Anxiety Disorders and Accompanying Insomnia

  • Colleen E. Carney
  • Jack D. Edinger
Part of the Series in Anxiety and Related Disorders book series (SARD)


In this chapter, we discuss the different manifestations (both subjective and objective) of sleep disturbance within anxiety disorders. We discuss the associated features of the anxiety disorder and focus especially on those anxiety conditions presumed to have higher comorbidity with insomnia. We also consider whether there are any disorder-specific special insomnia treatment considerations within each diagnostic category. We argue that there appears to be no real impediment to treating the insomnia of those with anxiety disorders, although there may be some special treatment considerations for panic disorder (i.e., allowing for a less conservative time-in-bed restriction) and PTSD (i.e., addressing nightmares). We review the evidence that treating the comorbid anxiety disorder only (and thus ignoring the insomnia) may limit the degree of anxiety disorder treatment response and/or result in residual insomnia, and the evidence for a combined approach (i.e., treating the insomnia and anxiety problem concurrently).


Anxiety Disorder Generalize Anxiety Disorder American Psychiatric Association Social Phobia Panic Disorder 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Authors and Affiliations

  1. 1.Department of PsychologyRyerson UniversityTorontoCanada
  2. 2.Department of Psychiatry and Behavioral SciencesDuke University Medical CenterDurhamUSA

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