The Insomnia Practice

Coming soon…

[The Insomnia Practice @CBT4Insomnia]

Takeaway:
Adding CBT-I to PE doesn’t boost PTSD recovery beyond PE+hygiene, but it delivers robust, meaningful improvements in sleep.

If the goal is better sleep alongside PTSD recovery, CBT-I is worth integrating. If the sole aim is PTSD reduction, PE alone remains sufficient.

[The Insomnia Practice @CBT4Insomnia]

Should we add CBT-I to Prolonged Exposure (PE) for PTSD? 🧵

https://t.co/pQzPEFmGuR

#PTSD #Insomnia #CBTI #ProlongedExposure

[The Insomnia Practice @CBT4Insomnia]

These gains flattened somewhat at 3-month follow-up, but the PE+CBT-I group still showed moderate advantages in sleep outcomes.

[The Insomnia Practice @CBT4Insomnia]

Interesting detail: unlike some protocols (e.g. Edinger & Carney), this trial set no minimum “floor” for time in bed during SRT.

#Insomnia #CBTi #Sleeprestrictiontherapy #Sleepcompressiontherapy

[The Insomnia Practice @CBT4Insomnia]

Sleep Restriction Therapy vs. Sleep Compression Therapy:

https://t.co/XIlZv7KHa6

A new RCT (Jernelöv et al., 2025) puts these two CBT-I techniques head-to-head. Here’s what they found 🧵

[The Insomnia Practice @CBT4Insomnia]

Key conclusion:
- Both effective.
- COMP did not meet the non-inferiority margin.
- Reinforces SRT as first-line CBT-I treatment.
- Still, COMP is a valid fallback if SRT isn’t feasible or safe.

[The Insomnia Practice @CBT4Insomnia]

Perhaps we should place more trust in our own subjective sense of sleep quality.

#Insomnia #SleepScience #SleepResearch #SleepTrackers

[The Insomnia Practice @CBT4Insomnia]

Do sleep tracking devices influence how we feel and function the next day?

A fascinating study from 2018 by Gavriloff et al. suggests they do. 🧵

https://t.co/WOrBZcl9dl

[The Insomnia Practice @CBT4Insomnia]

This subjectivity can be shaped by external influences, including the feedback we receive from sleep tracking devices that may only ever offer the illusion of objectivity.