Cognitive behavioural therapy for insomnia is the first-line treatment for chronic insomnia, not simply a list of sleep-hygiene tips.

Sleep & Circadian - Sleep conditions

Chronic insomnia and CBT-I

Last reviewed 3 August 2026. How we write this.

Cognitive behavioural therapy for insomnia is the first-line treatment for chronic insomnia, not simply a list of sleep-hygiene tips.

CBT-I combines behavioural and cognitive methods including stimulus control and carefully managed sleep scheduling. It is adapted to the person and condition.

Why “try harder to sleep” fails

Extending time in bed and monitoring sleep anxiously can strengthen wakefulness in bed. Persistent insomnia deserves proper assessment and treatment.

Educational content only. This does not diagnose, treat or replace individual advice from an appropriately qualified clinician.

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Sources for this classroom

Educational content only. Not medical advice, diagnosis or treatment. Always consult a qualified healthcare professional before changing your health regimen.