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

Insomnia is a major relapse trigger in alcohol use disorder, making early CBT-I treatment critical to supporting recovery.

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

Dementia patients require simplified protocols delivered with caregiver involvement to ensure adherence and safety.

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

Sleep deprivation can lower seizure thresholds and trigger some parasomnias, making aggressive sleep restriction potentially risky in these patients.

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

An integrated approach addressing both pain and sleep concurrently improves outcomes more than treating either condition alone.

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

ADHD-related difficulties with routine, attention, and organization require structured supports and tools to facilitate consistent CBT-I adherence.

(CBT-I) CBT Insomnia Certification Practice Test