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Multifaceted cognitive behavior therapy

Paradoxical intention can be conceptualized as a form of cognitive restructuring principally aimed at performance anxiety, which can prevent sleep from occurring. Paradoxical intention consists of persuading the individual to engage in the apprehended activity: remaining awake. This strategy should reduce performance anxiety and favor sleep. However, therapeutic gains following paradoxical intention are quite variable from individual to individual, and they are inferior to those obtained with other psychological treatments.