Sleep · Treatment guide

Insomnia

Persistent difficulty initiating or maintaining sleep, with daytime impairment.

In this guide

Overview

CBT-I is the recommended first-line treatment over sleep medication, with comparable short-term and superior long-term outcomes. Core components: sleep restriction, stimulus control, cognitive restructuring, and sleep hygiene.

First-line treatments

Also consider

  • MBCT

    MBCT-I; helpful when arousal and rumination dominate.

  • ACT

    When struggle-with-sleep itself maintains arousal.