Cognitive Behavioral Therapy For Insomnia

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Cognitive Behavioral Therapy for Insomnia
Bobbi Marie Pollard
Loyola University Chicago School of Social Work

Abstract
Cognitive behavioral therapy for insomnia is a recent framework developed to address the dysfunctional cognitions and behaviors that contribute to poor sleeping patterns. Insomnia often presents as a comorbidity to a medical or psychiatric disorder, but may also be an isolated diagnosis. According to research studies, benzodiazepine-receptor agonists (BzRAs) and cognitive behavioral therapy (CBT) are the two most effective therapies for treatment and management of insomnia. And while both treatments are beneficial for short-term management of insomnia, CBTi produces long-term sustained benefits with no side effects thus being more advantageous that prescription drug use only. CBTi involves five components: stimulus control, sleep restriction, relaxation training, cognitive therapy and sleep hygiene education. Because CBTi is a fairly new approach, trained professionals may be difficult to find; creative delivery of therapy through telephone or Skype appointments may be necessary. Keywords: insomnia, sleep, cognitive, behavioral, CBTi, sleep therapy Insomnia Insomnia is the most common sleep disorder. It can have a devastating impact on one’s emotion, physical, occupation and social life. While it occasionally can be seen in the clinical setting as a primary diagnosis, it most often presents as a comorbidity to a medical or psychiatric issue;
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