Cognitive behavioral therapy is the gold standard treatment for insomnia

Michelle Jonelis, MD, Redwood Pulmonary Medical Associates, Redwood City, CA, talks on the recommendation for cognitive behavioral therapy (CBT) as the gold standard treatment for insomnia. In recent years, data has accumulated demonstrating the superiority of CBT over pharmacologic approaches, with regards to long-term outcomes. Through relaxation training, cognitive restructuring, and psychoeducational interventions, CBT can effectively treat insomnia in many patients. Dr Jonelis notes the lack of universal access to psychological interventions, commenting on ongoing initiatives to improve access, as well as what care providers can do for their patients where these services are not available. Small interventions such as exercise, social contact, increasing sunlight exposure, and stopping daytime dozing can have a substantial impact on a patient’s sleep. This interview took place at the American Academy of Neurology 2022 Congress in Seattle, WA.