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As many others have noted, the title is inaccurate; cognitive behavioral therapy for insomnia is a well established treatment. There are a few other minor inac
by euthymiclabs 8y ago
As many others have noted, the title is inaccurate; cognitive behavioral therapy for insomnia is a well established treatment.
There are a few other minor inaccuracies in the article: chronic insomnia requires only 3 months of sleep disturbances, not 6. And the case for the dangerousness of insomnia is dramatically overstated.
But with that said, the reality of insomnia treatment in most countries is that doctors either 1) don't know about CBT for insomnia or 2) don't have a way to refer people to see a behavioral sleep specialist. I practice in Seattle, and there are only 4 clinics that have behavioral sleep specialists. In more rural areas, it's even more uncommon.
So in truth, for most patients and most doctors, this does feel like a brand new therapy.
Thankfully, "sleep efficiency" training (aka sleep restriction) is a simple algorithm that doesn't really require hand holding, and works reasonably well when practiced through a book or online program. Motivation tends to be better when you meet with a therapist, but the recovery rates are similar for highly motivated people.
Disclosure: I provide in person CBT for insomnia and run a pay-what-you-can CBT for insomnia web app at SlumberCamp.co.
- Apocryphon 8y agoNot in the U.K., it would seem. The article gives the impression that CBT for insomnia is relatively new there.
- euthymiclabs 8y agoGood point. The science has been around since the 60's and 70's, but the evidence base has only become overwhelmingly positive over the last 20 years. And from a guidelines perspective, the European Sleep Research Society started recommending it as the first line treatment in 2017 (https://www.ncbi.nlm.nih.gov/pubmed/28875581 https://www.ncbi.nlm.nih.gov/pubmed/28875581). I'm not as up to date on NICE and NHS guidelines.