![]() ![]() Do you “dread the bed” or avoid going to bed because you know you’ll have difficulty sleeping?.Do you sleep better when away from your own bed or away from home?.Does worry about sleep make it even harder to sleep?.Do you worry about your sleep or how you’ll feel or perform the next day?.Does frustration about not sleeping just make it harder to sleep?.Do you feel sleepy at bedtime but then become more awake when you lie down and try to sleep?.Do you have trouble sleeping because your mind is too active?.Do you have trouble sleeping because of stress?.If you check 2 or more, CBT-I may help you sleep better. The questions below ask about common experiences of insomnia that can be addressed with CBT-I. CBT-I supports maintenance of satisfactory sleep during systematic tapered discontinuation of sleep medications. It is also beneficial for people using prescription or over-the-counter sleep medication for short or extended periods of time. Because of this, CBT-I is appropriate and is recommended in most cases of chronic insomnia, even when it occurs with other medical or mental health problems.ĬBT-I is beneficial in both older and younger adults. So, insomnia should be considered as occurring with, rather than caused by, other medical or mental health problems. Many of these factors, especially negative psychological conditioning and problematic sleep-related behaviors, occurs in most cases of chronic insomnia. CBT-I is designed to treat negative psychological conditioning, hyperarousal, problematic sleep schedules, lifestyle factors, stress, problematic coping responses, poor sleep hygiene, and problematic sleep-related thoughts and beliefs. The American College of Physicians recommends CBT-I as the first-line treatment for individuals whose insomnia is considered primary, secondary, or comorbid when clear psychological, cognitive, or behavioral factors are causing or worsening to the sleep problem. In addition, CBT-I is associated with enhanced depression and anxiety outcomes when delivered concurrent with medication or therapy for depression and anxiety. CBT-I is an effective treatment for insomnia that occurs with medical and mental health disorders. However, insomnia often persists despite targeted medication or psychotherapy treatment of mental health problems and requires independent targeted intervention. The American College of Physicians recognizes CBT-I as a first-line treatment for insomnia and, in many cases, is preferred over sleep medication.īetween 40% and 92% of all cases of insomnia occur in the context of mental health disorders. An added 20% of also have a significant insomnia complaint that does not meet the diagnostic criteria. ![]() ![]() Cognitive behavioral therapy for insomnia is recommended by the American College of Physicians, American Academy of Sleep Medicine, Department of Veteran’s Affairs, and Department of Defense for the treatment of chronic insomnia in adults.Ĭhronic insomnia is the most common sleep disorder, occurring in approximately 10% of adults. It is beneficial for treating insomnia that occurs alone (primary) or in association with other medical or mental health conditions (comorbid/secondary) such as anxiety, depression, chronic pain, menopause, heart failure, Parkinson’s disease, and other health conditions. Cognitive behavioral therapy for insomnia (CBT-I) is a set of evidence-based therapeutic strategies, used singly or in combination, for changing sleep-related thinking and behavior patterns known to cause or worsen insomnia. Insomnia is a disorder of getting to sleep, staying asleep, and or returning to sleep that leads to daytime symptoms and or problems functioning. ![]()
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