A formulation based on Spielman's 3P model — mapping predisposing, precipitating, and perpetuating factors that maintain insomnia.
Insomnia Formulation (Spielman 3P Model)
PreviewPredisposing Factors
What makes you vulnerable to sleep problems?
Not answered
Precipitating Factors
What originally triggered the insomnia?
Not answered
Perpetuating Factors
What behaviours are keeping it going?
Not answered
What thoughts or beliefs about sleep are maintaining it?
Not answered
What creates arousal at bedtime?
Not answered
The Insomnia Maintenance Cycle
Poor Sleep
Not answered
Daytime Effects
Not answered
Compensatory Strategies
Not answered
Beliefs & Worry About Sleep
Not answered
Protective Factors & Strengths
What resources, strengths, and supports might help in recovery?
Protective factors
Not answered
Strengths & resources
Not answered
This is a read-only preview. Sign up to assign it and let clients complete it on any device.
The standard CBT-I sleep diary — record bed times, sleep times, wake times, and daytime functioning to track patterns and calculate sleep efficiency.
Calculate and track sleep efficiency (time asleep ÷ time in bed × 100) — the key metric for CBT-I sleep restriction therapy.
Sign up free and send your client a link. They complete it on any device — you review their responses before the next session.
No credit card required. 10 free worksheets every month.