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CBT-I (Cognitive Behavioral Therapy for Insomnia)

The gold-standard, non-medication therapy for chronic sleep problems.

Quick Overview

Best for

Chronic insomnia, difficulty falling asleep, waking during the night, early waking.

Session format

 Individual or Group, In person or Virtual.

Typical cadence

Weekly, Session length: 45–60 minutes.

Often combined with

Sleep hygiene coaching, relaxation training, mindfulness, medication management if needed.

Evidence base

 Endorsed by the American College of Physicians as the first-line treatment for insomnia.

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What Is CBT-I?

CBT-I, or Cognitive Behavioral Therapy for Insomnia, is a structured, evidence-based treatment that addresses the thoughts and behaviors that interfere with sleep. Unlike sleep medications, which may offer short-term relief, CBT-I teaches lasting skills to improve sleep quality naturally.

Sessions often focus on identifying unhelpful sleep patterns, reducing anxiety about sleep, and retraining the body’s sleep cycle through practical techniques like stimulus control and sleep restriction. With practice, clients build confidence in their ability to get restorative rest.

How CBT-I Helps in Recovery

Targeted Support for Insomnia and Wellbeing

Improves sleep quality

Improves sleep quality

Promotes deeper, more restful sleep

Reduces anxiety around sleep

Reduces anxiety around sleep

Breaks the cycle of stress and sleeplessness

Supports overall recovery

Supports overall recovery

Better sleep strengthens mental health and relapse prevention

Provides lasting benefits

Provides lasting benefits

Skills remain useful long after therapy ends

What to Expect in Sessions

CBT-I typically lasts 6–10 sessions. Early sessions involve keeping a sleep diary to track habits and identify triggers. Therapists then guide clients through evidence-based strategies such as:

  • Stimulus control: Creating strong associations between bed and sleep only
  • Sleep restriction: Limiting time in bed to strengthen natural sleep drive
  • Cognitive restructuring: Challenging unhelpful beliefs (“I’ll never sleep”)
  • Relaxation training: Breathing, mindfulness, or progressive muscle relaxation
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Who Benefits from CBT-I?

Support for Anyone Struggling with Chronic Sleep Challenges

Support for Adults and Teens with Insomnia

Support for Adults and Teens with Insomnia

Adults and teens with chronic insomnia (trouble falling or staying asleep)

Safe Alternatives to Sleep Medications

Safe Alternatives to Sleep Medications

People who rely on sleep medications and want non-drug alternatives

Stable and Restorative Rest in Recovery

Stable and Restorative Rest in Recovery

Individuals in recovery who need stable, restorative rest

Managing Stress, Anxiety, and Sleep Issues

Managing Stress, Anxiety, and Sleep Issues

Those with stress, anxiety, or depression that worsen sleep

A Safe and Proven Sleep Approach

A Safe and Proven Sleep Approach

Anyone seeking a safe, proven approach to better sleep

Why TruPaths Highlights CBT-I

Promoting Restful Sleep as a Foundation for Recovery

TruPaths highlights CBT-I because sleep is a cornerstone of recovery. Quality sleep restores the brain, reduces cravings, and stabilizes mood. Programs we feature integrate CBT-I with broader treatment options such as therapy, holistic care, and medical support to ensure whole-person wellness.

FAQs about CBT-I

Yes. Research shows CBT-I works as well as, or better than, medications—and the results last longer.
Yes. Some people use CBT-I alongside medication, then reduce reliance on medication over time.
Many people notice improvements within 2–4 weeks, with continued progress through the full course.
Often, yes. CBT-I is covered as a psychotherapy service. TruPaths providers list accepted insurance and financial options.
Yes. CBT-I is effective for both recent and long-standing insomnia.

Find Recovery Options Offering CBT-I

Better sleep is possible. If insomnia affects your recovery or daily life, CBT-I offers a proven, medication-free path to restful nights.

About TruPath's Recommendations

Recommendations are based on your location and recovery needs, including the programs you've explored, the services you've saved, and the filters you've used. We use this information to highlight similar treatment options so you never miss a trusted path forward.