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Managing Chronic Insomnia

You'll be able to evaluate insomnia, structure a CBT-I course of treatment, and reason through when pharmacotherapy is appropriate.

What this track covers

Chronic insomnia is common in primary care and behavioral health settings and responds best to a structured combination of behavioral and, when needed, pharmacologic strategies. This track covers assessment, the core components of cognitive behavioral therapy for insomnia (CBT-I), and the role and limits of sleep medications.

What you will practice

  • Screen for insomnia using validated tools and rule out comorbid sleep or psychiatric conditions
  • Walk through sleep restriction therapy titration logic and patient expectation-setting
  • Apply stimulus control principles to break maladaptive sleep associations
  • Deliver sleep hygiene counseling that's specific rather than generic
  • Weigh pharmacotherapy options against behavioral approaches, including tapering considerations

Simulator scenario

A patient with several months of sleep-onset and maintenance insomnia, mild anxiety, and inconsistent sleep habits presents for evaluation and initial treatment planning.

Board question topics

  • Interpreting insomnia screening and sleep diary data
  • Core components and sequencing of CBT-I
  • Indications and precautions for pharmacologic treatment
  • Distinguishing insomnia from comorbid sleep disorders

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