Evidence-Based Sleep Treatment

What is CBT-I?
The Gold Standard for Insomnia Treatment

Cognitive Behavioral Therapy for Insomnia (CBT-I) is a proven, non-medical treatment that addresses the root causes of sleep problems. Unlike sleeping pills, CBT-I provides lasting results by changing the thoughts and behaviors that keep you awake. Recommended by sleep specialists worldwide as the first-line treatment for chronic insomnia.

Person sleeping peacefully after CBT-I treatment

CBT-I Success Statistics

Real results from clinical research and our Canadian network

80-90%
Success Rate
30-50%
Sleep Improvement
100%
Medication-Free
2+ Years
Long-term Results

Understanding CBT-I: More Than Just Sleep Hygiene

CBT-I is a structured, evidence-based program that goes far beyond basic sleep tips

Why CBT-I Works When Other Treatments Fail

Unlike medications that only provide temporary relief, CBT-I addresses the underlying psychological and behavioral factors that maintain insomnia. Research shows that CBT-I is more effective than sleeping pills for long-term sleep improvement, with benefits lasting years after treatment completion.

Cognitive Component

Identifies and changes negative thought patterns about sleep that create anxiety and perpetuate insomnia.

Behavioral Component

Modifies sleep habits and behaviors through techniques like sleep restriction and stimulus control.

Sleep Education

Provides comprehensive understanding of sleep science and healthy sleep practices.

Core CBT-I Techniques

The proven methods that make CBT-I the most effective insomnia treatment

Sleep Restriction Therapy

Limits time in bed to match actual sleep time, improving sleep efficiency and reducing time lying awake.

Stimulus Control

Re-associates the bedroom with sleep by establishing consistent sleep-wake schedules and bedroom rules.

Cognitive Restructuring

Identifies and challenges unhelpful thoughts about sleep that increase anxiety and worsen insomnia.

Relaxation Training

Teaches progressive muscle relaxation, breathing techniques, and mindfulness to reduce pre-sleep tension.

Sleep Hygiene Education

Optimizes sleep environment and daytime habits that support healthy sleep patterns.

Relapse Prevention

Develops strategies to maintain sleep improvements and handle occasional sleep disruptions.

How CBT-I Treatment Works

A typical CBT-I program follows a structured, evidence-based approach

  • Assessment & Sleep History

    Comprehensive evaluation of your sleep patterns, medical history, and factors contributing to insomnia using sleep diaries and questionnaires.

  • Personalized Treatment Plan

    Based on your assessment, a customized CBT-I program is developed targeting your specific sleep challenges and goals.

  • 6-8 Weekly Sessions

    Regular therapy sessions (individual or group) where you learn and practice CBT-I techniques with professional guidance and support.

  • Progress Monitoring

    Continuous tracking of sleep improvements through sleep diaries, with adjustments made to optimize your treatment response.

  • Long-term Success

    Maintenance strategies and follow-up support ensure lasting sleep improvements and provide tools for future sleep challenges.

CBT-I vs. Sleep Medications: The Clear Winner

Scientific research consistently shows CBT-I superiority for long-term sleep health

Why Sleep Specialists Recommend CBT-I First

Major medical organizations including the American Academy of Sleep Medicine and Canadian Sleep Society recommend CBT-I as the first-line treatment for chronic insomnia. This evidence-based approach provides the most comprehensive and lasting solution for sleep problems.

No Side Effects

CBT-I has no adverse effects, unlike sleep medications which can cause dependency, tolerance, and morning grogginess.

Lasting Results

Benefits persist long after treatment ends, while medications only work while being taken.

Addresses Root Causes

Treats underlying factors maintaining insomnia rather than just masking symptoms.

Cost-Effective

One-time treatment investment provides years of better sleep, unlike ongoing medication costs.

Who Benefits from CBT-I?

CBT-I effectively treats various sleep challenges across diverse populations

Chronic Insomnia

Primary treatment for difficulty falling asleep, staying asleep, or early morning awakening lasting 3+ months.

Shift Workers

Helps healthcare workers, first responders, and others adapt to irregular schedules while maintaining sleep quality.

Anxiety-Related Sleep Issues

Addresses racing thoughts, worry, and sleep anxiety that keep people awake at night.

Medication Dependency

Provides a pathway to reduce or eliminate reliance on sleep medications while maintaining good sleep.

Stress-Induced Insomnia

Manages sleep problems triggered by work stress, life transitions, or traumatic events.

Age-Related Sleep Changes

Helps older adults adapt to natural sleep pattern changes while maintaining restorative sleep.

Frequently Asked Questions About CBT-I

Get answers to common questions about Cognitive Behavioral Therapy for Insomnia

What is CBT-I and how does it work for insomnia?

CBT-I (Cognitive Behavioral Therapy for Insomnia) is a structured, evidence-based treatment that combines cognitive therapy, behavioral interventions, and sleep education. It works by identifying and changing thoughts and behaviors that interfere with sleep, using techniques like sleep restriction, stimulus control, and cognitive restructuring to break the cycle of insomnia.

How long does CBT-I treatment take to cure insomnia?

Most CBT-I programs consist of 6-8 weekly sessions lasting 45-60 minutes each. Patients typically begin experiencing sleep improvements within 2-4 weeks, with significant results by week 6-8. Unlike sleep medications, CBT-I provides lasting benefits that continue long after treatment completion.

Is CBT-I better than sleeping pills for chronic insomnia?

Yes, research consistently shows CBT-I is more effective than sleep medications for long-term insomnia treatment. CBT-I provides lasting results without side effects, dependency risks, or tolerance issues. While medications only work while being taken, CBT-I creates permanent changes in sleep patterns and behaviors.

Does CBT-I work for sleep anxiety and racing thoughts at bedtime?

Absolutely. CBT-I specifically targets sleep-related anxiety through cognitive restructuring techniques that identify and challenge catastrophic thoughts about sleep. It teaches relaxation techniques, mindfulness, and thought-stopping strategies to quiet racing minds and reduce bedtime anxiety.

Can I do CBT-I online or do I need in-person therapy sessions?

Both online and in-person CBT-I are highly effective. Digital CBT-I programs (dCBT-I) and telehealth sessions have shown comparable success rates to face-to-face treatment. Online options make CBT-I accessible regardless of location, schedule constraints, or mobility limitations.

Is CBT-I covered by health insurance in Canada?

Coverage varies by province and insurance plan. Many extended health benefits cover psychology services that include CBT-I. Some provinces offer publicly funded CBT-I programs. Our platform helps connect you with providers who accept your specific insurance and can guide you through coverage options.

What conditions can CBT-I treat besides chronic insomnia?

CBT-I effectively treats various sleep disorders including sleep maintenance insomnia, early morning awakening, shift work sleep disorder, sleep anxiety, and insomnia related to chronic pain, PTSD, depression, or medical conditions. It also helps people reduce dependence on sleep medications.

How do I find a qualified CBT-I therapist near me in Canada?

We have you covered! MySleepHealth.ca connects you with licensed CBT-I therapists and sleep specialists across Canada. You can search by location, read therapist profiles, and book appointments online. All our providers are trained in evidence-based CBT-I techniques to ensure you receive the highest quality care.

Ready to Transform Your Sleep with CBT-I?

Join thousands of Canadians who have overcome insomnia through evidence-based CBT-I treatment. Take the first step toward better sleep health today.