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- W2955385616 abstract "Just as night follows day, so does sleep disturbance follow psychologicaldisturbance.(Spielman and Glovinsky 1997: 133)The aim of this chapter is to outline an approach to formulating andtreating insomnia, especially insomnia that is comorbid with another disorder. Every clinician knows that insomnia can occur as the sole presentingproblem or as a condition that is comorbid with another psychiatric ormedical disorder. In the complex comorbid cases, conceiving of insomniaas merely epiphenomenal to the comorbid disorder is unwise for two reasons.First, the evidence indicates that insomnia serves as a risk factor for, andcan be causal in, the development and/or maintenance of the comorbiddisorder (for reviews see Harvey 2001; McCrae and Lichstein 2001). Second,substantial evidence is accruing to suggest that insomnia that is comorbidwith another psychiatric or medical disorder does not necessarily remitwith the treatment of the so-called ‘primary’ disorder (Smith et al. 2005).Four brief case descriptions are presented in Table 13.1 to illustrate thesepoints." @default.
- W2955385616 created "2019-07-12" @default.
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- W2955385616 date "2006-10-16" @default.
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- W2955385616 title "What about patients who can’t sleep? Case formulation for insomnia" @default.
- W2955385616 doi "https://doi.org/10.4324/9780203965177-19" @default.
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