T0 | Session 1 | Session 2 | Session 3 | Session 4 | Session 5 (hypnotic withdrawal) | Session 5/6 | T3 | |
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Objectives | 1. Baseline evaluation 2. Provide information on the intervention | 1. Identify the factors that perpetuate insomnia (behavior-problem) 2. Identify beliefs and predispositions to change 3. Establish objectives (behavior-goal) | 1. Review difficulties and changes during the week 2. Identify factors in the patient’s environment related with going to sleep 3. Establish objectives of sleep hygiene modification | 1. Review difficulties and changes during the week 2. Identify the times a patient gives to certain habits and develop a timetable 3. Establish objectives of sleep hygiene modification | 1. Review difficulties and changes during the week 2. Identify distorting beliefs 3. Transform and implement realistic thinking | 1. Review problems related to benzodiazepine consumption 2. Negotiate with the patient to implement a gradual dose reduction | 1. Review the Sleep Diary 2. Assess the sessions and identify what has been accomplished 3. Assess what was not accomplished and the next goals | 1.Follow up assessment at 3 months after the end of CBT-i |
Techniques | Structured interview Relaxation | Sleep hygiene Stimulus Control Relaxation | Restriction of bed time Paradoxical intention Relaxation | Cognitive restructuring Relaxation | Structured interview | Structured interview | ||
Spreadsheet of tasks | Sleep diary | How are my routines? | How are my times? | How they interfere my thinking’s | To release of written information on gradual reduction of benzodiazepines | Sleep diary | ||
Duration (min) | 20–30 | 20 | 20 | 20 | 20 | 20 | 20 | 20 |