{"id":8172,"date":"2026-10-01T08:24:55","date_gmt":"2026-10-01T06:24:55","guid":{"rendered":"https:\/\/mindthebed.com\/treating-insomnia-with-cbt-i-works\/"},"modified":"2026-10-01T08:35:28","modified_gmt":"2026-10-01T06:35:28","slug":"treating-insomnia-with-cbt-i-works","status":"publish","type":"post","link":"https:\/\/mindthebed.com\/en\/treating-insomnia-with-cbt-i-works\/","title":{"rendered":"Treating Insomnia with CBT-i Works!"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">You\u2019ve probably heard most of the tips on sleep hygiene by now. No more screens after 10 p.m., keep the bedroom cooler, stick to a regular schedule, and no coffee after 3 p.m. You\u2019ve probably tried them, too, right? Some weeks it seems to help, but other weeks you\u2019re awake again at 3 a.m., staring at the ceiling and counting down the hours until morning.   <\/p>\n\n<p class=\"wp-block-paragraph\">Eventually, you go to see your family doctor. He or she listens, nods, and might prescribe a sleeping pill. Or sends you on your way with the advice to try again by sticking to a regular routine.  <\/p>\n\n<p class=\"wp-block-paragraph\">What usually doesn\u2019t come up in that conversation about insomnia is the name of the treatment that, according to Dutch and European guidelines, is the first-line treatment for chronic insomnia. That treatment exists, it has been well-researched, and, unfortunately, most people who need it will never hear about it. We\u2019re going to talk about cognitive behavioral therapy for insomnia, or CBT-i for short.  <\/p>\n\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Content:<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #003f73;color:#003f73\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #003f73;color:#003f73\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/mindthebed.com\/en\/treating-insomnia-with-cbt-i-works\/#Insomnia_is_different_from_just_having_a_bad_nights_sleep\" >Insomnia is different from just having a bad night&#8217;s sleep<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/mindthebed.com\/en\/treating-insomnia-with-cbt-i-works\/#What_CGT-i_Does_and_Why_It_Feels_Uncomfortable\" >What CGT-i Does, and Why It Feels Uncomfortable<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/mindthebed.com\/en\/treating-insomnia-with-cbt-i-works\/#Why_then_do_you_hear_so_little_about_CGT-i\" >Why, then, do you hear so little about CGT-i?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/mindthebed.com\/en\/treating-insomnia-with-cbt-i-works\/#Conclusion\" >Conclusion<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/mindthebed.com\/en\/treating-insomnia-with-cbt-i-works\/#Resources\" >Resources<\/a><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Insomnia_is_different_from_just_having_a_bad_nights_sleep\"><\/span>Insomnia is different from just having a bad night&#8217;s sleep<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<p class=\"wp-block-paragraph\">Everyone has trouble sleeping sometimes. A stressful day, a move, a sick child. That\u2019s only human\u2014and actually quite normal.  <\/p>\n\n<p class=\"wp-block-paragraph\">Chronic insomnia (or sleeplessness) is something else entirely. It\u2019s a sleep disorder with a fairly precise definition: difficulty falling asleep, staying asleep, or waking up too early\u2014at least three nights a week, for at least three months\u2014and, most importantly, with noticeable effects during the day. Not only fatigue, but also slower thinking, a shorter fuse, and more trouble concentrating or making decisions. In short, it really gets in the way.   <\/p>\n\n<p class=\"wp-block-paragraph\">Anyone who lies awake in bed night after night, worrying, gradually begins to associate the bed with wakefulness rather than sleep. And the harder you try to fall asleep, the more alert your nervous system becomes. That\u2019s the paradox that anyone with insomnia immediately recognizes: the desperation to fall asleep is exactly what keeps you from doing so.  <\/p>\n\n<p class=\"wp-block-paragraph\">That\u2019s why sleep hygiene doesn\u2019t work\u2014or hardly works\u2014in this case. It focuses on the circumstances surrounding sleep, and for most sleep problems, that\u2019s exactly enough. With chronic insomnia, the problem lies in the learned pattern itself. It\u2019s exactly as Aline Kruit writes in her book: \u201cSleeping is doing nothing.\u201d And you\u2019ve forgotten how to do that.    <\/p>\n\n<figure class=\"wp-block-image size-full\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"640\" height=\"427\" src=\"https:\/\/i0.wp.com\/mindthebed.com\/wp-content\/uploads\/2026\/10\/depressed-young-woman-lying-bed-cannot-sleep-from-insomnia-selective-focus-alarm-clock-normaal.jpeg?resize=640%2C427&#038;ssl=1\" alt=\"Lying awake at night, unable to sleep.\" class=\"wp-image-8159\" srcset=\"https:\/\/mindthebed.com\/wp-content\/uploads\/2026\/10\/depressed-young-woman-lying-bed-cannot-sleep-from-insomnia-selective-focus-alarm-clock-normaal.jpeg 640w, https:\/\/mindthebed.com\/wp-content\/uploads\/2026\/10\/depressed-young-woman-lying-bed-cannot-sleep-from-insomnia-selective-focus-alarm-clock-normaal-480x320.jpeg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 640px, 100vw\" \/><figcaption class=\"wp-element-caption\">Insomnia: Lying Awake in the Middle of the Night<\/figcaption><\/figure>\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_CGT-i_Does_and_Why_It_Feels_Uncomfortable\"><\/span>What CGT-i Does, and Why It Feels Uncomfortable<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<p class=\"wp-block-paragraph\">Cognitive behavioral therapy for insomnia, usually abbreviated as CBT-I, addresses precisely that learned pattern. The therapy consists of a few components that sound almost too simple on paper. <\/p>\n\n<p class=\"wp-block-paragraph\"><strong>With sleep restriction<\/strong>, the time you spend in bed is temporarily reduced to roughly the amount of time you actually sleep. This feels unnatural because you\u2019re already tired. The result is that sleep pressure builds up and sleep becomes concentrated in a single, uninterrupted block again. After that, the sleep window is gradually expanded.   <\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Stimulus control helps<\/strong> restore the association between bed and sleep. Go to bed only when you&#8217;re sleepy, get out of bed if you&#8217;re lying awake, and get up at the same time every morning. This, too, is easier said than done.  <\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Then there\u2019s the cognitive aspect: the <\/strong>beliefs that fuel the anxiety. \u201cIf I don\u2019t get eight hours of sleep, I won\u2019t be able to function tomorrow.\u201d \u201cI\u2019m just a light sleeper.\u201d Those thoughts about sleep aren\u2019t just annoying\u2014they literally keep the system awake.  <\/p>\n\n<p class=\"wp-block-paragraph\">It has now been well documented that it works. Meta-analyses show that people fall asleep faster, spend less time lying awake, and experience a noticeable improvement in their sleep. And because sleep affects mood, concentration, and quality of life, that effect isn\u2019t limited to nighttime. The main difference from sleep medication lies in what happens afterward. A sleep aid works only as long as you take it, and when you stop, the symptoms usually return. With CBT-i, the effect persists, and in the long term, thanks to the fundamental behavioral changes, this approach is therefore more effective than medication.     <\/p>\n\n<p class=\"wp-block-paragraph\">The NHG Standard on Sleep Problems, revised in 2024, identifies this behavioral approach as the first-line treatment. The 2023 European Insomnia Guidelines do the same and, in fact, advise against sleep hygiene as a standalone treatment. <\/p>\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Why_then_do_you_hear_so_little_about_CGT-i\"><\/span>Why, then, do you hear so little about CGT-i?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<p class=\"wp-block-paragraph\">That&#8217;s the problem. The treatment is available; it&#8217;s been studied; it&#8217;s included in the guidelines. And yet the vast majority of people with chronic insomnia don&#8217;t receive it.  <\/p>\n\n<p class=\"wp-block-paragraph\">This has little to do with treatment and a lot to do with access. There are simply still too few psychologists and sleep therapists who offer CBT-i; the referral process isn\u2019t always clear to primary care physicians; and waiting lists for specialized sleep care can sometimes stretch to many months in quite a few countries and regions. In the meantime, the patient isn\u2019t sleeping, and the pattern becomes even more ingrained.  <\/p>\n\n<p class=\"wp-block-paragraph\">That is exactly why so much research has been conducted over the past ten years on online CBT-i, without a psychologist in the room. Whether this is a fully-fledged alternative\u2014and where its limitations lie\u2014is a story in itself. One that is already being written about extensively, including by us. Sign up for the <a href=\"https:\/\/sleepgrip.eu\" data-type=\"link\" data-id=\"sleepgrip.eu\" target=\"_blank\" rel=\"noreferrer noopener\">SleepGrip<\/a> program, which will be launching soon.   <\/p>\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Conclusion\"><\/span>Conclusion<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<p class=\"wp-block-paragraph\">What stands out about this whole issue is not that there is no solution. There is one, and it\u2019s right there in black and white in the guidelines your primary care physician is supposed to follow. <\/p>\n\n<p class=\"wp-block-paragraph\">What\u2019s also striking is how many people suffer from poor sleep for years without the name of that treatment ever coming up. If you recognize yourself in the pattern of three nights a week for three months, then the question you should ask your doctor might not be \u201cCan you prescribe something?\u201d but rather \u201cAm I a candidate for cognitive behavioral therapy for insomnia?\u201d <\/p>\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Resources\"><\/span>Resources<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<ul class=\"wp-block-list\">\n<li>Riemann, D. et al. (2023). The European Insomnia Guideline: An update on the diagnosis and treatment of insomnia 2023. <em>Journal of Sleep Research<\/em>. <\/li>\n\n\n\n<li>Trauer, J. M. et al. (2015). Cognitive behavioral therapy for chronic insomnia: a systematic review and meta-analysis. <em>Annals of Internal Medicine<\/em>, 163(3), 191-204. <\/li>\n\n\n\n<li>NHG Standard on Sleep Problems, 2024 Revision. Dutch College of General Practitioners. <\/li>\n\n\n\n<li>VZinfo \/ RIVM, based on the CBS Health Survey 2024. Sleep problems, total population. <\/li>\n\n\n\n<li>Kempenhaeghe (2024). New NHG Guideline: Working Together for a Better Night&#8217;s Sleep. <\/li>\n\n\n\n<li>Morin, C. M. &amp; Jarrin, D. C. (2022). Epidemiology of insomnia: prevalence, course, risk factors, and public health burden. <em>Sleep Medicine Clinics<\/em>, 17(2), 173-191. <\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>You\u2019ve probably heard most of the tips on sleep hygiene by now. No more screens after 10 p.m., keep the bedroom cooler, stick to a regular schedule, and no coffee after 3 p.m. You\u2019ve probably tried them, too, right? Some weeks it seems to help, but other weeks you\u2019re awake again at 3 a.m., staring&#8230;<\/p>\n","protected":false},"author":1,"featured_media":8173,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[62],"tags":[],"class_list":["post-8172","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-improve-my-sleep"],"featured_image_src":"https:\/\/i0.wp.com\/mindthebed.com\/wp-content\/uploads\/2026\/10\/insomnia-scaled.jpg?fit=2560%2C1792&ssl=1","author_info":{"display_name":"J\u00fcrgen Swinnen","author_link":"https:\/\/mindthebed.com\/en\/author\/victorys\/"},"_links":{"self":[{"href":"https:\/\/mindthebed.com\/en\/wp-json\/wp\/v2\/posts\/8172","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mindthebed.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mindthebed.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mindthebed.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mindthebed.com\/en\/wp-json\/wp\/v2\/comments?post=8172"}],"version-history":[{"count":1,"href":"https:\/\/mindthebed.com\/en\/wp-json\/wp\/v2\/posts\/8172\/revisions"}],"predecessor-version":[{"id":8174,"href":"https:\/\/mindthebed.com\/en\/wp-json\/wp\/v2\/posts\/8172\/revisions\/8174"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/mindthebed.com\/en\/wp-json\/wp\/v2\/media\/8173"}],"wp:attachment":[{"href":"https:\/\/mindthebed.com\/en\/wp-json\/wp\/v2\/media?parent=8172"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mindthebed.com\/en\/wp-json\/wp\/v2\/categories?post=8172"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mindthebed.com\/en\/wp-json\/wp\/v2\/tags?post=8172"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}