Editing Sleep paralysis (section)

=== Cognitive-behavior therapy ===
Some of the earliest work in treating sleep paralysis was done using a [[Cognitive behavioral therapy|cognitive-behavior therapy]] called CA-CBT. The work focuses on psycho-education and modifying catastrophic cognitions about the sleep paralysis attack.<ref>{{cite journal|last1=Hinton|first1=Devon E.|last2=Pich|first2=Vuth|last3=Chhean|first3=Dara|last4=Pollack|first4=Mark H.|last5=McNally|first5=Richard J.|date=2005|title=Sleep paralysis among Cambodian refugees: association with PTSD diagnosis and severity|journal=Depression and Anxiety|volume=22|issue=2|pages=47–51|doi=10.1002/da.20084|issn=1091-4269|pmid=16094659|s2cid=36056163|doi-access=}}</ref><ref>{{cite journal|last1=Hinton|first1=Devon E.|last2=Pich|first2=Vuth|last3=Chhean|first3=Dara|last4=Pollack|first4=Mark H.|date=2005-03-01|title='The ghost pushes you down': sleep paralysis-type panic attacks in a Khmer refugee population|url=https://www.ncbi.nlm.nih.gov/pubmed?Db=pubmed&Cmd=ShowDetailView&TermToSearch=15881268|journal=Transcultural Psychiatry|volume=42|issue=1|pages=46–77|doi=10.1177/1363461505050710|issn=1363-4615|pmid=15881268|s2cid=35609685|url-status=live|archive-url=https://web.archive.org/web/20170708211341/https://www.ncbi.nlm.nih.gov/pubmed?db=PubMed|archive-date=2017-07-08}}</ref> This approach has previously been used to treat sleep paralysis in Egypt, although clinical trials are lacking.<ref>{{cite journal|last1=Jalal|first1=Baland|last2=Samir|first2=Sherine W.|last3=Hinton|first3=Devon E.|date=2017-02-01|title=Adaptation of CBT for Traumatized Egyptians: Examples from Culturally Adapted CBT (CA-CBT)|journal=Cognitive and Behavioral Practice|volume=24|issue=1|pages=58–71|doi=10.1016/j.cbpra.2016.03.001}}</ref>

The first published psychosocial treatment for recurrent isolated sleep paralysis was cognitive-behavior therapy - isolated sleep paralysis (CBT-ISP).<ref name=":7" /> It begins with self-monitoring of symptoms, cognitive restructuring of maladaptive thoughts relevant to ISP (e.g., "the paralysis will be permanent"), and psychoeducation about the nature of sleep paralysis. Prevention techniques include ISP-specific sleep hygiene and the preparatory use of various relaxation techniques (e.g. diaphragmatic breathing, mindfulness, progressive muscle relaxation, meditation). Episode disruption techniques<ref name=":5">{{cite journal|last1=Sharpless|first1=Brian Andrew|last2=Grom|first2=Jessica Lynn|date=2016-03-03|title=Isolated Sleep Paralysis: Fear, Prevention, and Disruption|journal=Behavioral Sleep Medicine|volume=14|issue=2|pages=134–139|doi=10.1080/15402002.2014.963583|issn=1540-2002|pmid=25315810|s2cid=38450571}}</ref> are first practiced in session and then applied during actual attacks. No controlled trial of CBT-ISP has yet been conducted to prove its effectiveness.