CBT-I CBT-I Special Populations & Comorbidities 3

Question 1

For patients with insomnia and alcohol use disorder, CBT-I should:

Accepted Answer

Be initiated early in recovery, as insomnia increases relapse risk

Answer

Be withheld until 12 months of sobriety

Answer

Focus solely on sleep hygiene

Answer

Use sleep restriction more aggressively than standard

Question 2

When adapting CBT-I for patients with dementia, the most important modification is:

Accepted Answer

Using caregiver-assisted implementation with simplified instructions

Answer

Eliminating all behavioral components

Answer

Replacing CBT-I with benzodiazepines

Answer

Using aggressive sleep restriction

Question 3

Which patient characteristic is a relative contraindication to standard sleep restriction therapy?

Accepted Answer

Seizure disorder or parasomnias worsened by sleep deprivation

Answer

Mild depression

Answer

Chronic pain

Answer

Older age alone

Question 4

Insomnia co-occurring with fibromyalgia is best treated with CBT-I that:

Accepted Answer

Integrates pain management strategies alongside standard CBT-I components

Answer

Avoids any sleep restriction

Answer

Uses only relaxation techniques

Answer

Extends sessions to 2 hours each

Question 5

For patients with insomnia and ADHD, which CBT-I modification is most relevant?

Accepted Answer

Using visual aids and structured tools to support adherence with behavioral components

Answer

Reducing session frequency

Answer

Eliminating cognitive restructuring

Answer

Using longer sleep windows than recommended

Question 6

Research on CBT-I for veterans with insomnia and PTSD shows:

Accepted Answer

CBT-I improves sleep even when PTSD symptoms persist

Answer

PTSD prevents any meaningful improvement in insomnia

Answer

Trauma processing must fully precede CBT-I

Answer

Only nighttime exposure therapy is effective in this population