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Quiet Your Mind and Get to Sleep: Solutions to Insomnia for Those with Depression, Anxiety, or Chronic Pain

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A busy and hectic life can profoundly affect your ability to get a good night's rest. And it's even more difficult to feel relaxed when you stay awake worrying that you won't fall asleep. This vicious circle can quickly rob you of your quality of life, which is why it is so important to seek the most effective treatment for your insomnia.

This workbook uses cognitive behavior therapy, which has been shown to work as well as sleep medications and produce longer-lasting effects. Research shows that it also works well for those whose insomnia is experienced in the context of anxiety, depression, and chronic pain. The complete program in Quiet Your Mind and Get to Sleep goes to the root of your insomnia and offers the same techniques used by experienced sleep specialists.

You'll learn how to optimize your sleep pattern using methods to calm your mind and help you identify sleep-thieving behaviors that contribute to insomnia. Don't go without rest any longer-get started on this program and end your struggles with sleep.

[This book] will no doubt help millions… as it clearly explains not only what to do, but also why.
-William C. Dement, MD, Ph.D., author of The Promise of Sleep

192 pages, Paperback

First published April 1, 2007

102 people are currently reading
794 people want to read

About the author

Colleen E. Carney

12 books7 followers

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Displaying 1 - 30 of 43 reviews
Profile Image for Laura.
146 reviews10 followers
October 16, 2016
I haven't been sleeping well lately, so I checked this out of my local library. It was a really insightful read.

The main piece of advice I'm taking away from the book is to go to bed every night and wake up every morning at the same time. This trains your body that those are the times to sleep and wake, respectively. It may seem innocuous to sleep in on weekends, but that's literally the equivalent of artificially inducing several hours of jet lag on yourself.

Only give yourself as much time in bed as you are currently able to sleep. For example, if you find that you're only getting 6 solid hours of sleep each night, go to sleep at midnight and set your alarm for 6 AM. Lying in bed longer rarely induces more sleep. All it does is reinforce a subconscious connection between lying in bed while awake (bad idea), and make you sleep less the next day. "After being awake for a longer than normal period, you typically sleep longer and more deeply than usual." Essentially, forcing yourself to wake up at 6 AM is a great way to make yourself really, really tired by 11 PM. Additionally, "sleeping in" is usually pretty useless from a sleep quality point of view. Dozing in bed for several hours after you first wake up doesn't have any impact on how well-rested you feel when you finally do get up. All you're doing is reducing how sleepy you will feel when you do go to bed later that night.

On the flip side, going to bed early also sabatoges your ability to get a good night's sleep. You might think you're giving yourself more opportunity to sleep, but if your regular bedtime is 11 PM, and you try to fall asleep at 9 PM, your body is not going to cooperate. It thinks of sleep at 9 PM like a nap. You'll wake up at 10 PM nice and rested, and it will be even harder to fall back asleep even by your usual 11 PM bedtime.

As your quality of sleep improves, you can move your bedtime back by small increments until you are hopefully able to achieve a full night's sleep. (Keeping in mind that it may not be 8 hours! And it may not be the same amount of sleep as you used to get when you were younger, or what you will get when you are older.) If, for example, you need to get up two hours earlier than usual for whatever reason, going to bed early may actually be a bad idea. You're likely to have poor quality sleep in that case, whereas if you went to bed at your normal time and just shortened your sleep by two hours, you'd probably be fine. I know I've had some absolutely terrible seemingly sleepless nights, and then felt completely fine the next day. Not being able to sleep as much or as well as you want is often more frustrating than it is actually harmful.

Here's a fun fact: In a typical night's sleep, you will wake up 12 times for a total of 30 minutes of time awake. (Sleep is fucking weird.)

I've been struggling lately because I often wake up about an hour after initially falling asleep. The more frequently this happens, the more upset I become. I get angry, sad, frustrated, and just lay around moping about the fact that I'm awake.

The problem is, the more frustrated you are about your lack of sleep, the more weight you put on these awakenings. You are more likely to remember them as evidence that you are sleeping poorly, which makes you toss and turn even more as you wallow in your frustration of not sleeping. Or you may wake up as normal in the course of the night and really work yourself into a upset state because of it- waking yourself up even further. If you had just recognized the incident as a normal part of the sleep process and relaxed, you'd have been likely to just fall back asleep. You probably wouldn't even remember it in the morning.

I've been trying these suggestions about setting a rigid schedule and developing my body clock's rhythym and it has definitely helped. Yes, that means I have been setting an alarm for 6 AM on the weekends and actually getting out of bed. I've always found it extremely difficult to just hop out of bed the minute my alarm sounds, but since reading the evidence that all the snoozing is not making me feel well rested, I decided to give it a try. I still struggle, but more or less I've been able to get up without hitting snooze. I find that I am absolutely miserable for about 3 minutes, and then I feel fine. In fact, it's kind of awesome to find yourself awake early on a weekend with the whole day ahead of you and all to yourself. I've been doing a lot of baking!

There's a lot of useful advice and encouragement in this book, but if I had to boil it down to one sentence, it would be: The less you are sleeping, the less time you should spend in bed. Perfectly counterintuitive, but it's backed up with logic and has actually worked for me.
Profile Image for Bree Longfield.
69 reviews
December 10, 2021
With a recent bout of acute insomnia, I read this book. Overall, I found it enlightening and have noticed a mental shift in how I view my sleep. It is a workbook with various exercises, some more helpful than others. Some of my key takeaways include not engaging in “safety behaviors” (skipping/cutting back on things after a bad night sleep) because it trains your brain to think you can’t survive without perfect sleep. Also, I was surprised to find that going to bed early after a bad night is counterproductive because your body clock won’t be ready for sleep yet. Additionally, 8 hours is an arbitrary number and it’s best to work within a time window that’s realistic for you at that time (trimming back your time in bed - if you can’t sleep for 8, why would you get in bed early to be there for 10hrs?). I give this four stars because it has really opened my eyes to seeing sleep differently. Has it solved my insomnia? No. Has it made an improvement to my relationship with sleep? Yes. I recommend this book for those that may be struggling with insomnia, but recognize that it won’t be the only resource you need to overcome what you’re going through.
Profile Image for Christine.
127 reviews2 followers
June 18, 2010
I'm not sure what I was expecting but this book brought nothing new to the table that anyone with sleep problems hasn't known for years. Not a bad book, just not overly helpful.
Profile Image for Jackie.
324 reviews
December 24, 2018
extremely helpful and easy to follow even when you are sleep deprived (and that's important)
Profile Image for Becca Calish.
33 reviews
July 7, 2025
tbh might start reading self help books. this book was super insightful 😛
Profile Image for J.
816 reviews
March 14, 2026
CBT is evidence-based and has strong scientific support. But there is a very significant problem that many proponents fall into, and this book completely presents. I'll give just one example (though there are many) to illustrate this:

"...although this process may result in some initial sleep deprivation, it will eventually help you resolve the insomnia" [emphasis added]


The problem is the word "will." Over and over, it describes strategies that "will" work. But take a look at the CBTI research: you will find that the positive effects are by no means universal nor universally significant. Several years ago, I did a deep dive into the research and found that studies mostly presented modest benefits. In one case, 6 months of restricted sleep windows and getting out of bed in the middle of the night every time the participants were awake for more than a couple of minutes resulted in a decrease of sleep onset by a whopping 11 minutes on average. While 11 minutes more sleep is a positive improvement, it does not absolutely "help you resolve the insomnia" as the book describes, especially when the restricted sleep window means that the 11 extra minutes of sleep at onset are completely nullified by the reduction in total sleep time created by the reduced window. When participants follow these specific guidelines for 6 months (along with all the other aspects of good sleep hygiene), you can't say this process "will eventually help you resolve the insomnia."

I suffered from insomnia for many years, extremely exacerbated by my chronic pain and migraines. I did the strategy of getting out of bed instead of lying awake for half a year, and my insomnia was worse than ever. I started getting migraines that lasted for weeks instead of hours or days. After working with a psychologist and explaining how I had tried the strategies for a long time with the result of worsening the pain, her response was that I should continue with the practices that had worsened the insomnia. She wrote of me "the repeated pairing of his bed with poor sleep has conditioned his bed to be associated with wakefulness and frustration, as opposed to a place of rest, and that this conditioning process continues to disrupt his sleep to a degree." You know what helped my insomnia more than anything else? Medication. You know what was extremely difficult to get because of what the psychologist wrote in my medical file? Medication.

I am certain that the restricted sleep window and breaking a Pavlovian conditioning can help for some people, but presenting it as if it "will eventually help you resolve the insomnia" in all cases is harmful. The author of this book seems to think that a bit of extra tiredness in the short term is the only negative consequence of trying these methods. I wish there was a machine that enabled one to feel the literal pain of others and that I could share what a multi-week migraine feels like with the authors of this book so I could ask them if they thought that doggedly sticking to a method that wasn't helping for the hope of a long-term benefit that never came was worth enduring the relentless and excruciating pain brought on by decreasing sleep even more.

One of the key tenets of CBTI is a fixation on classical conditioning that goes beyond what the evidence supports. I do not deny that people can learn to associate a bed with feelings of frustration or wakefulness. The underlying principle is not nonsensical, but the dogmatic assumption that this is the explanation and not just an explanation is where things go wrong. There is a specific point that has always bothered me about this assumption and this book repeats it. The idea is that when people do arousing (ie. wakeful) activities in bed—such as scrolling through social media—we associate the bed with wakefulness and that association makes people fell more wakeful when they get into bed. So there's a long list of wakeful activities that one should avoid doing while in bed, except for sex. CBTI practitioners say to not use the bed for anything other than sleeping, except for sex. This book states:

"Wakeful activities are things that you do in bed while you’re awake, either during the day or at night, other than sex" [italicization added]


I cannot think of many activities one can do in bed that are more arousing (in both senses) than having sex. If the Pavlovian conditioning is such a key part of chronic insomnia that lying awake in bed for more than 15 minutes before falling asleep is to be avoided at all costs, why is the very wakeful activity of sex excepted? It reminds me of the anti-abortion arguments that say the life of an unborn embryo is more important than the life of the mother, but when faced with the prospect of providing free baby formula for poor mothers, the same proponents balk. You cannot care about the life of every child when you are willing to let them die of starvation instead of having billionaires pay taxes. Just as many anti-choice advocates falsely claim to protect the sanctity of life while conveniently ignoring the needs of living children, CBTI proponents claim to rigorously condition the bed as a sleep-only zone while conveniently exempting sex from the rule—revealing that their Pavlovian logic is more dogma than science.

Another issue with this book is that it always takes the rosiest possible view of hypothetical problems with the strategies it employs. For example, it describes this:

"[a person with insomnia wants] to stay in bed because it’s cozy or because you’re afraid of disturbing your bed partner’s sleep. Remembering the rationale for leaving the bed will help, and discussing it with your bed partner might also help. You might discover that your bed partner doesn’t mind being awakened because falling back to sleep is easy for him or her. You might realize that your bed partner is more concerned about your suffering than about being briefly awakened when you leave or return to the bed."


What if the partner is in fact annoyed at the insomniac getting into and out of bed? The book says "You might discover that your bed partner doesn’t mind being awakened" but does not even consider the possibility that they may, in fact, mind very much. It gives no advice or strategies if a parter is not thrilled, it just blithely moves on to other points as if the possibility of this obstacle isn't worth considering. The whole book is like this. It presents positive reactions and results and gives nothing for people who don't experience those reactions or results.

Yet another problem is that the authors repeatedly assume that everyone has a bedroom. For the majority of my adult life, I've lived in studio apartments. I could not "leave the room" or "walk down the hall" unless I left my apartment entirely: the brightly-lit hallways of the buildings don't comport with avoiding light at night repeatedly espoused in the book. Not everyone is rich enough to live in a house, but the authors are already ignoring many factors, so why not ignore this one as well? Strategies that only work for the wealthy are neither univeral nor fair.

Finally, the audiobook version read out all the tables and worksheets. It was hellishly boring, and there were so many of them. It was about an hour's worth of the 6.75-hour audiobook.


Nate Tricowi (only for "sanctity of life" to "more dogma than science")
Profile Image for Pete.
1,120 reviews79 followers
March 30, 2018
Quiet Your Mind and Get to Sleep:  Solutions to Insomnia for Those with Depression, Anxiety or Chronic Pain by (2009) by Coleen Carney and Rachel Manber is a solid book that provides a workbook style approach to getting better sleep. 

I had some trouble getting to sleep for a few weeks and the book has helped with suggestions and also a score about whether you really have insomnia or not. I don't. This in itself was quite helpful. The book unfortunately doesn't include anything on sleep tracking fitness watches that are now used by many people to help them track their own sleep. The part of the book on what to do when you wake up and can't get back to sleep was a little disappointing. But perhaps fundamentally because there are no great fixes for this. There are some good suggestions about it though. 

There are no miracle cures in the book but it is full of systematic and useful suggestions about what to do to get better sleep. Worth a read for anyone having problems sleeping. 
Profile Image for Mary.
408 reviews17 followers
Read
November 25, 2023
Still reading it, a bit at a time, but: IT'S WORKING! For the first time in over 2 years, last night was the 2nd time in a week when I slept all night with only melatonin as a crutch!! No 4AM benadryl or valerian or CBD: just plain old unmedicated sleep. YES!
Profile Image for Anne.
654 reviews7 followers
February 5, 2011
It was more like a workbook. Didn't really tell me anything I didn't already know. Just went into "greater" depth. If you consider 156 pages of mostly workbook to be "in depth."
Profile Image for January.
2,993 reviews130 followers
Did not finish
September 11, 2023
Quiet Your Mind and Get to Sleep: Solutions to Insomnia for Those with Depression, Anxiety Or Chronic Pain by Colleen E. Carney and Rachel Manber, Forward by Richard R. Bootzin, Ph.D.
200-page Libby Ebook

Genre: Self-Help, Mental Health, Psychology, Sleep Disturbances

Featuring: Publisher's Note, Insomnia, Quiz, Sleep Log, Graphics, Owl or Lark, Depression, Anxiety, Chronic Pain, Appendix, Resources, Books CONTENTS:
The Scope of the Insomnia Problem
Learning About Your Sleep
Understanding Insomnia and Your Sleep System
Sleep-incompatible Behaviors: Tools for Change
Optimizing Your Sleep System by Changing Your Habits
Quieting Your Mind: Tools for Change
When Thinking About Sleep Gets in the Way of Sleep
Issues With Substances and Medications
When Things Get in the Way of Treatment

Rating as a movie: PG

Quotes: "As is made clear in the workbook, people with sleep disturbances often have unrealistic expectations about sleep and exaggerated concerns about the effects of even a single night of poor sleep."

"Our approach doesn't require that you stop whatever therapy you're currently receiving."

My rating: DNF on page 54

My thoughts: 🔖Page 17 of 200 Ch. 1 The Scope of the Insomnia Problem - This is boring, putting me to sleep. 😴 It works!
🔖54 six pages into Ch. 3 Understanding Insomnia and Your Sleep System - This book reads like a textbook and since I have determined I don't have insomnia I'm not sure it's worth continuing, but on the other hand, I don't have anything else to read, well I do but I'll have to look for it.

Why I quit: This book started to feel like a chore and was becoming burdensome to read. It was not going to be beneficial enough for me to continue. I was bored out of my mind. I could read 10 books and in time it would take me to finish these 200 pages, so I'm moving on.

Recommend to others: Sure. If you have these issues the information is there.
Profile Image for Remy.
235 reviews16 followers
July 5, 2025
A few helpful tidbits here and there, some things I've heard many times already, and some pieces of advice I simply disagree with. The idea of getting up or leaving the bedroom when unable to sleep is just something I'm not gonna do, because IMO I find it better to lie there and rest my eyes and fall into a semi wakeful state, then being fully awake. This book also doesn't account for shift workers who CANNOT maintain a predictable schedule. While no doubt this book has helped some people, I got little out of it l.
Profile Image for Marie.
1,824 reviews16 followers
September 2, 2023
Have a few strategies to try when I wake up in the middle of the night and can't get back to sleep:

Get out of bed and leave the bedroom after 20 minutes of not being able to fall back asleep

Find something to do that is pleasant and calming but not too interesting, like wring in a notepad. (This will be a challenge)

Repeat the word THE a million times.

Build a castle room by room in my mind.
Profile Image for Marie G.
51 reviews
April 30, 2025
It’s always nice to read a self help book but didn’t teach me much new. Basically don’t have stigma around sleep, only go to bed when tired, create a good sleep hygiene routine.
This has a lot of exercises and info to help you pinpoint what is making you not sleep and how to fix it.
Quick and easy read, some good tips but nothing mind blowing.
Profile Image for Ruth.
256 reviews
February 13, 2023
This book was written for people with insomnia because of "depression, anxiety, or chronic pain," which, thankfully, I don't have. So I'm not its intended audience. But I did pick up some good direction for improving my sleep. Cognitive Behavior Therapy for Insomnia.
Profile Image for Lisa.
142 reviews2 followers
July 16, 2018
This is the first book on sleep advice that I have read, and I really enjoyed it - lots of insightful tips and strategies to help with sleep!
Profile Image for K Hue.
162 reviews4 followers
June 1, 2018
Good solid CBT-I information...
Profile Image for Lauren.
158 reviews
September 10, 2021
It’s a very dry book. Some of the things discussed were new and others I’ve heard before. We’ll see how it goes. Some of the worksheets are great, but others just seem like a waste of paper.
Profile Image for Elizabeth.
408 reviews25 followers
March 5, 2024
Very helpful tips and the science/ thought process behind them.
14 reviews1 follower
January 2, 2025
Helpful and well written! Non-alarmist for people with sleep problems that may worsen anxiety. Recommend!
Profile Image for Mskychick.
2,406 reviews
Want to read
June 25, 2025
Recommended on:
Overcoming insomnia: improving sleep hygiene and treating disordered sleep with cognitive behavioral therapy for insomnia | Ashley Mason, Ph.D.
The Peter Attia Drive
15 reviews2 followers
June 28, 2025
I've been trying to improve my sleep for years and have made slow progress. I was surprised that this book held some new things to try...or at least said them in a way that I was willing to try them!
Profile Image for Lizzy.
37 reviews3 followers
August 25, 2025
On my journey into self help books 😂 honestly a really nice validating read
368 reviews1 follower
February 18, 2026
Recommended by my doctor. Had some good ideas that I'm trying to implement. Woke up at 3:30 this morning so apparently these things take time.
Profile Image for Christa Van.
1,752 reviews3 followers
March 3, 2026
Very helpful tips and tools for anyone having problems sleeping. Explanations are easy to understand and examples are very helpful.
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