![]() ![]() “I hope ACP’s report prompts more clinicians to seek CBT-I training. “Treatment of people with chronic insomnia gets complicated when you encounter patient resistance, and you always do,” Perlis said. A team of researchers led by Rachel Manber, Ph.D., a professor of psychiatry and behavioral sciences at Stanford University School of Medicine, reported these findings in the journal Sleep in February 2015.ĪCP’s report suggests CBT-I can be provided in primary care, but, Perlis said, given the limited number of trained and experienced CBT-I providers, that’s more a goal than present reality. At baseline, 32 percent of the veterans endorsed some level of suicidal ideation at final assessment, after five or fewer treatment sessions, 21 percent did. Treating insomnia concurrently with comorbid psychiatric disorders not only will improve sleep, but also may have a halo effect on those disorders, Perlis, who was not involved in developing the ACP guideline, told Psychiatric News.Īn evaluation of 405 veterans who presented for treatment of insomnia at the Veterans Affairs Health Care System nationwide, for example, found CBT-I reduced both insomnia severity and suicidal ideation. CBT-I works as well as hypnotic medications and has the added benefits of fewer adverse effects during treatment and long-term durability after treatment, said Michael Perlis, Ph.D., an associate professor of psychiatry and director of the behavioral sleep medicine program at the University of Pennsylvania School of Medicine. CBT-I May Improve Comorbid Psychiatric DisordersĪs the report from the American College of Physicians (ACP) suggests, chronic insomnia needs targeted treatment, specifically, cognitive-behavioral therapy for insomnia (CBT-I). ![]()
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