Dear Colleague

I was wondering if you had some news about the case of your patient suffering from insomnia? Did you have any news about her possible thyroid problem?
You also wrote: she also did tell me that her attempts at visualization / relaxation etc. do not seem to help. In my experience, one of the greatest problems in practicing CBT for insomnia is that patiënts have great expectations and were hoping for some miracle to happen. Therefore I found it very useful to ask them (and registrate) how many times they have done their homework. This kind of stuff needs some weeks before it brings some solution. And I learned that it is useful to tell the patient that they don't had to learn how to get to sleep, but that the aim is to get relaxed.