Sleep Behavior Management

  • Sidney D. Nau
  • John H. Koewler
  • James K. Walsh
Part of the Critical Issues in Psychiatry book series (CIPS)


We have used an educationally oriented treatment program termed “sleep behavior management” (SBM) in the treatment of insomnia. The program emphasizes factors known to influence sleep and their integration into an individual’s life-style. SBM is a structured treatment, with active patient involvement and carefully selected behaviors. The basic premise of SBM is the interdependence of sleep and waking behaviors. Although sleep cannot be directly controlled, substantial influence over it can be obtained by manipulating waking behavior. Patients are taught to systematically implement sleep behavior principles to improve sleep quality and quantity. At the end of therapy, independent management of sleep behavior is possible and expected.


Relaxation Training Sleep Behavior Nighttime Awakening American Sleep Disorder Association Sleep Hygiene Instruction 
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Recommended Readings

  1. Coates, T. J., Thoresen, C. E. (1977). How to sleep better: A drug free program for overcoming insomnia. Englewood Cliffs, NJ: Prentice-Hall. A patient-oriented manual for self-management of insomnia.Google Scholar
  2. Lacks, P. (1987). Behavioral treatment for persistent insomnia. New York: Pergamon Press. A recent manual of behavior therapy techniques for insomnia designed for the practitioner.Google Scholar
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Copyright information

© Springer Science+Business Media New York 1991

Authors and Affiliations

  • Sidney D. Nau
    • 1
  • John H. Koewler
    • 1
  • James K. Walsh
    • 1
  1. 1.Sleep Disorders and Research CenterDeaconess HospitalSt. LouisUSA

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