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Cognitive behavioral therapy for insomnia (CBT-I) is a therapy technique for treating insomnia without (or alongside) medications. CBT-I aims to improve sleep habits and behaviors by identifying and changing thoughts and behaviors that prevent a person from sleeping well.
The clinical practice of behavioral sleep medicine applies behavioral and psychological treatment strategies to sleep disorders. [3] [12] BSM specialists provide clinical services including assessment and treatment of sleep disorders and co-occurring psychological symptoms and disorders, often in conjunction with pharmacotherapy and medical devices that may be prescribed by medical professionals.
Espie is an Emeritus Professor in the College of Medical, Veterinary and Life Sciences at the University of Glasgow. He is Deputy Editor for the Journal of Sleep Research, the official journal of the ESRS, serves on the Editorial Board of Sleep Medicine Reviews and holds or has held many positions on national and international committees relating to sleep disorders and their treatment.
Cognitive behavioral therapy develops skills for relapse prevention and someone can learn to control their mind and manage high-risk cases. [134] There is evidence of efficacy of CBT for treating pathological and problem gambling at immediate follow up, however the longer term efficacy of CBT for it is currently unknown. [135]
In CBT, as with most therapy, the patient plays a large role in determining the direction of the therapy, including the intensity and duration. [5] A CBTraining course, or program, is often broken up into a series of progressive, strategically ordered sessions designed to guide the participant through the process of training the brain away from ...
There is some evidence that cognitive behavioral therapy for insomnia (CBT-I) is superior in the long-term to benzodiazepines and the nonbenzodiazepines in the treatment and management of insomnia. [129] In this therapy, patients are taught improved sleep habits and relieved of counter-productive assumptions about sleep.