SLEEP HYGIENE & INSOMNIA PROTOCOL (CBT-I) Cognitive Behavioral Therapy for Insomnia — Evidence-Based Sleep Treatment
About CBT-I
Cognitive Behavioral Therapy for Insomnia (CBT-I) is the first-line, evidence-based treatment for chronic insomnia. It is more effective than sleep medication in the long term, with effects that last years after treatment ends (Morin et al., 2009; AASM Clinical Practice Guidelines).
CBT-I addresses the thoughts, behaviors, and physiological arousal patterns that perpetuate insomnia — not just the symptoms.
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CBT-I produces remission in 70–80% of patients with chronic insomnia. Unlike medication, it addresses the underlying causes rather than temporarily suppressing symptoms (Harvey, 2005; Riemann et al., 2017). |
Part 1: Sleep Diary (2-Week Log)
Complete this diary EVERY morning within 30 minutes of waking. Do not look at the clock during the night — use your best estimate. Accuracy matters less than consistency.
Part 1: Sleep Diary (2-Week Log)
Complete this diary EVERY morning within 30 minutes of waking. Do not look at the clock during the night — use your best estimate. Accuracy matters less than consistency.
Part 3: Stimulus Control
Stimulus control therapy (Bootzin, 1972) is the single most effective component of CBT-I. It works by extinguishing the association between the bed and wakefulness/arousal, and rebuilding the conditioned association between bed and sleep.
Part 3: Stimulus Control
Stimulus control therapy (Bootzin, 1972) is the single most effective component of CBT-I. It works by extinguishing the association between the bed and wakefulness/arousal, and rebuilding the conditioned association between bed and sleep.
Part 5: Cognitive Techniques for Insomnia
Dysfunctional beliefs about sleep are a major perpetuating factor in chronic insomnia (Morin, 1993). These beliefs increase arousal and performance anxiety, which make sleep harder.