CBT-I (Cognitive Behavioral Therapy for Insomnia)
sleep · medium · 30 min/day for practices + weekly 30-60 min sessions (6-8 weeks total)
What is CBT-I (Cognitive Behavioral Therapy for Insomnia)?
Multi-component clinical treatment for insomnia delivered over 6-8 sessions, combining sleep restriction, stimulus control, cognitive therapy, and sleep hygiene. Achieves improvement in 70-80% of patients — the gold-standard first-line treatment for chronic insomnia.
Is there evidence for it?
EVIDENCEstrong
How do you do CBT-I (Cognitive Behavioral Therapy for Insomnia)?
- 1.Begin with a 2-week sleep diary tracking bedtime, wake time, time to fall asleep, and wake periods
- 2.Sleep Restriction: limit time in bed to actual sleep time (e.g., if sleeping 5.5 hours, only be in bed 5.5 hours)
- 3.Stimulus Control: go to bed only when sleepy; if awake >15 min, get up and do something calm until drowsy
- 4.Cognitive Therapy: identify and challenge catastrophic sleep thoughts ('I'll never function tomorrow')
- 5.Gradually extend time in bed by 15-minute increments as sleep efficiency reaches 85%+
How long does it take?
30 min/day for practices + weekly 30-60 min sessions (6-8 weeks total).
Is it hard to start?
medium.
> how Shift handles sleep
Source: American Academy of Sleep Medicine (first-line recommendation); Perlis, Jungquist et al. (CBT-I manual); Sleep Foundation
insomnia · therapy · sleep-restriction · stimulus-control · cognitive-therapy
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