Multidisciplinary evaluation in cognitive behavioral sleep medicine: Leveraging behavioral neurology and sleep medicine expertise

Our knowledge of sleep disorders has grown dramatically in recent years, and sleep disorders are increasingly being recognized by the medical community and the public. Cognitive-behavioral therapy for insomnia has extensive research to support its effectiveness and is now seen as the first-line treatment for insomnia. Beyond insomnia, there are promising approaches to address psychological and behavioral aspects of many sleep disorders. This chapter describes the field of behavioral sleep medicine and outlines the author’s experience in developing a private practice devoted to sleep disorders. It offers advice for those who may be interested in practicing in this area and addresses business aspects of this niche practice. Resources are provided for readers who want to further their knowledge in this area.

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Next Steps for Patients Who Fail to Respond to Cognitive Behavioral Therapy for Insomnia (CBT-I): the Perspective from Behavioral Sleep Medicine Psychologists

Current Sleep Medicine Reports ◽

10.1007/s40675-017-0096-x ◽

2017 ◽

Vol 3 (4) ◽

pp. 327-332 ◽

Cited By ~ 2

Author(s):

Kelly Glazer Baron ◽

Stephanie Hooker

Keyword(s):

Cognitive Behavioral Therapy ◽

Behavioral Therapy ◽

Sleep Medicine ◽

Cognitive Behavioral

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New guidelines for diagnosis and treatment of insomnia

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2010000400038 ◽

2010 ◽

Vol 68 (4) ◽

pp. 666-675 ◽

Cited By ~ 16

Author(s):

Luciano Ribeiro Pinto Jr ◽

Rosana Cardoso Alves ◽

Eliazor Caixeta ◽

John Araujo Fontenelle ◽

Andrea Bacellar ◽

...

Keyword(s):

Cognitive Therapy ◽

Pharmacological Treatment ◽

Behavioral Treatment ◽

Sleep Medicine ◽

Cognitive Behavioral ◽

Diagnosis And Treatment ◽

Cognitive Behavioral Treatment ◽

Standard Drug ◽

Four Levels ◽

New Guidelines

The Brazilian Sleep Association brought together specialists in sleep medicine, in order to develop new guidelines on the diagnosis and treatment of insomnias. The following subjects were discussed: concepts, clinical and psychosocial evaluations, recommendations for polysomnography, pharmacological treatment, behavioral and cognitive therapy, comorbidities and insomnia in children. Four levels of evidence were envisaged: standard, recommended, optional and not recommended. For diagnosing of insomnia, psychosocial and polysomnographic investigation were recommended. For non-pharmacological treatment, cognitive behavioral treatment was considered to be standard, while for pharmacological treatment, zolpidem was indicated as the standard drug because of its hypnotic profile, while zopiclone, trazodone and doxepin were recommended.

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