ABSTRACT

Insomnia disorder is common, affecting between 10% to 25% of the general population. Without intervention, insomnia disorder is unremitting, costly, disabling, and may pose a risk for additional morbidity and possibly mortality. Cognitive behavioral therapy for insomnia is now considered the standard treatment for insomnia disorder and is endorsed by the American College of Physicians as an initial treatment. Cognitive behavioral therapy for insomnia is an efficacious treatment for insomnia disorder. The current chapter will review the efficacy and effectiveness of cognitive behavioral therapy for insomnia, discuss alternative empirically supported treatment options for insomnia disorder, and conclude with approaches for scaling up sleep treatments to address the supply and demand gap that exists between providers and patients.