Other Issues in Managing the Sleep of Those with Anxiety

Part of the Series in Anxiety and Related Disorders book series (SARD)


We have presented the core treatment strategies of CBT for insomnia in the previous chapters, but there are potential challenges unique to those suffering from comorbid anxiety problems that should be discussed. Herein, we present specific instructions/protocols for managing sleep problems in the context of anxiety and anxiety disorders, including relaxation-based strategies (focusing specifically on Progressive Muscle Relaxation), Cognitive Behavioral Treatment of Nocturnal Panic (Craske et al., Behavior Therapy 36:43-54, 2005), treating claustrophobia for those using CPAP for sleep apnea, and dream/nightmare rescripting. While a major goal of this text is that of providing practitioners guidance in the use of psychological strategies for the management of sleep problems with anxiety as a prominent feature, the problems discussed may represent only a subset of the varied forms of sleep disturbances that may present as primary or comorbid sleep disorders. Many people with such conditions require and benefit from one or more consultations with a sleep specialist. Hence, we provide discussion and a resource for use in determining whether the type of sleep problem and circumstances warrant a sleep specialty referral.


Sleep Apnea Anxiety Disorder Progressive Muscle Relaxation Sleep Specialist Relaxation Therapy 
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© Springer Science+Business Media, LLC 2010

Authors and Affiliations

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

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