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Cognitive Behaviour Therapy for Insomnia in Co-morbid Psychiatric Disorders

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Sleep Disorders in Psychiatric Patients

Abstract

Whilst the link between insomnia and psychopathology has long been observed, our understanding of their dynamic relationship is continually evolving. The vast majority of insomnia—the most prevalent sleep disorder in the general population—exists as co-morbid insomnia (Roth and Roehrs 2003). Up to 45% of individuals with insomnia have a co-morbid psychiatric disorder (Sarsour et al. 2010), and up to 86% have a co-morbid medical illness (Taylor et al. 2007a, b). Co-morbid insomnia is therefore the rule rather than the exception. Compared to chronic medical illnesses, psychiatric disorders are more significantly associated with insomnia severity (Sarsour et al. 2010).

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Notes

  1. 1.

    Imagery or dream rehearsal therapy is a cognitive approach that encourages the patient to recall the nightmare, ‘change the nightmare any way you wish’ and then rehearse the ‘new dream’ whilst awake.

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  1. Insomnia Clinic, Royal London Hospital for Integrated Medicine and Sleep Disorders Centre, Guy’s and St Thomas’ NHS Foundation Trust, London, UK

    David O’Regan

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  1. Insomnia Clinic, Royal London Hospital for Integrated Medicine, London, United Kingdom

    Hugh Selsick

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O’Regan, D. (2018). Cognitive Behaviour Therapy for Insomnia in Co-morbid Psychiatric Disorders. In: Selsick, H. (eds) Sleep Disorders in Psychiatric Patients. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54836-9_9

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