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Sleep difficulties are very common in patients with mental health difficulties.  Whilst traditionally viewed as a consequence of psychiatric symptoms, recent research has shown that they play a contributory causal role in a range of mental health disorders (Freeman et al., 2017).  As such DSM-5 (2013) recommends that sleep disorders should be assessed and treated irrespective of physical or psychiatric comorbidities.  Clinical treatment guidelines recommend cognitive behavioural therapy (CBT) for the treatment of insomnia (NICE guidelines, 2015) and nightmare disorder (Aurora et al., 2010).  In this presentation key CBT treatment techniques will be shared and adaptations outlined to optimise outcomes for those with comorbid psychiatric symptoms.  Trial results will be shared outlining the effect of CBT for the treatment of insomnia and nightmares, as well as the knock on effects on psychiatric symptoms.  This will draw on learnings from a recent series of randomised controlled trials run by Prof Freeman’s Oxford Cognitive Approaches to Psychosis research group, here at the University of Oxford (OASIS, Freeman et al., 2017; OWLS, Sheaves et al., 2018; NIteS, Sheaves et al., in prep, and BeST, Freeman et al., 2015