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Journal of Depression and Anxiety

Journal of Depression and Anxiety
Open Access

ISSN: 2167-1044

+44 1223 790975

Editorial - (2021)

Cognitive Behavioural Therapy for Insomnia Patients

Gordon Alexander*
 
*Correspondence: Gordon Alexander, The Institute for Sleep Health, College of Medicine and Public Health, Australia, Email:

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Editorial

Cancer survivors frequently experience insomnia. Despite the availability of successful nonpharmacological treatments, it is unknown if individual genetic features influence treatment response. Insomnia is a frequent and debilitating illness that is commonly treated by family doctors. Cognitive behavioural therapy for insomnia (CBTi) is recommended as the "first-line" treatment in insomnia guidelines. Family physicians, on the other hand, say they don't have the time, knowledge, access, support, or referral alternatives to handle CBTi patients. Consequently, many patients with insomnia are prescribed potentially harmful and addictive sedative-hypnotic medicines. The guideline recommendations, time constraints, and capacity of family practise necessitate an insomnia management pathway that is specially customised to them. Throughout one's life, a variety of things might disrupt sleep. However, older persons who are having trouble sleeping are frequently dealing with a variety of comorbid medical and psychological disorders, which compound the physiologic changes in sleep that come with age. The gold-standard, nonpharmacological strategy for sleep disorders is cognitive behavioural therapy for insomnia (CBT-I), which is a cost-effective treatment technique that can be delivered individually or in a group setting. It has also been demonstrated to be beneficial in older persons with concomitant medical, mental, and cognitive issues. The efficacy of CBT-I with older persons is highlighted in this review, as well as research that show the utilisation of alternative delivery methods and treatment adaptations for complex clinical presentations. Despite the fact that cognitive behavioural therapy for insomnia (CBTi) is the recommended "first-line" treatment for insomnia, the majority of patients are first prescribed sedative-hypnotic medicines. Because of the potential of reduced cognitive and psychomotor function, major adverse effects, and long-term reliance associated with sedative-hypnotics, guidelines indicate that prescriptions be limited to short-term usage and that patients be provided with withdrawal support whenever possible. Insomnia is frequently associated with various mental health and medical issues, and it has a negative impact on quality of life and daytime performance. In the context of multiple comorbid illnesses, cognitive behavioural therapy for insomnia (CBT-I) is a safe and effective treatment for insomnia. The authors of this article discuss the evidence for CBT-I in these populations as well as unique considerations for its application, and suggest potential opportunities for research in the area of CBT-I for comorbid medical and psychiatric illnesses. Cancer-related insomnia, despite its high frequency, is frequently untreated due to a lack of access to cognitive-behavioral therapy for insomnia (CBT-I), the treatment of choice for this illness. While face-to-face CBT-I looks to be the most effective, selfadministered versions may be less expensive. The purpose of this secondary analysis of a randomised clinical trial was to assess the cost-effectiveness of professionally-based CBT-I (PCBT-I) vs videobased CBT-I. (VCBT-I). A considerable percentage of people with persistent tinnitus experience sleep disturbances (insomnia). Despite the major health and functioning implications, no thorough trials have looked into tinnitus-related insomnia therapies. This is the first randomised controlled trial comparing Cognitive Behavioural Therapy for Insomnia (CBTi) to other psychological treatments in the treatment of tinnitus.

Author Info

Gordon Alexander*
 
The Institute for Sleep Health, College of Medicine and Public Health, Australia
 

Citation: Alexander G (2021) Cognitive Behavioural Therapy for Insomnia Patients. J Dep Anxiety 10: 417.

Received: 01-Jul-2021 Accepted: 06-Jul-2021 Published: 12-Jul-2021

Copyright: 2021 Alexander G. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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