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APA Psychotherapy Training Videos are intended solely for educational purposes for mental health professionals. Viewers are expected to treat confidential material found herein according to strict professional guidelines. Unauthorized viewing is prohibited.
In Sleep and Sleep Disorders Dr. Edward J. Stepanski describes and demonstrates his approach to treating clients with sleep problems. His multidisciplinary approach involves an understanding of the nature of sleep; the pharmacological treatments available for sleep disorders; and how medical, nutritional, behavioral, and cognitive components all can affect how a client sleeps. In this session, Dr. Stepanski works with a 34-year-old woman who has experienced insomnia since high school. He surveys all the possible influences on her sleep problem and then suggests various ways she might improve her sleep, including pre-bedtime relaxation strategies, changes to the way she reacts to sleepless times, and other cognitive and behavioral coping strategies. Read a review of this title from the PsycCRITIQUES database (PDF: 69KB)
Cognitive–behavioral therapy (CBT) programs that combine specific single therapies have been shown empirically to be effective in the treatment of primary insomnia. These multicomponent programs may be delivered in either an individual or a group format, and the duration of treatment may be up to 8 weekly sessions. Gains for patients with insomnia receiving CBT were maintained at a 2-year follow-up; these results were superior to those from pharmacotherapy. Although CBT has been recommended for patients with primary insomnia, data have shown its effectiveness in patients with secondary insomnia. In secondary insomnia, a primary medical or psychiatric disorder is assumed to be causing the insomnia.
Edward J. Stepanski obtained his PhD in clinical psychology from Bowling Green State University in 1985. He is currently the director of the Sleep Disorder Service at Rush-Presbyterian-St. Luke's Medical Center in Chicago and also is an associate professor of psychology and medicine at Rush Medical College. Dr. Stepanski serves as secretary-treasurer of the American Board of Sleep Medicine, and he is chairman of the Behavioral Sleep Medicine Committee of the American Academy of Sleep Medicine. His research interests include cognitive–behavioral interventions for insomnia and the effects of sleep fragmentation.
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