Cognitive Behavioral Therapy for Insomnia (CBT-I) and Nightmares (CBT-N) 

Dr. Cooper specializes in Cognitive behavioral therapy for insomnia (CBT-I), a highly effective treatment that guides you through multiple steps to improve difficulties related to sleep in approximately 4 to 8 sessions. Chronic insomnia can significantly impact your quality of life and is associated with trouble falling asleep, staying asleep, and/or waking up too early. Many people suffer with sleep difficulties because they aren’t aware that such an effective short-term non-medication treatment exists and there are limited available providers trained in CBT-I. CBT-I is the most effective psychotherapy for insomnia, with results similar to sleep medication without the side effects and with lower rates of relapse. Research has demonstrated significant improvements in many people who participate in CBT-I, with newer research highlighting positive impacts it can have on comorbid anxiety and depressive symptoms.

CBT-I incorporates education and monitoring, sleep consolidation, stimulus control, cognitive restructuring, sleep hygiene, and relaxation techniques. This largely consists of implementing and maintaining an appropriate and stable sleep schedule, creating a consistent bedtime routine, engaging in behaviors throughout the day that help promote sleep, incorporating relaxation strategies to manage stress, anxiety, and worry, and focusing on any beliefs about sleep that may be problematic or unhelpful. When completed according to guidelines, many patients notice significant ongoing improvements in sleep that continues long past the end of therapy. 

Dr. Cooper also specializes in treating nightmares with cognitive behavioral therapy for nightmares (CBT-N), addressing another sleep difficulty often associated with anxiety and trauma. Nightmares can impact your thoughts, actions, and body. CBT-N is an evidence-based brief treatment delivered in approximately 6 sessions to help people suffering from remembered nightmares. Research for CBT-N is ongoing, but suggests many individuals experience improvements in nightmare frequency and intensity, sleep quality, PTSD symptoms and depressive symptoms following the completion of the treatment. CBT-N incorporates education, monitoring sleep and nightmares, learning about how nightmares impact you, changing unhelpful sleep behaviors, implementing skills to improve sleep and decrease nightmares, relaxation training, written and verbal exposure to the nightmare, and repeatedly imagining a rescripted dream before sleep. Similar to all treatments at CBTCOA, improvements are best achieved through active participation and practice between sessions.

Work With Me

If you are interested in seeking treatment at the CBTCOA,
please call 626-493-2165 or email drdaniellecooper@cbtcoa.com.

CBTCOA will then return your call or schedule a time via email for a free 15-minute phone consultation to learn more about the difficulties you are seeking help with and determine if my services are a good fit for your needs.