Cognitive Behavioral Therapy for Insomnia

Published 2016-05-03
Cognitive behavioral therapy for insomnia (CBT-I) should be the first-line treatment for adults with chronic insomnia, ACP recommends in a new evidence-based clinical practice guideline published in Annals of Internal Medicine. CBT-I combines cognitive therapy around sleep with a variety of behavioral therapies: bit.ly/1N0a1cr

All Comments (9)
  • Since 1989 I have suffered from insomnia anxiety and depression, and chronic pain .Unfortunately, I remember experiencing all of these issues, since I was 3 years young. Having an abusive father combined with the proclivity for being accident prone, which I feel go hand in hand and predisposes to Toxic shame. I believe that once one develops Toxic shame ( the ignition switch) has been implanted in the limbic system of the brain, at which point the mechanism simply requires a source of trauma to ignite. In fact, by this time the brain is addicted to the cycle, which literally cannot breathe without one of the single components. Thus, the , once, natural mechanism of fight and flight is like that of a stuck gas pedal, and can only be shut off without the oxygen required for combustion. Hence, drugs designed to literally slow down the respiratory system; such as opiates and benzodiazepines provide the most effective temporary relief. Ie; as soon as they wear off the monster awakens , and eventually requires a higher dose to get the same result. If you look at the entirety of symptoms as a wheel , then the pedals to move the wheel are pushed by the elements of life. The elements are unavoidable As Life is to Living. Because the subconscious mind holds on to every positive and negative experience. The ability to fall asleep un disturbed; like a baby is incomprehensible to the mind of an even an infant, when the nervous system becomes impaired- for instance; I can remember electrocution in my baby’s crib. No one had to explain to me that I was being jolted and burned. I can still feel the shock today and I can vividly describe my surroundings, the darkness bombarded by the flashes of intense gold, silver, blue bursts , along with the smell of flesh and what little hair I had burning. So, am I afraid of electricity, lightning and fire; absolutely. I could go on and on about the myriad of injuries I have suffered from that moment on and to this day. However, I would describe them as the salt on the wounds, which have never gone away. And I believe that I became cognitively impaired along the long and winding road. And I have made many attempts to therapeutically sooth the monster, which continues to attack me and deprive me of a good night’s sleep. Currently, it is 4:05Am and I have been cycling with insomnia, possibly getting 2-3 hours of nightmares with eyes wide shut,,, “Stanley Kubrick “… yet, I have not even described the physical and emotional abuse at the hands of my father or the Catholic nun kindergarten Teacher,,, I cannot count my transgressors,,, did they make me a victim or a survivor. No! In fact, I became many’s monster, a drug addict and a laboratory rat for umpteen health care professionals. I even became a certified hypnotherapist. Lol. I have to get to work in 2hrs , so I hope that I have shed some light on this dark topic. Oh and without sounding like Donald J Trump, too. # I am a Christian. Salvation is my saving grace,,, God Willing. Good Morning…to you. I hope all of your pain is not in vain. If you have the fortune of experiencing any level of success from your struggle and your search for, at the very least, brings you peace and improved health,,, Then I believe that you are most fortunate. And I am happy for you. Have a nice day and a pleasant sleep.
  • I suggest you try meditation or just relaxing music. This is a simple way to reduce insomnia and stress. Meditation provides a soothing of the mind and helps to connect with yourself. For my part, I listen to it every night and it soothes me enormously. Since that time, I sleep better and my sleep is restorative.
  • @ORLYNN
    But where do we get it? None of the doctors do it.
  • @anned8634
    Is it worth the money trying CBT for sarcoidosis associated insomnia with sleep apnea and sarcoidosis associated small fiber polyneuropathy. 'I have not got more then 2 hour sleep a night since Apr 2002 and sometimes i go without sleep for up to 3 days at a time. I tried CBT for fibromyalgia before I found I did not have fibro but really had sarcoidosis associated small fiber polyneuropathy and for fibro CBT did nothing. I have talked to many people with fibromyalgia and yet to find one it worked for and most that tried just quit going to CBT treatments after about 15 to 20 sessions and found CBT useless but that the doctor never checked up on why they quit and many doctors believe because they stopped coming to treatment that they were helped not that it did not work.
  • @ORLYNN
    I’m an ex addict, I have restless leg syndrome and depressions. I take sleeping pills every night I take 1 but they are not for long term use….still seems to work along with sleep hygiene.
  • @sandywhat2429
    Who is this genius? Cognitive Behaviour Therapy is 'likely less harmful to patients'?? How the heck could CBT harm a patient???
  • @liusjazzy202
    My success stories started with Dr Isibor Herbal supplement and cleanser that cured me completely from insomnia ....