ABSTRACT

Mr Stevens was referred by his general practitioner for assessment and treatment of "sleep problems". Mr Stevens co-operated with the assessment procedure, answering the questions put to him, but expressed surprise that he had been referred to a psychologist for his sleep problems as he thought that his problems were medical and needed medication. Mr Stevens' initial presentation suggested the presence of a Depressive Disorder. To identify the presence of intrusive cognitions that may be promoting his insomnia, Mr Sevens completed the Glasgow Content of Thoughts Inventory. The recommended treatment for Mr Stevens' insomnia was Cognitive Behaviour Therapy for Insomnia. His distress associated with chronic insomnia caused him significant distress which initially seemed consistent with a Depressive Disorder on assessment. Assessing for Depression, Posttraumatic Stress Disorder (PTSD), and Insomnia Disorders provided the assessor with greater confidence in reaching the diagnosis of Insomnia and beginning the formulation process in preparation for treatment.