Table 1.

Mindfulness-Based Therapy for Insomnia: Themes and Key Activities by Session

Session	Theme	Key activities
1	Introduction and overview of program	Provide overview of the program and participant expectations; introduce the concept of mindfulness and model of insomnia; lead participants through first formal mindful practice
2	Stepping out of automatic pilot	Begin with formal meditation and inquiry; discuss relevance of meditation for insomnia; discuss instructions for sleep hygiene
3	Paying attention to sleepiness and wakefulness	Begin with formal meditation and inquiry; discuss sleepiness, fatigue, and wakefulness; provide instructions for sleep restriction
4	Working with sleeplessness at night	Begin with formal meditation and inquiry; discuss questions about sleep restriction and make adjustments to program; provide instructions for stimulus control
5	The territory of insomnia	Begin with formal meditation and inquiry; introduce the territory of insomnia (both daytime and nighttime symptoms) and discuss this model
6	Acceptance and letting go	Begin with formal meditation and inquiry; explain the relevance of acceptance and letting go for working with thoughts and feelings in the territory of insomnia
7	Sleeping with the enemy: Revisiting the relationship with sleep	Begin with formal meditation and inquiry; discuss participants’ relationship with sleep (reactions to good and bad nights); discuss informal meditations during everyday life
8	Eating, breathing, and sleeping mindfulness: Living the full catastrophe	Begin with formal meditation and inquiry; set up an action plan for future episodes of insomnia; discuss ways to continue mindfulness meditation beyond this program