What is Insomnia?
- Difficulty initiating sleep, maintaining sleep, or waking up too early with one or more of the following present at least 3 times a week for 3 months…
- Poor sleep occurs despite adequate opportunity
- Is associated with daytime impairment or distress
- Is associated with psychiatric and medical morbidity.
- Predicts suicide, the development of PTSD after trauma, depression, substance abuse, and anxiety disorders.
- Predicts poorer treatment outcomes and residual insomnia is associated with relapse.
CBT-I vs Hypnotic Medications
- Efficacy is equivalent to medications
- Longer lasting effects
- No drug side effects or drug to drug interactions
American College of Physicians Clinical Guidelines
- Insomnia is a major healthcare problem and should be a focus of treatment
- CBT-I should be the 1st treatment of choice for insomnia before pharmacotherapy.
CBT-I improves sleep and also anxiety, depression, inflammatory markers in those with cancer, and pain.