Insomnia: non-drug treatments

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Insomnia: non-drug treatments. This is first line treatment for chronic insomnia. Fully referenced neurology checklist.

Cognitive behaviour therapy (CBT)

  • This is first line treatment for chronic insomnia
  • It changes beliefs and attitudes to insomnia and sleep hygiene

Sleep hygiene: helpful habits

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Sleep hygiene: factors to avoid at bedtime

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Stimulus control therapy

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Paradoxical intention

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Other psychological therapies

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Synonym

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References

  1. Schutte-Rodin S, Broch L, Buysse D, Dorsey C, Sateia M. Clinical guideline for the evaluation and management of chronic insomnia in adults. J Clin Sleep Med 2008; 4:487-504. 
  2. Kuriyama A, Tabata H. Suvorexant for the treatment of primary insomnia: a systematic review and meta-analysis. Sleep Med Rev 2017; 35:1-7.
  3. Morgenthaler T, Kramer M, Alessi C, et al. Practice parameters for the psychological and behavioural treatment of insomnia: an update. An American Academy of Sleep Medicine Report. Sleep 2006; 29:1415-1419.
  4. Riemann D, Baglioni C, Bassetti C, et al. European guideline for the diagnosis and treatment of insomnia. J Sleep Res 2017; 26:675-700. 
  5. Sateia MJ, Buysse DJ, Krystal AD, Neubauer DN, Heald JL. Clinical practice guideline for the pharmacologic treatment of chronic insomnia in adults: an American Academy of Sleep Medicine clinical practice guideline. J Clin Sleep Med 2017; 13:307-349.
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