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The American College of Physicians (ACP) is urging doctors to recommend a mix of talk therapy and sleep-habit changes called cognitive-behavioral therapy (CBT-I) for chronic insomnia. It is the primary line of defense for insomnia. This suggestion is contained within the ACP's latest guidelines on the management of chronic insomnia, published on May 2, 2016. History of Internal Medicine. CBT-I has several components, including cognitive-behavioral therapy, which shifts anxiety-influenced thoughts about sleep to more positive thoughts about sleep. reducing bedtime stimuli, akin to taking a look at computer and TV screens; leisure techniques; And a greater sleep environment that's cool and dark. ACP reports that CBT-I is prone to be safer than sleep medications, which could be related to unwanted side effects akin to impaired driving and worsening depression. If CBT-I doesn't help improve sleep, the ACP urges doctors to debate the risks and advantages before prescribing the drug.
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