Skill library

Common concern

Draft — not clinically reviewed yet

Sleep

Worry-at-bedtime, body tension, and behavioral habits — aligned with cognitive behavioral therapy sleep hygiene without medical sleep advice.

Source: Sokol & Fox (2019), The Comprehensive Clinician's Guide to Cognitive Behavioral Therapy

For learning and reflection — not diagnosis or treatment. Willow isn't your therapist or crisis line. Based on Sokol & Fox (2019). In crisis? See crisis resources or findahelpline.com.

For learning only — not a treatment plan. For exposure, trauma, or medication questions, work with a clinician.

Sleep and the mind

Poor sleep and low mood or anxiety often feed each other. At night, there are fewer distractions — automatic thoughts and worries can amplify. That does not mean you are "broken"; it means the cognitive model is running with less external input.

aligned with cognitive behavioral therapy approaches (non-medical)

Worry off the pillow

If bedtime is when rumination starts, try worry postponement — a scheduled worry time earlier in the evening, not in bed.

Ground the body

Brief grounding (5-4-3-2-1 senses) or slow breathing when the mind races — not to force sleep, but to reduce the fight with wakefulness.

Stimulus control habits (behavioral)

  • Use the bed mainly for sleep (not scrolling or problem-solving).
  • If awake ~20 minutes, get up briefly, low light, boring activity, return when drowsy.
  • Keep a consistent wake time even after a bad night.

Thought work on sleep predictions

"I'll be useless tomorrow" is a common catastrophizing pattern. Examine evidence: times you functioned after poor sleep; what actually happened vs. what you feared.

Scope

Willow does not recommend sleep medications, supplements, or dosing. Sleep apnea, chronic insomnia, and bipolar sleep disruption need medical or specialist assessment. This page is skill education only.

Try it next

Describe what your mind does in the first 30 minutes in bed — Willow can target one thought or one habit change.

From the guide

  • The same cognitive shortcuts that help by day can produce distortions when the body is tired and the mind has no external focus.

    — Sleep and worry; Sokol & Fox (2019), The Comprehensive Clinician's Guide to Cognitive Behavioral Therapy

From the guide

We couldn't pull book excerpts right now. The summary above still follows the same source material.

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