questions about cognitive behavioral therapy for insomnia

What is Cognitive Behavioral Therapy for Insomnia (CBTI)?

CBTI stands for Cognitive Behavioral Therapy for Insomnia. Many people experience difficulty falling asleep or staying asleep throughout the night. This specialized treatment is designed to help people that struggle with insomnia alleviate their symptoms and gain a better night’s sleep.   CBTI is  treatment specific to behavioral sleep medicine that takes an in-depth look at your sleep patterns and behaviors to identify proven things you can do to sleep better.

Who is a good candidate for CBTI?

Anyone that has been diagnosed with chronic insomnia or has a history of sleep difficulty for at least three nights a week and their symptoms are present for at least three months as outlined by the DSM 5 is a good candidate for CBTI.

I have seen Cognitive Behavioral Therapy for Insomnia advertised online. How is what you offer different?

There are different online software programs that offer CBTI online. It is a great alternative to those that live in an area where CBTI is not offered.   The difference is the services received in our office will be more tailored to your specific needs under the care of a board-certified sleep physician and licensed professional counselor.  Because we are a medical office, we are able to diagnose and treat other sleep disorders that can be present with insomnia as well; thereby offering a more thorough assessment of your sleep problems rather than just chronic insomnia.  Additionally, our services are covered by most insurance carriers. 

How effective is CBTI?  

Cognitive behavioral therapy for insomnia is now recommended to be the first line of treatment for insomnia by The American College of Physicians and The American Psychological Association.

One study cites “…In most measures, CBT was the most sleep effective intervention; it produced the greatest changes in sleep-onset latency and sleep efficiency, yielded the largest number of normal sleepers after treatment, and maintained therapeutic gains at long-term follow-up.”

Another study cites “CBTI has been proven to be more effective six months after treatment has been completed than medication.”

Does this mean I have to stop taking my sleep medicine?

Whether to continue or discontinue sleep medication is a decision that can only be made by you and your prescribing physician. However, CBTI has been proven to work effectively with certain medications and herbal supplements.

I have been diagnosed with obstructive sleep apnea (OSA) and use a CPAP but still experience sleep difficulty. Can CBTI help me?

Yes, CBTI has been proven helpful for patients that have been diagnosed with obstructive sleep apnea and still experience sleep difficulty.  When you come into our office, our board-certified sleep physician will review that your OSA condition is being managed properly.  If you still have difficulty sleeping, then CBTI may be recommended.

What can I expect?

The initial step in treating insomnia is to identify the cause of your sleep difficulties. Therefore, at your first appointment, you will be seen by Dr. Martha Hagaman.  Dr. Hagaman will listen to your concerns and make appropriate treatment recommendations to treat your sleep difficulties. Additionally, if CBTI is recommended, you will be seen by Terre Grable, LPC-MHSP to discuss utilizing this specialized training to help you sleep better.

CBTI will consist of listening to your specific goals/concerns regarding your sleep and collaborating together to improve your sleep.  

Ready to start sleeping better?  Contact us to get started!