End the Insomnia Struggle audiobook cover - A Step-by-Step Guide to Help You Get to Sleep and Stay Asleep

End the Insomnia Struggle

A Step-by-Step Guide to Help You Get to Sleep and Stay Asleep

Colleen Ehrnstrom and Alisha L. Brosse

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End the Insomnia Struggle
Biological Foundations of Sleep+
Tracking & Personalization+
Behavioral Strategies (SCT)+
Cognitive Strategies+

Quiz — Test Your Understanding

Question 1 of 7
According to the text, what are the two distinct biological processes that must work in close collaboration to maintain healthy sleep patterns?
  • A. Melatonin production and cortisol reduction
  • B. The sleep drive and the internal body clock
  • C. Cognitive restructuring and stimulus control
  • D. Environmental cues and nervous system regulation
Question 2 of 7
Why does the book recommend keeping a sleep log?
  • A. To identify individual sleep patterns and tailor specific strategies to your unique needs.
  • B. To track exactly how many hours of REM sleep you get each night for medical diagnosis.
  • C. To force your internal body clock to align perfectly with your sleep drive.
  • D. To prove to yourself that your distorted thoughts about not sleeping are completely false.
Question 3 of 7
Under the rules of Stimulus Control Therapy (SCT), what should you do if you wake up at night and cannot fall back asleep within 20 minutes?
  • A. Stay in bed and practice deep breathing until your sleep drive returns.
  • B. Get out of bed and do a demanding household chore to physically tire yourself out.
  • C. Stay in bed but use a screen-free device to listen to a relaxing audiobook.
  • D. Get out of bed, go to a different room, and do something relaxing or boring.
Question 4 of 7
How should you manage your morning wake-up time if you suffer from insomnia?
  • A. Sleep in to make up the difference if you woke up multiple times during the night.
  • B. Adjust your wake-up time based on how strong your sleep drive feels when your alarm goes off.
  • C. Set a consistent wake-up time and stick to it every day, regardless of how you slept.
  • D. Wake up early on weekdays, but allow your body to naturally catch up on sleep during the weekends.
Question 5 of 7
How do distorted and unhelpful thoughts physically prevent you from falling asleep?
  • A. They suppress the brain's ability to produce melatonin and cortisol.
  • B. They produce negative feelings that activate the nervous system, putting the body on alert.
  • C. They cause the internal body clock to fall out of sync with environmental cues like sunset.
  • D. They force the brain into an early REM cycle before the body is fully relaxed.
Question 6 of 7
What is the primary mechanism of the Designated Worry Time (DWT) strategy?
  • A. Writing down all your worries in a journal right before getting into bed.
  • B. Eliminating stressful thoughts from your mind permanently through meditation.
  • C. Discussing your worries with a professional therapist during a designated weekly session.
  • D. Setting aside a specific 10-to-30-minute block during the day for worrying, and delaying any worries outside that time.
Question 7 of 7
What actionable advice does the book give regarding taking naps during the day?
  • A. Naps should be limited to 20 minutes to avoid entering deep sleep.
  • B. You should avoid napping entirely to preserve your daytime fatigue for nighttime sleep.
  • C. Napping is recommended only if you got zero sleep the night before.
  • D. You should only nap if your sleep log indicates a severe drop in cortisol levels.

End the Insomnia Struggle — Full Chapter Overview

End the Insomnia Struggle Summary & Overview

End the Insomnia Struggle (2016) is a guide to getting a good night’s sleep. These blinks are full of practical advice on how to handle sleeplessness. They explain, among other things, how to track your sleep problems, understand the science of insomnia and apply a variety of strategies that’ll help you get the rest you need.

Who Should Listen to End the Insomnia Struggle?

  • Sleepless souls
  • Psychologists and physicians
  • Students of human cognition

About the Author: Colleen Ehrnstrom and Alisha L. Brosse

Colleen Ehrnstrom has a PhD in psychology, who currently works at the Department of Veterans’ Affairs in Denver, Colorado where she specializes in Acceptance and Commitment Therapy (ACT) as well as Cognitive Behavioral Therapy (CBT).

Alisha L. Brosse also holds a PhD in psychology and is a licensed clinical psychologist who likewise specializes in ACT and CBT. She serves as an associate director of the Robert D. Sutherland Center for the Evaluation and Treatment of Bipolar Disorder at the University of Colorado.

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