What is the role of cognitive-behavioral therapy (CBT) in the treatment of insomnia?

Updated: Sep 11, 2018
  • Author: Jasvinder Chawla, MD, MBA; Chief Editor: Selim R Benbadis, MD  more...
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Answer

The AASM guidelines recommend including at least one behavioral intervention in initial treatment. Cognitive-behavioral therapy (CBT) is considered the most appropriate treatment for patients with primary insomnia, though it is also effective for comorbid insomnia as adjunctive therapy. [1, 3, 4, 5, 6]

The components of CBT include the following:

  • Sleep hygiene education

  • Cognitive therapy

  • Relaxation therapy

  • Stimulus-control therapy

  • Sleep-restriction therapy


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