DSM-5 criteria for Insomnia Disorder include a dissatisfaction with sleep quantity or quality associated with one or more of the following symptoms: difficulty initiating sleep, maintaining sleep, early morning awakening with inability to return to sleep. The sleep difficulty occurs at least three nights per week, is present for at least three months, and causes significant distress in one or various areas of functioning (American Psychiatric Association, 2013).
Insomnia affects your night and your day and is considered a 24-hour condition.
CBT-I is a non-pharmacological, brief, and effective treatment for insomnia that uses cognitive and behavioral interventions to address nocturnal and daytime insomnia symptoms.
CBT-I aims to target factors that may maintain insomnia over time, such as dysregulation of sleep drive, sleep-related anxiety, and sleep-interfering behaviors.
Treating insomnia with CBT-I -- as opposed to medication -- has several advantages, including fewer side effects and more durable effects lasting 1-2 years following treatment discontinuation.
An average course of treatment lasts four to six sessions.
A large body of research supports the efficacy of CBT-I. CBT-I is as effective as sedative-hypnotics during acute treatment (4–8 weeks) and is more effective than sedative-hypnotics in the long term (for example, more than 3 months after treatment).
The American College of Physicians recommends that CBT-I be considered the first-line treatment for chronic insomnia. This position has since been adopted by the European Sleep Research Society, the Australasian Sleep Association, and the Department of Veterans’ Affairs/Department of Defense.
Self-pay sessions: Initial assessment $170, Follow-up sessions $150.
To use insurance, you must meet DSM-5-TR criteria for Insomnia Disorder at your assessment.
Florida and Texas: In-network with Aetna, Blue Cross Blue Shield of Massachusetts, Lyra EAP, Optum (Oscar, Oxford Health Plans, UMR, United Healthcare, UHC Student Resources, AllSavers UHC, Harvard Pilgrim), Optum Live & Work Well EAP and SpringHealth EAP.
Vermont: In-network with Lyra EAP and SpringHealth EAP only.