What is CBTI?

CBTI stands for Cognitive Behavioral Therapy for Insomnia. This specialized treatment is designed to help people that struggle with insomnia alleviate their symptoms and gain a better night’s sleep.   CBTI is a 4-5 session treatment that takes an in-depth look at your sleep patterns and behaviors to identify specific 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 times 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 CBTI advertised online. How is what you offer different?

There are different direct-to-consumer 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.

How effective is CBT-I?  

CBTI 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 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.  Because

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 learning more about of insomnia, what your specific sleep symptoms are and treatment recommendations that include specific cognitive and behavioral things you can do to sleep better.