Cognitive behavioral therapy for insomnia (CBT-I) is a multi-component
treatment that typically combines sleep education, sleep hygiene instructions, stimulus
control therapy, sleep restriction therapy, cognitive therapy, and relaxation training.
CBT-I is considered the first line treatment for chronic insomnia due to evidence of its
efficacy, including sustained improvement in insomnia over the long term. Compared
to pharmacological treatment, CBT-I has similar short-term efficacy but better longterm durability. CBT-I improves subjective measures of time spent awake at night,
resulting in improved sleep continuity. CBT-I is typically delivered in 4-8 face to face
individual sessions, though the efficacy of different formats has also been
demonstrated, including group therapy, telehealth, and digital therapeutics. Individuals
with chronic insomnia frequently have medical and psychiatric comorbidities, and the
efficacy of CBT-I has been demonstrated in numerous comorbid populations.