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CBTI

  • About
  • About
Overview
Conditions Treated
Procedures
  • Stimulus control
  • Sleep restriction
  • Sleep-interfering arousal/activation
  • Foods and substances
  • Biological clock
Overview
Conditions Treated
Procedures
  • Stimulus control
  • Sleep restriction
  • Sleep-interfering arousal/activation
  • Foods and substances
  • Biological clock

Cognitive Behavioral Therapy for Insomnia (CBTI)

CBTI consists of several components that are tailored to the patient's individual presentation. Stimulus control, developed by Richard Bootzin, is a set of instructions that address conditioned arousal. These instructions strengthen the bed as a cue for sleep and weaken it as a cue for wakefulness. Sleep consolidation training is a procedure developed by Arthur Spielman. It was originally designed to eliminate prolonged middle-of-the-night awakenings but it can also help with problem falling asleep at the beginning of the night.

This step-wise procedure aims to first improve sleep quality and later worry about its quantity. Initially the time spent in bed is restricted to the amount of sleep that is currently feasible. In subsequent steps the time spent in bed is gradually increased.

A third component of CBTI consists of strategies for reducing sleep interfering thoughts and worries, managing stress, calming an active mind that won’t shut off when trying to sleep and relaxing. The key is shifting from “trying hard to sleep” to “allowing sleep to happen.”

CBTI takes into account people’s biological clocks and aims to align bed time and rise time with an individual’s internal clock. This may sometimes involve properly timed exposure to bright light.

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Clinics for Cognitive Behavioral Therapy for Insomnia (CBTI)

  • Movement Disorders Center
    650-723-6469
  • Psychiatry and Behavioral Sciences
    650-498-9111
  • Sleep Medicine Center
    650-723-6601

Cognitive Behavioral Therapy for Insomnia (CBTI)
CBTI uses stimulus control, sleep condition training and conditioned arousal to improve sleep quality and quantity. Learn more.
CBT insomnia treatment insomnia cure how to cure insomnia

Psychiatry and Behavioral Sciences
650-498-9111
Sleep Medicine Center
650-723-6601
Movement Disorders Center
650-723-6469

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