CBT-ICognitive Behavioral Therapy for Insomnia
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of the University of North Texas Health Science Center at Fort Worth, noted that the study is helpful in that it provides insight on the feasibility and efficacy of CBT-I in this patient population.
And if they are cognitively impaired, will CBT-I be effective?
At our clinic, we have modified standard CBT-I techniques into a group format that includes patients with other sleep disorders, medical conditions, or psychiatric diagnoses.
Challenges to a CBT-I format include: member dropout, inconsistent attendance, disparate psychiatric diagnoses, and different forms of insomnia.
Educate patients about CBT-I principles, and help them understand the rationale for what may seem like counterintuitive treatments, such as decreasing time spent in bed.
Combining medication and CBT-I to capitalize on medications' immediate relief and CBT-I's durability may be effective for patients who do not respond to either approach alone.
CBT-I is effective for primary insomnia and insomnia associated with medical conditions.