Internal Medicine | Sleep Medicine Questions Sleep problems

Can sleep problems be corrected through therapy?

I have really bad sleep problems, mainly insomnia. It's hard for me to go to sleep at night. Can this be corrected through therapy?

3 Answers

Yes, it can be corrected mainly by cognitive behavioral therapy. Insomnia is a symptoms and has an underlying causes including sleep apnea, restless leg syndrome and other problems. Seeing a sleep specialist can help you a lot to manage this problem. Medications in general are not very effective for chronic insomnia.
https://www.cdc.gov/sleep/about_sleep/sleep_hygiene.html

This is the official list of things to try. Counseling about any problems that keep you from sleeping (misbehaving spouse or kids, mother's illness, etc.) might help some. (Me, I study Italian or do puzzles when I can't sleep.)
Yes, insomnia can be treated quite effectively using cognitive behavioral therapy (CBT). With CBT, many can avoid sleep medications. A medical evaluation for other sleep disorders, such as sleep apnea, that may cause a sleep disturbance is wise.


Ofer Jacobowitz, MD, PhD, FAASM