Insomnia and sleep issues are very common issues that people come to us with, which can be for a variety of reasons. Sometimes, general therapy to treat any underlying psychological and emotional issues alone can be enough to resolve the sleep problems. However, this is not always the case, and the effective resolution of sleep problems depends on the underlying causes. CBTi is designed to understand the client holistically, and all of the problems which may be contributing to the sleep problem.
The DSM-5 definition of Insomnia Disorder is:-
- Complaint of sleep quantity or quality associated with problems falling asleep, staying asleep, and/or early morning awakenings
- The sleep problem causes distress and/or some sort of problem at work, with others, etc.
- The sleep problem occurs at least 3 nights/week and has been going on for at least 3 months
- The sleep problem occurs despite adequate opportunity for sleep
- The insomnia is not better explained by another sleep disorder, is not caused by the effects of a substance, and is not adequately explained by coexisting mental disorders or medical conditions
CBTi focuses on exploring the connection between the way we think, the things we do, and how we sleep. During treatment, a trained CBTi therapist helps to identify thoughts, feelings, and behaviours that are contributing to the symptoms of insomnia.
At LCC, we use the REST programme for CBTi. R.E.S.T. stands for Routine, Environment, Stimulation Control, and Thinking.
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