Non-Pharmacological Treatments for Insomnia in Chronic Traumatic Brain Injury

Exclusion Criteria

• •Sleep-Related
• •Excessive caffeine consumption (≥ 5 cups of coffee per day) and unable to reduce to ≤ 3 cups before lunch a day for ≥ 3 weeks prior to treatment.
• •Subjects working a rotating shift or an unconventional daytime shift (ending after 1700 h, expected to be rare in the age group we are studying) will be ineligible.
• •Neuropsychiatric
• •Current or lifetime history of a psychiatric disorder with primary psychotic features.
• •Current or lifetime bipolar disorder; prominent suicidal or homicidal ideation.
• •Current or within the past 30 days: drug abuse or dependence (except nicotine).
• •Current or expected cognitive behavior therapy for another condition (e.g. depression).
• •More than one glass of wine or beer with dinner scheduled at least 3 to 4 hours before bedtime. - Presence of any acute or unstable psychiatric condition(s) that requires referral for treatment.
• •Folstein Mini-Mental State Exam (MMSE) \< 24.
• •Medical
• •\- Acute or unstable chronic illness: including but not limited to: uncontrolled thyroid disease, kidney, prostate or bladder conditions causing excessively frequent urination (\> 3 times per night); medically unstable congestive heart failure, angina, other severe cardiac illness as defined by treatment regimen changes in the prior 3 months; stroke with serious sequelae; cancer if \< 1 year since end of treatment; asthma, emphysema, or other severe respiratory diseases uncontrolled with medications; and neurological disorders such as Alzheimer's disease, Parkinson's disease and unstable epilepsy as defined by treatment regimen changes in the prior 3 months. Unstable adult onset diabetes will be excluded.