American College Of Physicians Recommends CBT—In-Person Or Internet-Based—As First-Line Treatment For Insomnia

The American College of Physicians (ACP) recommends cognitive behavioral therapy (CBT) as first-line treatment for insomnia for adults, whether the CBT is delivered in-person or via an Internet-based program. For adults who try CBT for insomnia but whose insomnia continues, the ACP recommends that clinical professionals use a shared decision-making approach, including a discussion of the benefits, harms, and costs of short-term use of medications, to decide whether to add pharmacological therapy.

CBT for insomnia consists of a combination of treatments that include cognitive therapy around sleep; behavioral interventions, such as sleep restriction and stimulus . . .