Knowra Cognitive behavioral therapy for insomnia Cognitive behavioral therapy for insomnia Cognitive behavioral therapy for insomnia (CBT-I) is a structured treatment that combines behavioral methods and cognitive strategies to improve persistent insomnia and sleep-related functioning.
Stimulus control therapy : A behavioral treatment that strengthens the association between bed and sleep while reducing wakeful activities in bed. It makes the bed a cue for sleep rather than prolonged wakefulness.
Insomnia disorder : A sleep disorder involving persistent difficulty initiating or maintaining sleep, despite adequate opportunity, with daytime consequences. CBT-I is designed primarily for this enduring pattern of sleep difficulty.
Digital cognitive behavioral therapy for insomnia : CBT-I delivered through online programs or mobile applications, often with automated guidance. Digital programs extend access to core CBT-I techniques.
Benzodiazepines : A class of drugs that enhance GABA signaling and can produce sedative, anxiolytic, and anticonvulsant effects. They can relieve insomnia symptoms quickly but carry risks that behavioral treatment avoids.
Sleep restriction therapy : A behavioral treatment that initially limits time in bed to approximate actual sleep time, then adjusts it as sleep improves. It consolidates fragmented sleep by aligning time in bed with time asleep.
Conditioned arousal : A learned state of alertness triggered by cues associated with stress or wakefulness. Repeatedly struggling to sleep in bed can make bedtime itself arousing.
Brief behavioral treatment for insomnia : A short treatment emphasizing stimulus control and sleep restriction, usually delivered in a few sessions. It offers a streamlined behavioral alternative when full CBT-I is unavailable.
Z-drugs : Nonbenzodiazepine medications, including zolpidem, used mainly for short-term treatment of insomnia. They provide a medication-based alternative with different benefits and risks.
Sleep efficiency : The proportion of time in bed spent asleep, commonly used to track sleep continuity. Clinicians use its changes to guide gradual expansion of time in bed.
Sleep drive : The homeostatic pressure to sleep that builds during wakefulness and falls during sleep. Time-in-bed adjustments work partly by increasing this pressure at bedtime.
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