Contents
Guide
ADVANCE PRAISE
Women face more than a few unique sleep challenges and Shelby Harris has provided a straightforward, comprehensive, and much-needed resource to explain whats going on and, more importantly, what to do about it. She expertly guides the reader through state-of-the-art treatment for insomnia using her clinical experience to illustrate how even the trickiest situations can be conquered.
Janet Krone Kennedy, Ph.D., author of The Good Sleeper: The Essential Guide to Sleep for Your Baby (and You) and founder of NYC Sleep Doctor
Dr. Harriss book is an important contribution to our understanding of the unique and often overlooked issues related to insomnia in women. A range of hormonal and lifestyle changes over the course of womens lives negatively affect their sleep patterns, and Shelby Harris provides useful, clear, and easily implementable strategies for combating insomnia at all stages of a womens life from her years of clinical experience. Essential reading for any woman trying to understand and overcome her sleep disorder.
Renee Monderer, M.D., Assistant Professor, Department of Neurology, Montefiore Medical Center
Most insomnia books do not address the unique biological alterations of sleep throughout a womans life even though insomnia disproportionately impacts women. In this extraordinary, one-of-a-kind book, Shelby Harris finally talks directly to women about this issue. She is, without a doubt, the best sleep psychologist, having helped countless women sleep wonderfully through the night. This book is unimaginably easy to read yet scientifically sound. It summarizes with ease a complex yet essential treatment modality for insomnia, i.e., Cognitive Behavioral Therapy. After reading it, women from any stage of life can conquer their insomnia once and for all!
Neomi Shah, M.D., MPH, M.S., Associate Professor of Medicine, Icahn School of Medicine at Mount Sinai, NY, ABIM Board Certified in Sleep Medicine
With clarity and compassion, Shelby Harris translates complex concepts and counterintuitive approaches into well-defined strategies that will restore sleep health and vitality. Harris offers comfort, support, and guidance to the paralyzing voice that fears the ability to sleep is lost. The Womens Guide to Overcoming Insomnia blends years of clinical experience, knowledge of sleep medicine, insightful application, and empathycreating a trusted companion to any woman in need.
Rebecca Q. Scott, Ph.D., Diplomate, American Board of Sleep Medicine, Research Assistant Professor of Neurology, NYU School of Medicine
This book is packed full of useful tips and information for every woman who wants to achieve more consolidated, deeper sleep on a regular basis. Whether you have chronic insomnia, an occasional bad nights sleep, or any sleep disruption in between, Shelby Harris will have you sleeping more soundly in no time. This book clearly details the gold standard treatment for insomnia, Cognitive Behavioral Therapy for Insomnia (CBT-I), in an approachable and entertaining way. You will learn to identify factors that trigger and maintain your insomnia, about sleep stealers that negatively impact sleep, and how hormonal cycles affect sleep. Dr. Harris will help you identify and better understand your sleep patterns and then, most importantly, improve them with scientifically-supported interventions. I will recommend this book to all of my patients.
Rene D. Zweig, Ph.D., Clinical Psychologist, Certified Cognitive Therapist, and Director of Union Square Cognitive Therapy
Easy to read, comprehensive, and full of useful information, this book gives helpful advice on practical lifestyle changes and sleep-specific techniques. Often used by sleep specialists, techniques such as sleep restriction therapy, stimulus control, cognitive therapy, and mindfulness can easily be performed by the patient. This is a book that every woman should read to understand good sleep practices, not only those with sleep difficulties.
Michael Thorpy, M.D., Director, Sleep-Wake Disorders Center, Montefiore Medical Center, and Professor of Neurology, Albert Einstein College of Medicine, New York, author of Encyclopedia of Sleep and Sleep Disorders
The Womens Guide to Overcoming Insomnia
Get a Good Nights Sleep Without Relying on Medication
SHELBY HARRIS, PSY.D.
THE WOMENS GUIDE TO OVERCOMING INSOMNIA is intended as a general information resource for readers. It is not a substitute for medical care and should not be used in lieu of treatment of any diagnosed condition or any symptom that may require the personal attention of a physician.
As of press time, the URLs displayed in this book link or refer to existing Internet sites. The publisher and the author are not responsible for any content that appears on third-party websites.
All cases described in this book are composite portraits, designed to illustrate patterns that typically appear in the experience of patients who struggle with insomnia. None of the individuals described represents an actual person, living or dead, and any apparent resemblance is purely coincidental.
Copyright 2019 by Shelby Harris
What if CBT-I Isnt Enough? copyright 2019 by Katherine Takayasu
All rights reserved
First Edition
For information about permission to reproduce selections from this book, write to Permissions, W. W. Norton & Company, Inc., 500 Fifth Avenue, New York, NY 10110
For information about special discounts for bulk purchases, please contact W. W. Norton Special Sales at specialsales@wwnorton.com or 800-233-4830
Book design by Vicki Fischman
Production manager: Katelyn MacKenzie
Library of Congress Cataloging-in-Publication Data
Names: Harris, Shelby, author.
Title: The womens guide to overcoming insomnia : get a good nights sleep without relying on medication / Shelby Harris.
Description: First edition. | New York : W. W. Norton & Company, [2019] | Includes bibliographical references and index.
Identifiers: LCCN 2018050857 | ISBN 9780393711615 (pbk.)
Subjects: LCSH: InsomniaAlternative treatmentPopular works. | WomenHealth and hygienePopular works. | Self-care, HealthPopular works.
Classification: LCC RC548 .H36 2019 | DDC 616.8/4982dc23
LC record available at https://lccn.loc.gov/2018050857
ISBN: 9780393711622 (ebk.)
W. W. Norton & Company, Inc., 500 Fifth Avenue, New York, N.Y. 10110
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W. W. Norton & Company Ltd., 15 Carlisle Street, London W1D 3BS
To my husband, J: You have been an amazing partner in this crazy journey, and I am eternally grateful to you for your love and support.
To my son, P, and daughter, R: Thank you for being the incredible and inspiring kids that you are. You have given me so much perspective as a therapist and shown me just what is possible in life, even during those tough sleep-deprived months of newborn-hood. Thank you for being awesome sleepers; without your beloved bedtimes and naps, Im not sure when this book would have gotten finished.
To my parents, M and C: Without your encouragement and love over these years, none of this would be possible.
To my former colleagues at Montefiore Medical Centers Sleep-Wake Disorder Center: I greatly value my longtime experience working with such wonderful sleep physicians and staff; your extensive sleep medicine knowledge base and open collaboration on challenging cases shaped me into the clinician I am today.