CBT-I Special Populations & Comorbidities Flashcards

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

Answer: Be initiated early in recovery, as insomnia increases relapse risk

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

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

Answer: Using caregiver-assisted implementation with simplified instructions

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

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

Answer: Seizure disorder or parasomnias worsened by sleep deprivation

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

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

Answer: Integrates pain management strategies alongside standard CBT-I components

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

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

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

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

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

Answer: CBT-I improves sleep even when PTSD symptoms persist

Evidence demonstrates that CBT-I produces meaningful sleep improvements in veterans with PTSD even without full PTSD remission.