Special considerations for the nonpharmacological treatment of insomnia

Molly E. Atwood, Norah Simpson, Rachel Manber

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Cognitive behavioral therapy for insomnia (CBTI) is an effective treatment for insomnia disorder, including when comorbid with another psychological or medical condition. CBTI is currently the gold standard (or first line) treatment for chronic insomnia. This chapter describes special considerations to aid the clinician in the flexible implementation of CBTI in the context of life transitions, common comorbidities, and four specific patient presentations. These include insomnia during perinatal and perimenopausal periods; insomnia comorbid with depression, posttraumatic stress disorder, and chronic pain; as well as patient presentations with high sleep-related anxiety, excessive daytime sleepiness, different chronotypes, and hypnotic medication use.

Original languageEnglish (US)
Title of host publicationEncyclopedia of Sleep and Circadian Rhythms
Subtitle of host publicationVolume 1-6, Second Edition
PublisherElsevier
Pages188-195
Number of pages8
ISBN (Electronic)9780323910941
DOIs
StatePublished - Jan 1 2023

Keywords

  • Anxiety
  • Case conceptualization
  • Chronic pain
  • Chronotype
  • Hypnotic medication
  • Major depressive disorder
  • Menopause
  • Posttraumatic stress disorder
  • Pregnancy
  • Sleepiness

ASJC Scopus subject areas

  • General Neuroscience

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