Alternative MethodsConventional Methods


March 29

This Technique Should Be The Front Line Defense Against Insomnia

Felix Wallace
Core Spirit member since Dec 24, 2020
Reading time 2 min.

People with chronic insomnia should try cognitive behavioral therapy before medications, suggests a prominent group of U.S. doctors.

While the American College of Physicians (ACP) can’t say cognitive behavioral therapy (CBT) outperforms medications for chronic insomnia, the group does say psychotherapy is less risky than drugs.

“Sometimes we forget that sleep medications have the potential for serious side effects in some patients, while cognitive behavioral therapy is very low (risk) to patients,” said Dr. Wayne J. Riley, ACP president.

“The evidence is clear that CBT and sleep hygiene can be long lasting, life long, durable and delivered at a lower cost,” said Riley, who is also affiliated with Vanderbilt University in Nashville.

About 6 to 10 percent of people in the U.S. have insomnia. Through loss of productivity, the condition is estimated to have cost the country about $63 billion in 2009, according to the ACP committee that wrote the new guideline, which is published in the Annals of Internal Medicine.

Chronic insomnia is defined as at least three restless nights per week for at least three months.

“We wanted to take a deep dive into the literature for what makes a big difference with insomnia,” Riley told Reuters Health.

The ACP commissioned two reviews of insomnia treatments. One focused on medications, and the second focused on psychological and behavioral treatments.

Overall, the first review found that some medications may improve sleep over a short period of time, but those come with the potential for changes in thinking and behavior. Additionally, there is a risk for infrequent but serious harms.

The U.S. Food and Drug Administration says medications for insomnia should only be used for short periods. The agency warns those drugs may impair people during the daytime, lead to “sleep driving,” behavioral changes and worsening depression.

The review of psychological and behavioral treatments found that CBT for insomnia improved overall sleep with a low risk of harms, the researchers report.

Evidence collected separately for the two reviews found that “side effects can be quite severe with the use of insomnia medications in contrast to CBT, where there are minimal side effects,” said Riley.

CBT for insomnia is typically delivered in four to six one-hour weekly sessions. People are taught behavioral techniques such as sleep restriction and stimulus control, and they are also taught sleep hygiene.

When chronic insomnia isn’t helped by CBT alone, the ACP advises patients and doctors to consider a short course of medication. That discussion should touch on the potential benefits, harms and costs of medication, the ACP says.

Doctors should encourage patients with insomnia to engage in CBT, according two researchers whose editorial was published with the reviews and the guideline.

But, they admit, CBT for insomnia might not be covered by insurance and is likely not available at doctors’ offices, write Dr. Roger Kathol, of the University of Minnesota in Minneapolis, and J. Todd Arnedt, of the University of Michigan Medical School in Ann Arbor.

“Unless access to and unencumbered payment for value-based behavioral interventions, such as CBT (for insomnia), in medical settings become a reality, patients with chronic insomnia will continue to receive suboptimal treatment and experience suboptimal outcomes,” they write.

Alternatives to in-person CBT for insomnia include group therapy session, telephone counseling, online lessons and self-help books, Riley said.

The ACP recommendations are similar to that of the American Academy of Sleep Medicine (AASM), said Dr. Alcibiades Rodriguez, who is medical director of NYU Langone Medical Center’s Comprehensive Epilepsy Center—Sleep Center in New York City.

The AASM’s 2008 practice guidelines for treating chronic insomnia endorse psychotherapy as a first-line treatment and suggests it be used when medications are prescribed.

“The recommendations made by the ACP will appeal to a broader group of physicians to make them aware of this,” said Rodriguez, who was not involved with the new recommendations. “Then the doctors know just giving patients who come to their office with sleep problems a prescription is not the best solution in the long term.”

by Andrew M. Seaman For The Huffington Post

Comments

Leave your questions here

To write a comment you must
or
Services
Category filter
Concern filter
Type filter
Sort
 
All categories
Oracle Cards Reading
$22 USD
Clarity Session

Hello from Eclectic Healing & Wellness. Thank you for this oppitunity to connect with you. This private clarity sessoon we will take a deep dive to discov…

Tyisha Morris
United States of America flag icon
Spiritual Healing
$270 USD
One-On-One Healing Session

I connect with your higher self/soul to channel the messages, blockages, guidance you need to hear for all life issues. From chronic pain, anxiety, depression,…

Dawn Cady
Australia flag icon
Wellness Coaching
$10 USD
Your Missing Manual for Health & Life!

Are you constantly reading books, blogs and listening to podcasts trying to figure out what to do to be healthy?

With so much conflicting information out ther…

Pamela Malo
United States of America flag icon
Positive Psychology
$10 USD
Initial Video Consult

Explore the fit and hear how I would address your therapeutic goal

Alex Guthrie, LMFT
United States of America flag icon
Spiritual Healing
$10 USD
HEALING / Life- Coaching Session

When you aren’t sure which way to turn or who to turn to for help in making decisions, I will help you come home to yourself and forge a plan to manifest your …

Dr. Michele S. Zirkle
United States of America flag icon
Life Coaching
$50 USD
Transformative Coaching Session

You will receive a private 1:1 transformative coaching session, focused on the area(s) in your life which you are most looking to improve, expand, and/or trans…

Tyisha Morris
United States of America flag icon
Tarot Reading
$10 USD
Tarot Reading - Checking in with the universe

“What does the universe want me to know?” is a common question. During uncertain times, it may be difficult to identify a single topic to focus upon. During th…

Jessica Karels
United States of America flag icon
Personal Development Coaching
$120 USD
Spiritual Life Coach Session-Personalized Session

Personalized Sessions

Because Everyone Is Unique

Sessions are based on the area of focus requested by the client.

Each session is a LIVE Session Goals will…

Deborah Lucero
United States of America flag icon
Chakra Balancing
$60 USD
Soul To Soul Reading Session

Energetic Reading

Complete Chakra System Reading to identify energy blocks. Techniques are provided to restore balance.

What Is An Energetic Reading?

Debo…

Deborah Lucero
United States of America flag icon
Channeling
$50 USD
Healing guidance session

You prepare your questions and I channel the root cause of the issue, as easy as that!

Every session looks different. We dive deep into the root and heal it f…

Nanna
5
Sweden flag icon
Spiritual Healing
$20 USD
Compassionate energy healing

For those times when we feel we need the energetic space to let our whole being restore itself. The healing is meant to give you a sense of safety and feel lik…

Nanna
Sweden flag icon
Distance Healing
$10 USD
Reiki and Energy Healing (Distant)

Reiki and energy healing is done by distance while a client is resting and the practitioner sends healing energy to the client. Clients have found that the en…

Beverly Lynn
Canada flag icon
Spiritual Healing
$80 USD
Soul Healing and Spiritual Advice

If you need a change in your life, if you are stuck and really want to move forward, if you see unwanted repeated patterns of life events or people’s behaviour…

Yavenirie - Spiritual Witchery Practice and…
United Kingdom of Great Britain and Northern Ireland flag icon
Spiritual Healing
$10 USD
Initial consultation for Spiritual Advice or Soul Healing Journey

You can book an initial spiritual consultation with me to touch base on your struggles and ways we can work together. The session will be online for around 15 …

Yavenirie - Spiritual Witchery Practice and…
United Kingdom of Great Britain and Northern Ireland flag icon
Shamanic Healing
$10 USD
Light the Path to Your Desired Life

If you want find what is that in life that makes you happy and fulfilled you need to heal all levels of your existence- Body, Mind, and Spirit. We are all ener…

Change Naturopathy
New Zealand flag icon
Emotional Freedom Technique
$10 USD
The Power Of Emotional Healing - EFT Program

“The Power of Emotional Healing” is energy psychology education in the Emotional Freedom Technique with the perfect balance of information, instructions, video…

Dawn Cady
Australia flag icon
Art Therapy
$50 USD
Artist Teacher Workshop Or Tutoring

“Life Force” guiding our history, our body and spirits. Self portrait art, life drawing from the live model, gesture, and plein air painting. And extended cont…

Bryan Prillwitz
United States of America flag icon
Tarot Reading
$100 USD
Timeline Reading

EGYPTIAN TAROT READINGS using unique methods developed by Nelise Carbonare, a Brazilian healer with more than 40 years of experience in tarot consultations, as…

Nelise Carbonare
United States of America flag icon
Tarot Reading
$120 USD
THE SYNERGY OF THE PYRAMID

THE SYNERGY OF THE PYRAMID focuses on a specific relationship: One side for the consultant and one for their partner. (the partner does not need to be present …

Nelise Carbonare
United States of America flag icon
Tarot Reading
$10 USD
Pick one card

Many questions can be answer with just one Arcane.

Do you want to try?

Nelise Carbonare
United States of America flag icon
Personal Development Coaching
$50 USD
Spiritual Coaching - Removing Energy Blocks - Expansion

> “Who looks outside dreams. Who looks inside awakens.” Jung

Spiritual coaching is about moving you into a profound state of empowerment and involution m…

Kimla Rose (Kim Desrosiers)
United States of America flag icon
Life Coaching
$10 USD
Life Purpose and Soul Wisdom

What is your deeper truth, your deeper knowing, your MOJO, your deepest desires, those feelings that you can’t explain but that are so pure and so clear…or may…

Anna Beale
United States of America flag icon
Nutritional Therapy
$150 USD
Nutritional Therapy Consultation

Hi my name is Aria and I am the founder of Heal with Nutrition. I am a registered Nutritional Therapist and a Naturopath who has a passion on Nutrition and Hea…

Aria Alexandrou
United Kingdom of Great Britain and Northern Ireland flag icon
Tarot Reading
$10 USD
THOTH AND HERMETIC DECKS READING

With a deep knowledge of hermeticism and being introduced to the kabbalah tradition of the emanation process from the tree of life, I provide a deep insight co…

James Marchiori
Ireland flag icon

Related Articles