapy and behavior therapy for persistent insomnia. American Journal of Psychiatry, 159: 5-11.
-Morin, C.M., Colecchi, C., Stone, J, et al. (1999). Behavioral and pharmacological therapies for late-life insomnia: a randomized controlled trial. Journal of the American Medical Association, 1999, 281: 991-999.
-Jacobs G.D., Pace-Schott E.F., Stickgold R., Otto M.W. (2004). Cognitive behavior therapy and pharmacotherapy for insomnia. Archives of Internal Medicine, 164: 1888-1896. 8. Sivertsen, B., Omvik, S., Pallesen, S., et al. (2006). Cognitive behavioral therapy vs. zopiclone for treatment of chronic primary insomnia in older adults: a randomized controlled trial. Journal of the American Medical Association, 2006, 295: 2851-2858.
-Silber, M. (2005). Chronic insomnia. New England Journal of Medicine, 353(8): 803-810. 10.Sateia, M.J, and Nowell, P.D. (2004). Insomnia. Lancet, 364: 1959-1973.
-Morin C.M., Beaulieu-Bonneau, S., and LeBlanc. M. (2005). Self-help treatment for insomnia: a randomized controlled trial. Sleep, 28: 1319-1327. -.Strom, L., Petterssom, R., and Andersson, G. (2004). Internet-based treatment for insomnia: a controlled evaluation. Journal of Consulting and Clinical Psychology, 72:113- 120.
-Holbrook, A.M., Crowther, R., et al. (2000). Meta-analysis of benzodiazepine use in the treatment of insomnia. Canadian Medical Association Journal, 162: 225-233.
-Kripke, D.F. (2007). Hypnotics versus the alternatives. Psychiatry Investigation, 4: 57-60. 16.Kripke, D.F. et al. (2002). Mortality associated with sleep duration and insomnia. Archives of General Psychiatry, 59: 131-136.
-Jacobs G.D., Pace-Schott E.F., Stickgold R., and Otto M.W. (2004). Cognitive behavior therapy and pharmacotherapy for insomnia. Archives of Internal Medicine, 164: 1888-1896. 18.Jacobs, G.D. (2004). Is eszopiclone appropriate and effective for the long-term clinical management of chronic insomnia. Sleep, 27: 1.
-Kripke, D.F. (2007). Who should sponsor sleep disorders pharmaceutical trials? Journal of Clinical Sleep Medicine, 3: 671-673.
-Morin, C.M., Bastien, C., Guay, B., et al. (2004). Randomized clinical trial of supervised tapering and cognitive behavior therapy to facilitate benzodiazepine discontinuation in older adults with chronic insomnia. American Journal of Psychiatry, 161: 332-342.
-.Jacobs, G.D., Benson, H., and Friedman, R. (1996). Perceived benefits in a behavioral medicine insomnia program; a clinical report. American Journal of Medicine, 100: 212-216. 23.Curran, H.V., Collins, R., Fletcher, S.C., et al. (2003). Older adults and withdrawal from benzodiazepine hypnotics in general practice: effects on cognitive function, sleep, mood, and quality of life. Psychological Medicine, 33: 1223-1237.
-Vgontzas, A. (2005). The diagnosis and treatment of insomnia in adults. Sleep, 28: 1047-1048.
-Truer, M.T., et.al. (2015). Cognitive behavioral therapy for chronic insomnia: a systematic review and meta-analysis. Annals of Internal Medicine, 163(3), 191-204.
-Wu, J.W., Appleman, E.R., Salazar, R.D., and Ong, J.C. (2015). Cognitive behavioral therapy for insomnia co-morbid with psychiatric and medical conditions. JAMA Internal Medicine, 175(9), 1461-1472.
Insomnia treatment: Cognitive behavioral therapy instead of sleeping pills - Mayo Clinic
Cognitive behavioral therapy offers a drug-free method for managing insomnia - Harvard Health Publishing
Stanford Health Care Website
New developments in cognitive behavioral therapy as the first-line treatment of insomnia - NCBI
-Morin, C.M., Hauri, P.J., Espie, C.A., et al. (1999). Nonpharmacologic treatment of chronic insomnia: an American Academy of Sleep Medicine Review. Sleep, 22(8): 1134- 1147.
-Smith, M.T., Perlis, M.L., Park, A., et al. (2002). Comparative meta-analysis of pharmacotherapy and behavior therapy for persistent insomnia. American Journal of Psychiatry, 159: 5-11.
-Morin, C.M., Colecchi, C., Stone, J, et al. (1999). Behavioral and pharmacological therapies for late-life insomnia: a randomized controlled trial. Journal of the American Medical Association, 1999, 281: 991-999.
-Jacobs G.D., Pace-Schott E.F., Stickgold R., Otto M.W. (2004). Cognitive behavior therapy and pharmacotherapy for insomnia. Archives of Internal Medicine, 164: 1888-1896. 8. Sivertsen, B., Omvik, S., Pallesen, S., et al. (2006). Cognitive behavioral therapy vs. zopiclone for treatment of chronic primary insomnia in older adults: a randomized controlled trial. Journal of the American Medical Association, 2006, 295: 2851-2858.
-Silber, M. (2005). Chronic insomnia. New England Journal of Medicine, 353(8): 803-810. 10.Sateia, M.J, and Nowell, P.D. (2004). Insomnia. Lancet, 364: 1959-1973.
-Morin C.M., Beaulieu-Bonneau, S., and LeBlanc. M. (2005). Self-help treatment for insomnia: a randomized controlled trial. Sleep, 28: 1319-1327. -.Strom, L., Petterssom, R., and Andersson, G. (2004). Internet-based treatment for insomnia: a controlled evaluation. Journal of Consulting and Clinical Psychology, 72:113- 120.
-Holbrook, A.M., Crowther, R., et al. (2000). Meta-analysis of benzodiazepine use in the treatment of insomnia. Canadian Medical Association Journal, 162: 225-233.
-Kripke, D.F. (2007). Hypnotics versus the alternatives. Psychiatry Investigation, 4: 57-60. 16.Kripke, D.F. et al. (2002). Mortality associated with sleep duration and insomnia. Archives of General Psychiatry, 59: 131-136.
-Jacobs G.D., Pace-Schott E.F., Stickgold R., and Otto M.W. (2004). Cognitive behavior therapy and pharmacotherapy for insomnia. Archives of Internal Medicine, 164: 1888-1896. 18.Jacobs, G.D. (2004). Is eszopiclone appropriate and effective for the long-term clinical management of chronic insomnia. Sleep, 27: 1.
-Kripke, D.F. (2007). Who should sponsor sleep disorders pharmaceutical trials? Journal of Clinical Sleep Medicine, 3: 671-673.
-Morin, C.M., Bastien, C., Guay, B., et al. (2004). Randomized clinical trial of supervised tapering and cognitive behavior therapy to facilitate benzodiazepine discontinuation in older adults with chronic insomnia. American Journal of Psychiatry, 161: 332-342.
-.Jacobs, G.D., Benson, H., and Friedman, R. (1996). Perceived benefits in a behavioral medicine insomnia program; a clinical report. American Journal of Medicine, 100: 212-216. 23.Curran, H.V., Collins, R., Fletcher, S.C., et al. (2003). Older adults and withdrawal from benzodiazepine hypnotics in general practice: effects on cognitive function, sleep, mood, and quality of life. Psychological Medicine, 33: 1223-1237.
-Vgontzas, A. (2005). The diagnosis and treatment of insomnia in adults. Sleep, 28: 1047-1048.
-Truer, M.T., et.al. (2015). Cognitive behavioral therapy for chronic insomnia: a systematic review and meta-analysis. Annals of Internal Medicine, 163(3), 191-204.
-Wu, J.W., Appleman, E.R., Salazar, R.D., and Ong, J.C. (2015). Cognitive behavioral therapy for insomnia co-morbid with psychiatric and medical conditions. JAMA Internal Medicine, 175(9), 1461-1472.
|