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Peter van Veggel, Business Manager

Trouble sleeping at night? Although it is common for many people to experience occasional sleep difficulties, for some people these difficulties occur more frequently. Chronic insomnia includes a persistent difficulty in one or more of the following: falling asleep, staying asleep, or waking up too early. Insomnia affects between 10 – 30% of the adult population and is a serious disorder that negatively affects the functioning, health status, and quality of lives of millions of individuals worldwide. Both medication and psychotherapy are effective options in the management of this disorder. Cognitive Behavioural Therapy for Insomnia (CBT-I) is a brief non-pharmacological insomnia treatment. The majority of people treated with CBT-I see improvements and almost half of people no longer have insomnia at the end of treatment. Some more benefits of CBT-I:

• Similar to CBT for other disorders, you will learn skills and strategies that you could use even after treatment has ended. Specifically, in CBT-I you will learn skills and strategies to improve your sleep.

• Whereas the benefits of sleep medications may stop once you stop taking the medication, research has shown that those treated with CBT-I maintain these sleep improvements over time (i.e., even after the treatment has ended).

• CBT-I is the preferred and recommended first-line treatment for chronic insomnia.

• Finally, CBT-I is an effective short-term treatment, which typically takes between 4 – 8 sessions.

Our associate, Taryn Atlin, is conducting her doctoral research on the daytime experience of those with insomnia and she is trained and experienced in the delivery of CBT for the treatment of insomnia. Feel free to contact Dr. Eliana Cohen & Associates today for additional information!


Phobias are the most common anxiety disorders. Although they are among the most treatable anxiety disorders, overcoming a phobia without professional treatment can be challenging. There are a variety of phobia types, including phobias focused on the fear of an animal (e.g., fear of dogs, spiders, or snakes), an element of the natural environment (e.g., fear of heightsor storms), medical practices (e.g., needles, dental or medical procedures), or a variety of other situations (e.g., driving, closed spaces, flying). Regardless of the type of phobia, most individuals’ fear is focused on the idea that some aspect of their feared object or situation will cause them harm. Therefore, one of the key elements of overcoming a phobia is by confronting one’s fear directly.

The most effective way of overcoming a phobia is through exposure-based treatments, such as cognitive behavioural therapy. The first step in treatment is to develop a list of your feared situations, with the most anxiety-provoking ones at the top of the list and the least anxiety-provoking ones at the bottom. This “hierarchy” provides a roadmap that guidesyou through a series of exposure exercises that involve directly confronting the feared situations, starting with the easier items on the list and working up to more difficult ones. As you progress through the list of exposure exercises, you have the opportunity to learn information that disconfirms your fearful beliefs about the object or situation.As a result, the anxiety that you experience when confronted with the feared object or situation reduces over time. With the support of a trained therapist, phobias are highly treatable and can be overcome relatively quickly.


Bieling and Antony (2003), in their book Ending the Depression Cycle, provide an enlightening look at the interplay of depression and intimate relationships. Depression, as described by many professionals, is often conceptualized as mainly an intrapsychic issue—that is, “it is an experience that the person feels inside of themselves, including the many internal signs and symptoms related to the emotion, as well as the physical symptoms (Bieling & Antony, 2003, p. 213). At its core, this definition holds true. However, for anyone that has ever experienced depression or known someone who has, it is apparent that depression is an interpersonal issues well (i.e. pertaining to the relations between persons). As Bieling and Antony denote, there appears to be a bidirectional link between depression and relationships. On one hand, as the symptoms get worse, someone experiencing depression may not want to be around people at all, including those close to them. Additionally, those people who reach out to support someone with depression, over time, may feel as though they are being pushed away or become frustrated that they cannot help. As such, depression can severely impact one’s relationships with others including intimate partners, friends, family, and colleagues. On the other hand, interpersonal relationships can have a great influence on the experience of depression and at times, even trigger depression. So what can be done? Interpersonal Psychotherapy is an evidenced-based, scientifically proven treatment option for depression. Unlike couples or family therapy, this type of therapy is carried out individually and can decrease symptoms of depression by directly focusing on exploring and improving one’s relationships, whatever the issues may be. Check out our web page www.drcohen.ca for more information on how we can support you or someone close to you with depression.


Beginning in the New Year, Dr. Eliana Cohen & Associates will be offering a CBT Support Group for women receiving infertility treatment:

Emotional support.
Cognitive Behavioural Techniques to help lower and manage stress.
Evidence-based:

Research demonstrates the positive impact of psychological interventions, including cognitive behavioural therapy support groups,on both pregnancy rates and psychological health in women dealing with infertility challenges.

A randomized clinical trial (Domar, Clapp, Dusek, Kessel&Freizinger, 2000) demonstrated the effectiveness of group psychological interventions (support groups and cognitive behavioral therapy groups) on pregnancy rates in infertile women. A recent meta-analysis also found evidence for a positive impact of psychological interventions on pregnancy rates (Hämmerli, Znoj, & Barth, 2009). Our group would focus on both support and some general Cognitive Behavioral Techniques to help lower and manage stress (e.g., relaxation, cognitive restructuring). Another meta-analysis demonstrated that technique-based group interventions with infertile individuals are significantly more effective than emotional expression or simple support groups in producing positive change across a range of psychological outcome measures (Boivin, 2003). Additional research provides further evidence of the effectiveness of CBT groups in lowering distress in couples scheduled for assisted reproduction (Tarabusi, Volpe, &Facchinetti, 2004).

Evening groups
5 two-hour sessions
Partner involvement optional
Covered by insurance
Located at Bloor and Avenue Road
Contact us for fees and start dates.

References

  • Boivin, J. (2003). A review of psychosocial interventions in infertility. Social Science and Medicine, 12, 2325-2341.
  • Domar, A.D., Clapp, D., Slawsby, E.A., Dusek, J., Kessel, B., &Freizinger, M. (2000). Impact of group psychological interventions on pregnancy rates in infertile women.Fertility and Sterility, 73, 807-811.
  • Hämmerli, K., Znoj, H., & Barth, J. (2009). The efficacy of psychological interventions for infertile patients: A meta-analysis examining mental health and pregnancy rate. Human Reproduction Update, 15, 279-295.
  • Tarabusi, M., Volpe, A., &Facchinetti, F. (2004). Psychological group support attenuates distress of waiting in couples scheduled for assisted reproduction. Journal of Psychosomatic Obstetrics and Gynaecology, 25, 273-279.

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