Insomnia Disorder is highly prevalent, particularly among patients with psychiatric disorders and other sleep disorders. While cognitive behavioral therapy for insomnia (CBT-I) is recognized as the first-line treatment for adults with insomnia, most of these patients receive hypnotics, which can serve to perpetuate insomnia. Comorbid psychiatric and sleep disorders as well as the potentially untoward effects of hypnotic medications should be included in treatment planning and may require coordination with medical professionals. After careful assessment, idiographic conceptualization and treatment planning can account for specific patient factors. Insomnia-specific assessments and modifications of CBT-I are discussed.
Keywords: insomnia, sleep, OSA, CPAP, hypnotic