Try Cognitive Behavioral Therapy for Insomnia First

admin Best Practices, Insomnia, Insomnia Treatment Leave a Comment

Although there is reason for optimism about some of the newer medications for insomnia (orexin antagonists) that are coming to market, it remains true that sleeping medications are not the right answer for many people with insomnia. Cognitive behavioral therapy for insomnia (CBTi) has several advantages as an initial treatment. Cognitive Behavioral Therapy for Insomnia First We have been writing …


Sleepio CBTi for Insomnia

Peter Forster About GPS, Best Practices, Insomnia, Insomnia Treatment Leave a Comment

Sleepio is a six-session sleep improvement program, created by sleep expert Professor Colin Espie and featuring proven Cognitive Behavioral Therapy (CBT) techniques. We are happy to add this treatment option to the list of state of the art therapies available at Gateway Psychiatric. Sleepio joins SHUTi, a longer program that we have found to be extremely useful for patients with insomnia and have …

Delayed Circadian Rhythms

Peter Forster Insomnia, Insomnia Treatment, Psychobiology

Delayed circadian rhythms occur in a condition known as delayed sleep-wake phase disorder (DSWPD). This condition needs to be distinguished from disrupted circadian rhythms, a condition in which there are no strong circadian rhythms and therefore it’s hard for people to fall asleep, and when they do fall asleep they tend to have fragmented or light sleep. People with delayed …

Insomnia Relief

Peter Forster Best Practices, Insomnia, Insomnia Treatment

How to find insomnia relief is a question that many people we work with struggle with. A recent editorial in JAMA Psychiatry and the accompanying research article suggests that the online program that we’ve been recommending to our patients for years (SHUTi) is the treatment of choice for insomnia. We have been extremely pleased with the results from this program which can …

CBT for Insomnia Somryst

CBT for Insomnia Reduces Depression – Somryst

Peter Forster Best Practices, Insomnia, Insomnia Treatment

An online sleep program using CBT for insomnia (Cognitive Behavioral Therapy for Insomnia – CBTi) has been shown to reduce depression in a study published in the April 2016 edition of Lancet Psychiatry. CBT for Insomnia CBTi is the most effective program for treating chronic insomnia and chronic insomnia is a major risk factor for developing depression. Unfortunately, CBTi is …

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Chronic Insomnia Best Treatments

Peter Forster Insomnia, Insomnia Treatment

  Chronic Insomnia – What are the Best Treatments? The American College of Physicians just published guidelines on the treatment of chronic insomnia. These guidelines were based on a comprehensive review of the literature. They note that chronic insomnia is very common, but the literature on treatment is relatively poor. Many treatments that are used do not have good evidence …

Benzodiazepines and Dementia

Peter Forster Insomnia Treatment

High use of benzodiazepines is not associated with an increased risk for dementia or Alzheimer’s disease according to a large prospective study published in the British Medical Journal. Previous research had suggested that there might be a link and we all know that single doses of benzodiazepines impair cognition and memory so it made sense that there might be such …

Do We Need 8 Hours of Sleep?

Peter Forster Insomnia, Insomnia Treatment

A recently published study that looked at patterns of sleep in three different hunter gatherer societies challenges the long-held notion that we all need to sleep 8 to 9 hours a night and that many of us in Western society are chronically sleep deprived. The results are summarized in an article we just published in our companion website Tantalizing …

Treatment of Fatigue in Patients with Depression or Bipolar

Peter Forster Bipolar Treatment, Diagnosis, Physical Conditions and Health, Treatments of Depression

Treatment of depression in patients with depression or bipolar is often complicated. If medications are prescribed, will they make mood symptoms worse, or have other significant adverse effects? And yet fatigue is common in people with a history of depression (it occurs in up to 10% of the general population and is much more common in women, who have a …