The Journal

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Why Sleep Hygiene Alone Sometimes Isn’t Enough

Many people with chronic insomnia have already tried sleep hygiene recommendations such as limiting caffeine, reducing screen time, and maintaining a consistent schedule. Learn why sleep hygiene alone often isn’t enough and how CBT-I addresses the factors that keep insomnia going.

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What Causes Chronic Insomnia?

What causes chronic insomnia? Learn why sleep problems often continue long after the original trigger has passed and how Cognitive Behavioral Therapy for Insomnia (CBT-I) addresses the factors that keep insomnia going.

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Why Can’t I Sleep Even When I’m Exhausted?

Many people with insomnia feel exhausted but still cannot sleep. Learn why fatigue alone does not guarantee sleep, how hyperarousal and sleep anxiety can interfere with rest, and how CBT-I helps address the factors that maintain chronic insomnia.

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How Effective Is CBT-I?

Does CBT-I really work? Learn what the research says about Cognitive Behavioral Therapy for Insomnia, why it’s considered the first-line treatment for chronic insomnia, and what you can realistically expect.

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Why CBT-I Often Produces More Lasting Improvement Than Sleep Medication

When people have been struggling with insomnia for weeks, months, or years, sleep medication can understandably feel appealing. Many people are exhausted, frustrated, anxious about sleep, and desperate for relief.

Sleep medications can sometimes be helpful, particularly in the short term. Some people find that medication temporarily reduces nighttime anxiety or helps them fall asleep more quickly.

However, chronic insomnia is often maintained by more than the absence of sleep itself.

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