Many CBT-I therapists are out-of-network providers, meaning they don’t participate directly in insurance networks.Ī course of CBT-I can cost as much as a couple thousand dollars, which you’d be paying out of pocket. If you do live near a world-class sleep centers or have access to CBT-I by video conference, there’s still the issue of paying for it. This option is not a fix-all, of course, because most clinicians do not provide therapy by phone or video, and there are restrictions on practicing across state lines if the therapist is not licensed in the state where the patient lives. It tends to be straightforward and data-driven, and the results I’ve gotten are about the same as those for in-office treatment. I’ve provided CBT for many conditions by video conference and find that CBT-I is probably the best match for this form of treatment delivery. Recent research, like a study completed at my local VA hospital, shows that CBT-I can be effective when delivered remotely. One possible solution if there are no CBT-I therapists near you is CBT-I by teleconference, which can make the treatment much more accessible. Many people in the US and other parts of the world live hours from the nearest CBT-I provider. If this is sounding too good to be true, there may be a catch: Depending on where you live, you may not be able to find a therapist who provides CBT-I. The improvements typically last, too, with total sleep time actually increasing after treatment has ended. After around 4-6 sessions, most people who get CBT-I are able to fall asleep more quickly and sleep more soundly. As I completed advanced training in CBT-I, I learned why it’s the first-line treatment for chronic difficulty falling asleep or staying asleep. I realized I needed additional tools to treat the insomnia and started researching the best psychological treatments for poor sleep, which led me to cognitive behavioral therapy for insomnia (CBT-I). What I discovered was that so many of the men and women I treated also struggled to get a good night’s sleep, and their sleep problems often continued even after they’d found relief from their other symptoms. When I first started out to become a psychologist I focused on treating depression, anxiety, OCD, and PTSD. Persistent problems with sleep are not just frustrating but also can affect our mental and physical health. Through the following chapters, you will be shown step-by-step what to do to bring about change in your sleeping patterns and habits, through addressing the factors that perpetuate poor sleep.Do you often find yourself lying awake in bed praying for sleep? If so, you’re not alone- one out of three adults in the US has had recent sleep problems, with around one in ten meeting full criteria for insomnia. Insomnia is then described in detail including different types of insomnia and the kinds of factors that contribute to sleep loss. Then you will be guided through a thorough sleep assessment. This handbook first explains what normal sleep is all about and challenges some myths about sleep and insomnia. You only need to have the motivation and discipline to apply the strategies and stick to them over time. If you want to enjoy natural, healthy and satisfying sleep again, this handbook gives you all the tools you need to achieve it. There is a chapter on special populations that tells you what to do if you are a shift worker, long distance traveller, parent, older adult, woman (including pregnancy and menopause) or an elite athlete. Dr Sacre will guide you through these approaches and explain how they work and why they are recommended above other approaches. Even if you have suffered from insomnia for many years, this book contains simple, easy to learn strategies to manage your sleep loss through evidence-based techniques such as cognitive therapy and stimulus control. This book is a practical and useful tool for getting your sleep back on track.
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