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Unread December 22nd, 2004, 04:12 PM
Joel Pomerantz Joel Pomerantz is offline
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Join Date: Dec 2004
Posts: 7
Default Re: CBT for Insomnia

I recently encountered an insomniac client who denies that she is at all anxious. She describes herself as very laid back and easy going! I asked if she has ever had a medical evaluation of the problem and replied that she had not. I asked if she had any history of thyroid dysfunction and she replied that she had recently suffered a miscarriage due to thyroid problems, but isn't being treated... I suggested that she immediately consult a physician etc... but I'm just curious- let's say that the doctor determines that her insomnia is psychogenic and not physiologic... is there an alternative explanation to anxiety in conceptualizing insomnia- or is she fooling herself about being easy going and laid back???
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