Drifting Toward Rest: A CBT-i and Compassion-Focused Therapy Session for Chronic Insomnia

Dr. Sienna Carver supports Michelle, a 48-year-old woman from Cambridge, MA, as she confronts chronic insomnia, emotional exhaustion, and self-judgment. Using a blend of Cognitive Behavioral Therapy for Insomnia (CBT-I), cognitive shuffling, and compassionate reframing, the session delves into Michelle’s fear of losing control and hypervigilant mind. With deep validation and structured techniques, Dr. Carver guides Michelle toward rediscovering agency, soothing self-talk, and a path back to restorative sleep. This emotionally rich session highlights the importance of merging evidence-based tools with attuned human connection in healing complex sleep disorders.

  • Member: Michelle Warren, 48-year-old female, residing in Cambridge, MA

  • Therapist: Dr. Sienna Carver, Ph.D., Clinical Psychologist (CBT-I Certified)

Key Takeaways

  • Cognitive shuffling mimics natural sleep onset to distract the anxious mind
  • CBT-I helps challenge core beliefs like “I am broken” and replace them with balanced thoughts
  • Sleep struggles often stem from protective mechanisms, not personal failure
  • A compassionate therapeutic alliance fosters resilience and hope
  • Healing sleep involves both behavioral habits and emotional safety

Focus Areas

  • Sleep & Fatigue Management
  • Mental Health & Emotional Well-being
  • Cognitive Distortions & Negative Thinking
  • Emotional Regulation
  • Resilience & Coping Skills
  • Mindfulness & Present Awareness