New Guidance on Chronic Insomnia Treatment - Takeaways - MDSpire

New Guidance on Chronic Insomnia Treatment

Experts recommend CBT-I as first-line therapy, with combination treatment reserved for selected patients

  • By

  • Conexiant News Staff

  • April 15, 2026

  • 4 min

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  • 1

    Cognitive behavioral therapy for insomnia (CBT-I) is the preferred first-line treatment for chronic insomnia disorder in adults.

  • 2

    Combination therapy of CBT-I and pharmacotherapy offers modest benefits over medication alone but not over CBT-I alone.

  • 3

    Combination treatment may lead to small improvements in insomnia severity and sleep continuity but has slightly higher adverse effects.

  • 4

    Pharmacotherapy alone is appropriate when CBT-I is unavailable or when patients cannot engage in behavioral interventions.

  • 5

    The guideline emphasizes shared decision-making and tailoring treatment based on patient preferences and access to care.

Original Source(s)

New Guidance on Chronic Insomnia Treatment

  • by Conexiant News Staff

  • April 15, 2026

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