Tag: CBT

Can CBT for insomnia be used if you have bipolar disorder?

Q&A: Can Insomnia in Bipolar Disorder Be Treated with CBT?

Last week Dan wrote to Ask The Savvy Insomniac with questions about cognitive-behavioral therapy for insomnia (CBT-I). Dan has bipolar disorder, and because of this diagnosis, his sleep doctor had reservations about him undergoing CBT-I.

So Dan tried a modified version for 2 weeks. His sleep did not improve. He was wondering if he would have to use sleeping pills and if he should continue with CBT-I on his own.

Brief insomnia treatment involves setting later bedtime at night

An Insomnia Treatment in Brief

Cognitive behavioral therapy for insomnia (CBT-I) is now the gold standard in drug-free treatments for insomnia. The benefits are often long lasting.

Researchers have created and are now testing a briefer form of CBT-I called brief behavioral treatment for insomnia (BBTI). BBTI isn’t widely available yet. But with health insurance companies clamoring for providers to rein in costs, BBTI is the wave of the future.

cognitive behavioral therapy for insomnia, must I give up sleeping pills?

Q&A: During CBT, Do I Have to Stop My Sleep Meds?

A long-term user of sleeping pills wrote to Ask The Savvy Insomniac with questions about cognitive-behavioral therapy for insomnia. “Before I go through CBT, will I have to give up my sleeping pills? I’d like to get off them eventually, but every time I think of doing it I freak out.”

Recently I looked into research on insomnia sufferers going through CBT while at the same time tapering off (or reducing reliance on) sleeping pills. What I found was encouraging.

sleep restriction often leads to mild sleep deprivation

Surviving Sleep Restriction

A new study confirms that in the early weeks of treatment, sleep restriction—a part of cognitive behavioral therapy (CBT) for insomnia—really is a cross to bear.

Seems like a no-brainer to me. But in research, quantification is important, and what these UK researchers have done is actually a good thing. (I’ll explain why later on.) Here are five tips for insomnia sufferers planning to undergo treatment.

Depression responds to treatment with cognitive behavioral therapy for insomnia

The Insomnia-Depression Connection Writ Large

Insomnia doesn’t often get front-page coverage, but it did on Tuesday. Benedict Carey of The New York Times reported on a study of people under treatment for depression. The results showed that nearly twice as many subjects were cured of depression when—in addition to taking an antidepressant or a pill placebo—they received cognitive-behavioral therapy (CBT) for insomnia.

It’s time to reassess the relationship between insomnia and depression.

Laying Fear of Sleeplessness to Rest

Once fear of sleeplessness moves into your bedroom, it can feel like a permanent feature of the night, making insomnia worse. But does it have to be this way?

Therapy with a sleep specialist, or measures you can take on your own with instruction from a book or the web, can help set fears to rest.

Sleep Restriction in a Nutshell

In last week’s blog I explained the rationale behind sleep restriction as a treatment for insomnia. (Here’s a link to that blog post.) Now I’ll offer a quick and dirty description of how it works.

"Ask The Savvy Insomniac" Goes Online

When people hear I’ve written a book about insomnia, they often respond with a question or comment about their sleep. “The whole problem is that I’m a night owl. It’s midnight, and the alarm’s going […]