Dr. Nora Heins, Licensed Psychologist

CA PSY 26149, OR 3118

CBT-I Self-Help Course: Day 4

Day 4 Lesson: Thoughts → Feelings → Behaviors → Thoughts

Yesterday, you learned that we want your bed to be associated only with sleep, and that the behavior of worrying in bed makes it more difficult to fall asleep. We identified that we can change that behavior by getting out of bed to worry. Today, we’re going to talk about knocking out worry right where it lives: in the mind-body. Worries make us feel tense and keyed up. Those sensations also make us worry more.

There are two ways we can calm our bodies down:

Today, we’ll use a top-down technique of exploring your beliefs about sleep and how those thoughts impact your experiences. Sometime the nature and content of our thoughts can actually leave us feeling more stressed out than the situation actually calls for. When we examine how and what we’re thinking, we can help ourselves ultimately feel better and less worried.

Let’s start with an example:

Imagine you’ve gotten everyone to bed, and it’s finally your turn to rest. You climb into bed and close your eyes, but suddenly feel totally and completely awake.

What thoughts might immediately pop into your head?

These thoughts are your brain’s interpretations of the situation.

Now, what feelings follow those thoughts?

Finally, how might you behave when you have these thoughts and feelings together?

Okay, now pause for a second. We can see how the initial interpretation of the situation leads us down a path that is honestly not at all relaxing! So let’s try again, starting with more balanced alternate interpretations:

Those thoughts lead to feelings of:

Together, the thoughts and feelings result in these behaviors:

See the difference?

Although the original situation remains the same (lying in bed, not falling asleep), the outcome is much easier to deal with when we find balanced thoughts and introduce them as possibilities.

Day 4 Activity: Wiping Out Worry

Time to try this top-down technique yourself.

Download and complete the Wiping Out Worry worksheet (PDF) to challenge those thoughts that don’t serve you.

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