Sleep & CBT-I worksheets

CBT-I worksheets that build sleep, not chase it.

Ten worksheets covering the full CBT-I protocol — diary, restriction, stimulus control, cognitive work — plus Imagery Rehearsal Therapy for nightmares, shift-work and jet-lag protocols, and taper support. Free, printable, first-line.

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Assessment
2p · PDF

CBT-I Sleep Diary (2 weeks)

Data before intervention

Standard CBT-I two-week sleep diary — the foundation for every downstream intervention.

Every insomnia intake; before starting sleep restriction; medication tapers.
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CBT-I
1p · PDF

Sleep Restriction Worksheet

Less time in bed, more consolidated sleep

Calculate the sleep window, track efficiency weekly, adjust in 15-minute increments.

Insomnia disorder; CBT-I second week; long-time-in-bed patterns.
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CBT-I
1p · PDF

Stimulus Control Worksheet

Retrain bed = sleep

The six rules of stimulus control plus a plan for out-of-bed 2am activity.

Insomnia with in-bed scrolling / worrying; middle-of-night waking; CBT-I core.
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CBT-I
1p · PDF

Insomnia Cognitive Work Worksheet

Dismantle the sleep-effort paradox

Test rigid sleep beliefs against actual next-day impact; write a new sleep permission.

Sleep-anxious clients; CBT-I cognitive module; catastrophic '8 hours or ruined' beliefs.
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Skills
1p · PDF

60-Minute Wind-Down Routine

Boring routines work

Design a repeatable 60-minute pre-bed routine with standard elements to try.

Delayed sleep onset; hyperaroused evenings; parents needing structure.
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Nightmares
1p · PDF

Imagery Rehearsal (Nightmare) Worksheet

IRT for chronic and PTSD nightmares

Standard IRT: brief description, rewrite (any element), 5–10 minute daily rehearsal.

Recurring nightmares; PTSD-related nightmares; first-line treatment.
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Circadian
1p · PDF

Shift Work Sleep Worksheet

Light, darkness, caffeine, meals

Rotation-aware plan for bright light, blackout, caffeine window, and meal timing.

Rotating or night-shift workers; healthcare, first-responder, transport work.
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Circadian
1p · PDF

Jet Lag Protocol Worksheet

Light is the strongest lever

Direction-specific light, meal, and melatonin timing with a landing-day plan.

Frequent travelers; pre-trip planning; recovery from bad prior jet lag.
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Skills
1p · PDF

Hyperarousal Pre–Wind-Down

Drop arousal first

10-minute arousal-drop stack for wired bodies before the standard wind-down begins.

Anxiety-driven insomnia; ADHD; trauma survivors with evening hyperarousal.
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Taper
1p · PDF

Sleep Medication Taper Support Worksheet

CBT-I supports through the corridor

Behavioral supports through a prescriber-directed sleep-med taper, including rebound-insomnia framing.

Benzo / Z-drug tapers; long-term sleep aid use; prescriber-supported taper plans.
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CBT-I
1p · PDF

Cognitive Arousal Sleep Sheet

For when hygiene isn't the problem

Drain the mental loops onto paper before bed — sort worry vs plan vs feel — with a 3am script.

Chronic insomnia; ruminative sleep-onset problems; postpartum sleep anxiety.
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CBT-I
1p · PDF

Sleep Restriction Schedule (CBT-I)

The CBT-I workhorse, on one page

Calculate the compressed window, log seven nights of efficiency, and rebuild once past 85%.

Chronic insomnia; CBT-I protocols; refractory sleep-onset problems.
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CBT-I
1p · PDF

Stimulus Control Plan

Retrain the bed → sleep association

The seven CBT-I rules with room to troubleshoot the one you'll hate most.

Chronic insomnia; conditioned arousal; sleep-onset and middle insomnia.
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CBT-I
1p · PDF

Worry Window for Sleep

Give the mind its meeting earlier

Scheduled 15-minute pre-bed window sorted into act, accept, and defer — with a closing cue.

Worry-driven insomnia; GAD with sleep-onset problems.
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Circadian
1p · PDF

Morning Anchor for Sleep

Fix sleep from the morning

Fixed wake time, morning light, caffeine cutoff, movement — the circadian anchors that make bedtime work.

Shift workers; DSPD; adolescents; jet lag recovery; post-COVID sleep drift.
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CBT-I
1p · PDF

Two-Week Sleep Diary

The gold-standard CBT-I diary — every insomnia decision runs on this data

14-day, 7-column diary in the standard CBT-I format: bedtime, sleep latency, awakenings, wake time, total sleep, quality. Plus sleep-efficiency calculation and free-form notes on caffeine, alcohol, exercise, screens, and meds.

Formal CBT-I course, sleep-restriction and stimulus-control programs, medication tapering, differential-diagnosing insomnia vs. circadian disorders.
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Frequently asked questions

What is CBT-I and what does it involve?+

Cognitive behavioural therapy for insomnia has five components: sleep restriction (compressing time in bed to match actual sleep), stimulus control (bed for sleep and sex only, out of bed when awake), cognitive work on sleep-related beliefs, relaxation or de-arousal practice, and sleep hygiene. Sleep restriction and stimulus control do most of the work; hygiene alone does very little.

Which sleep worksheet should I start with?+

A two-week sleep diary, before any intervention. Sleep-efficiency calculations, the restriction window, and any measure of progress all depend on baseline data, and clients' recalled sleep differs substantially from what the diary shows. Start the diary, then build the plan from it.

Is CBT-I really first-line?+

Yes — the American College of Physicians, American Academy of Sleep Medicine, and NICE all recommend CBT-I as first-line treatment for chronic insomnia, ahead of pharmacotherapy.

Why doesn't sleep hygiene alone fix insomnia?+

Because hygiene addresses the conditions for sleep, not the conditioned arousal that maintains insomnia. Once the bed has become a cue for wakefulness and effort, a darker room and less caffeine change little. Stimulus control breaks that association and sleep restriction rebuilds sleep drive — which is why hygiene-only advice so often fails.

Are these appropriate when sleep apnoea or another disorder is suspected?+

No — screen first. Loud snoring, witnessed apnoeas, morning headaches, or unrefreshing sleep despite adequate time in bed all warrant referral for assessment. Sleep restriction is contraindicated in untreated apnoea, and also needs caution in bipolar disorder and seizure disorders, where sleep deprivation carries specific risk.

Are these sleep worksheets free?+

Yes — free printable PDFs including the sleep diary, and sendable as a secure client link from a TherapistAssist account so the client can complete the diary on their phone.

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