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Sleep, ADHD & fatigue

“ The weak can never forgive. Forgiveness is the attribute of the strong. ” - Mahatma Gandhi

This section contains handouts, questionnaires and information sheets about sleep, ADHD, and fatigue.  The sleep handouts are mostly based on Colin Espie's excellent self-help book "Overcoming insomnia and sleep problems" and the intention is that the handouts would be used in conjunction with this book - see the bottom of the page for more details.  

Sleep diary and instructions - a key component of Espie's CBT programme is the use of this weekly diary form to both assess the sleep problem initially and then monitor progress.

Sleep diary, measuring progress - this is a form that can be helpful when measuring overall progress using information from the sleep diaries.

Generalized anxiety disorder

“ Those who cannot remember the past are condemned to repeat it. ” - George Santayana

Generalized anxiety disorder (GAD)

Increasing access to psychological therapies (IAPT) outcomes toolkit

The genius of Tulku Urgyen was that he could point out the nature of mind with precision and matter-of-factness of teaching a person how to thread a needle and could get an ordinary meditator like me to recognize that consciousness is intrinsically free of self ... I came to Tulku Urgyen yearning for the experience of self-transcendence, and in a few minutes he showed me I had no self to transcend ... Tulku Urgyen simply handed me the ability to cut through the illusion of the self directly, even in ordinary states of consciousness.  This instruction was, without question, the most important thing I have ever been explicitly taught by another human being.  It has given me a way to escape the usual tides of psychological suffering - fear, anger, shame - in an instant.

- Sam Harris

The "Improving Access to Psychological Therapies" (IAPT) initiative is very ambitious and exciting.  It states its principal aim is to support English Primary Care Trusts in implementing "National Institute for Health and Clinical Excellence" (NICE) guidelines for people suffering from depression and anxiety disorders.  It comments "The Improving Access to Psychological Therapies (IAPT) programme began in 2008 and has transformed treatment of adult anxiety disorders and depression in England. Over 900,000 people now access IAPT services each year, and the 'five year forward view for mental health' committed to expanding services further, alongside improving quality."  

GAD and health anxiety

“ When you were born, everyone was smiling but you were crying. Live such a life that when you depart, everyone is weeping but you are smiling. ” - Sa'di of Shiraz

Here are a series of assessment questionnaires and handouts for Generalized Anxiety Disorder and Health Anxiety Disorder.  Note that the 2010 Increasing Access to Psychological Therapies "IAPT Data Handbook" recommends using the GAD-7 to monitor progress in Generalized Anxiety Disorder and the short 18-item version of the Health Anxiety Questionnaire to monitor Health Anxiety progress. 

GAD, 2 question screen - answering "yes" to either of the two screening questions on this sheet suggests it's worth checking for a diagnosis of full Generalized Anxiety Disorder (GAD) - for example by using the GADQ (see below).

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