Introduction: How Can I Mend My Broken Sleep? | p. 1 |
Catching the Wave of Sleep | |
Why Is Sleep So Unreliable? Discovering Why Sleep Doesn't Come Naturally | p. 15 |
Sleep Hygiene Instructions | p. 17 |
Sleep Is Complicated | p. 19 |
Thinking Can Cause Insomnia | p. 20 |
Insomnia Can Be Learned or Innate | p. 22 |
Socialization Can Cause Insomnia | p. 25 |
Sleep Is a Risk | p. 27 |
Sleep Is Out of Your Control | p. 29 |
How Is Sleep Supposed to Happen? Building a Wave of Sleep | p. 31 |
Sleep and Wakefulness Come in Waves | p. 32 |
Simple Models of Sleep | p. 33 |
Sleepiness and Alertness Are Generated Independently | p. 35 |
The Wave of Sleep | p. 37 |
The Sleep Drive | p. 38 |
The Alerting Force | p. 40 |
Circadian Rhythms | p. 43 |
Building a Wave of Sleep | p. 44 |
The Sleep Drive and Alerting Force in Everyday Life | p. 48 |
How Did I Get Insomnia? Learning About the Three Types of Sleeplessness and How They Arise | p. 51 |
Do You Have Insomnia? | p. 52 |
The 3P Model of Insomnia | p. 55 |
Predisposing Characteristics | p. 57 |
Physiological Hyperarousal | p. 58 |
Cognitive Hyperarousal | p. 59 |
"Night Owls" and "Morning Larks" | p. 60 |
Anxiety and Depression | p. 64 |
Precipitating Events | p. 67 |
Perpetuating Attitudes and Practices | p. 68 |
Extending Bedtime to Gain More Sleep | p. 69 |
Using Naps and Stimulants to Counter Sleep Loss | p. 70 |
Sleep Aids | p. 74 |
Counterproductive Beliefs and Attitudes About Sleep | p. 79 |
What Does Sleep Mean to Me? Challenging Your Beliefs About Sleep | p. 83 |
Sleep Is Meaningful | p. 87 |
Sleep as a Pleasure | p. 89 |
Sleep as an Escape | p. 91 |
Sleep as a Waste of Time | p. 93 |
Sleep as Letting Go | p. 95 |
Clearing Your Mind for Sleep | p. 96 |
The ABCDEs of Sleep | |
Preliminary Treatment: Identifying Which Type of Insomnia You Have and Preparing Yourself for Better Sleep | p. 108 |
Address Your Insomnia Factors | p. 108 |
Improve Your Sleep Hygiene | p. 114 |
Seek Treatment for Your Depression | p. 118 |
Counter Hyperarousal with Exercise, Behavior Therapy, or Pharmacologic Treatments | p. 120 |
Question Your Beliefs About Sleep | p. 126 |
Boost Your Sleep Drive | p. 128 |
Start Your Sleep Log | p. 128 |
How to Complete Your Log | p. 130 |
Did You Log a Typical Week? | p. 132 |
Find Your Average Bedtime and Average Rising Time | p. 133 |
Find Your Average Sleep Time and Average Wake Time | p. 135 |
Calculate Your Target Time in Bed | p. 136 |
Raise Your Body Temperature | p. 137 |
Choose the Right Time for Bed | p. 139 |
You Have Difficulty Falling Asleep | p. 140 |
You Have Difficulty Staying Asleep | p. 140 |
Your Sleep is Broken Throughout the Night | p. 141 |
Differentiate Your Therapy | p. 142 |
Ease Your Mind | p. 143 |
Relaxation Training | p. 144 |
Guided Imagery | p. 144 |
Answers for Difficulty Falling Asleep | p. 146 |
Problem: Sunday Night Insomnia | p. 147 |
Answer: Limit Weekend Oversleeping | p. 148 |
Problem: It Usually Takes an Hour to Fall Asleep | p. 149 |
Answer: Maintain a "Buffer Period" | p. 149 |
Answer: Gauge Your Readiness for Sleep | p. 151 |
Answer: Set Aside "Worry Time" | p. 152 |
Answer: Follow Stimulus Control Instructions | p. 154 |
Answer: Use Melatonin to Induce Sleep | p. 155 |
Problem: It Usually Takes Several Hours to Fall Asleep | p. 157 |
Answer: Chronotherapy | p. 158 |
Answer: Bright Light Treatment | p. 161 |
Setting Up Your Bright Light Device | p. 166 |
Scheduling Your Bright Light Treatment | p. 167 |
Answer: Use Dark or Blue-Blocking Sunglasses to Filter Evening Light | p. 170 |
Answers for Difficulty Staying Asleep | p. 175 |
Problem: You Awaken After a Few Hours of Sleep | p. 176 |
Answer: Stimulus Control Instructions | p. 176 |
Answer: Seek Evaluation and Treatment for Depression | p. 178 |
Answer: Set Aside "Worry Time" and Maintain a "Buffer Period" | p. 178 |
Answer: Use Bright Light to Delay Your Sleep Phase | p. 180 |
Answer: Use Dark or Blue-Blocking Sunglasses to Filter Morning Light | p. 181 |
Answer: Use Hypnotic Medication to Prolong Sleep | p. 182 |
Anxiety or Depression | p. 183 |
Excessive Daytime Sleepiness | p. 183 |
Altered Timing of Sleep | p. 184 |
Choosing a Medication | p. 184 |
Answers for Broken or Irregular Sleep | p. 187 |
Problem: Your Sleep is Broken | p. 188 |
Answer: Sleep Restriction Therapy | p. 189 |
Problem: Your Sleep Is Scattered Around the Clock | p. 195 |
Answer: Reserve Time for Wakefulness Instead of Sleep | p. 196 |
Problem: You Awaken About Every Ninety Minutes | p. 200 |
Answer: Screen for REM Sleep Disordered Breathing | p. 201 |
Answer: Review Your Use of Alcohol and Medications | p. 201 |
Answer: Calm Your Dreams | p. 202 |
Problem: You Work a Variable Shift-No Set Work or Sleep Schedule | p. 203 |
Answer: Anchor Sleep | p. 205 |
Problem: You Work a Night Shift | p. 207 |
Answer: Wear Dark or Blue-Blocking Sunglasses in the Morning | p. 207 |
Answer: Nap Before Your Shift | p. 209 |
Answer: Obtain Bright Light Exposure At Work | p. 209 |
Answer: Protect Your Sleep from Daytime Intrusions | p. 210 |
Easing Into Sleep: Freeing Yourself to Catch the Wave | p. 212 |
The Threshold of Sleep | p. 214 |
Learn to Enjoy Your Rest | p. 216 |
Breathe Easy | p. 219 |
Relax Your Muscles | p. 220 |
Ease Your Mind Inward When the World Outside is Chaotic | p. 223 |
Focus Outward When the Turmoil Lies Within | p. 226 |
Afterword | p. 231 |
Endnotes | p. 239 |
Index | p. 247 |
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