Cognitive behavioural therapy for insomnia is offered by:
BSocSc, AdDipCBT, DBPsych, PGCI, CSSC
Accredited Clinician (CBT for Insomnia)
Many leading professional medical organisations in Europe and the United States recommend cognitive behavioural therapy for insomnia (CBT-I) as the first-line treatment for patients with chronic insomnia. These organisations include the American Academy of Sleep Medicine, the European Sleep Research Society, the British Association for Psychopharmacology and the American College of Physicians.
Indeed, the evidence favouring CBT-I over sleeping pills, for improved sleep, is so powerful, and the safety risks associated with it so limited or non-existent (unlike sleeping pills) that in 2016, the American College of Physicians made a landmark decision. Following an evaluation of the efficacy and safety of CBT-I compared to standard sleeping pills, their conclusion was published in the prestigious journal Annals of Internal Medicine. The conclusion was that CBT-I must be used as the first-line treatment for all individuals with chronic insomnia, not sleeping pills.
An article published in the British Journal of General Practice in 2019 made the following key points about the treatment of insomnia in primary care:
“Practice guidelines recommend that chronic insomnia be treated first with cognitive behavioural therapy for insomnia (CBT-I), and that hypnotic medication be considered only when CBT-I is unsuccessful.”
“Insomnia is the most prevalent sleep disorder, affecting 10–15% of the adult population and 19–44% of primary care patients worldwide.”
“For patients seeking professional help for insomnia, GPs are, by far, the health professionals most likely to be consulted.”
“Compared with pharmacotherapy, CBT-I has been shown to be superior in reducing symptoms of insomnia and in maintaining sleep improvements for years.”
“Non-pharmacological approaches are often preferred by patients, as they are considered to be better at improving daytime functioning and less likely to produce adverse side effects.”
“Despite abundant evidence for the efficacy of CBT-I, the approach is under-utilised. GPs are often aware of the need to reduce hypnotic prescribing but have limited knowledge about, and access to, CBT-I.”
In Ireland, the HSE (Health Service Executive) website states:
“Sleeping pills can have serious side effects and you can become dependent on them. They have also been shown to increase the risk of hip fractures and dementia.”
If you take sleeping pills for several days in a row, you may begin to depend on them to fall asleep. Also, if you stop taking them, your sleep may be worse than before you tried them. Importantly, if you have been taking sleeping pills for quite a long time, consult your doctor on how to safely stop taking them.
If you would like more information on the possible dangers posed by sleeping pills, you will find this link an excellent source of information.
CBT-I (cognitive behavioural therapy for insomnia) refers to a variety of evidence-based techniques combined into a treatment that includes behavioural and cognitive strategies. For more information on CBT-I, please visit the CBT for Insomnia section of this website.