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
Ask the tutor
The tutor only answers from licensed sources (FDA prescribing information, public guidelines and our own material) and says when it has none. Educational use only, never patient-specific advice.
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