Call:(416) 508-8514

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!



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.



Vanessa Milne, a blogger at Chatelaine, spoke with Dr. Cohen last week about weight gain after marriage. Has this happened to you or is it something you’re concerned about for the future? If so, check out Vanessa’s post on the subject.

In the interview, Dr. Cohen recommended The Beck Diet, a diet book written by the daughter of Aaron T. Beck–the founder of Cognitive-Behavioural Therapy or CBT. CBT is a leading therapy for many psychological issues and disorders including anxiety and depression and has been adapted for use with other common struggles, including weight management.

We have strong expertise in CBT here at Dr. Eliana Cohen & Associates. In fact, our associate Jenny has trained with Aaron T. Beck himself at some of the top North American centres! There is a ton of information on CBT available online, but please don’t hesitate to contact us with any questions!