'CBT-I is the first-line and gold-standard treatment for insomnia'
As people age, symptoms of insomnia often creep in. They may toss and turn for hours, struggling to fall or stay asleep. Frequent nocturnal and early morning awakenings are very common in older adults. This, in turn, contributes to higher rates of depression, social isolation, and physical health issues. The combination of insomnia and depression can be quite disruptive to an older adult's quality of life.
"Insomnia is a risk factor for depression," said Natalia S. David, PsyD, DBSM, a health psychologist who specializes in behavioral sleep medicine at the University of Texas Southwestern Medical Center's O'Donnell Brain Institute in Dallas."Therefore, reducing insomnia in older adults should be a focus of clinical attention."
"It was just a vicious circle," the substitute elementary special ed teacher said of her insomnia."But I took the course and thought it was very beneficial." The process often follows a 6- to 8-week course for most patients, but it may take longer in some difficult cases. At times, medications and CBT-I are used jointly for patients who need both types of therapy to sleep well. Recently, there has been interest in assessing the use of telemedicine to conduct CBT-I, particularly given the limited number of trained therapists, Kirsch said.
Geriatricians often encounter patients with sleep disorders, which affect women more commonly than men.
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