Insomnia Therapy in Chicago & Northbrook IL
Most people with chronic insomnia have tried some combination of sleep hygiene advice, melatonin, and possibly prescription sleep aids. Those approaches help some people. For many others, the underlying patterns driving insomnia have not been addressed. That is where therapy comes in.
- Lying awake for long periods after getting into bed
- Waking in the middle of the night and being unable to return to sleep
- Waking significantly earlier than intended
- Racing mind at bedtime or during nighttime waking
- Dreading bedtime because of the anticipated struggle
- Fatigue and low energy during the day despite spending adequate time in bed
- Difficulty concentrating, irritability, or low mood related to poor sleep
– Colleen Vitt, LCSW, Midwest Counseling & Diagnostics
CBT-I components typically include sleep restriction therapy to build stronger sleep drive, stimulus control to rebuild the bed-sleep association, cognitive restructuring for sleep-related anxiety, and individualized sleep hygiene guidance. CBT-I typically produces significant improvement within 6 to 8 sessions and is more effective than sleep medication in the long term without risks of dependence or rebound insomnia.
What is CBT-I and how is it different from regular CBT?
CBT-I is Cognitive Behavioral Therapy specifically adapted for insomnia. While standard CBT addresses thoughts and behaviors broadly, CBT-I uses specific protocols including sleep restriction, stimulus control, and sleep-specific cognitive restructuring that target the mechanisms maintaining chronic insomnia.
Is CBT-I better than sleep medication?
Research consistently shows that CBT-I produces comparable or superior results to sleep medication in the short term and significantly better outcomes long term. Unlike medication, CBT-I addresses the underlying patterns maintaining insomnia and produces durable improvements without risk of dependence or rebound insomnia.
How quickly does insomnia therapy work?
Many people begin to see improvement within the first two to three weeks of CBT-I, though some components, particularly sleep restriction, can feel harder before they feel better. Significant improvement typically occurs within 6 to 8 sessions.
Can insomnia therapy help if my insomnia is caused by anxiety or depression?
Yes. CBT-I is effective even when insomnia co-occurs with anxiety or depression. In some cases, treating the insomnia directly also produces improvement in mood and anxiety.
Is insomnia therapy available via telehealth?
Yes. CBT-I is highly effective via telehealth and has been specifically validated in that format. Midwest Counseling offers insomnia therapy via telehealth across Illinois and many other states.
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