CBT-I Study Guide 2026

Everything you need to pass the CBT-I exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.

CBT-I exam key facts

  • The CBTI-C Examination consists of 120 scored multiple-choice questions. Source
  • The passing score for the CBTI-C examination represents an absolute standard established using the modified Angoff technique. Source
  • The application and examination fee for the CBTI-C examination is $445. Source
  • The CBTI-C examination may be retaken as often as desired upon submission of a new application and payment of the full examination fee. Source
  • The BBSM CBTI-C credential is valid for a period of 5 years. Source
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📋 CBT-I Exam Format at a Glance

120
Questions
150 min
Time Limit
70.00%
Passing Score

📚 CBT-I Topics to Study (24)

✍️ Sample CBT-I Questions & Answers

1. When a CBT-I client discloses that their insomnia is partly due to caring for a terminally ill spouse, the practitioner should:
✓ Acknowledge the grief context and consider referral for bereavement support alongside CBT-I

Competent ethical practice involves recognizing comorbid psychosocial stressors and facilitating appropriate adjunct referrals while continuing evidence-based sleep treatment.

2. Which component of CBT-I is most challenging to implement in a group format?
✓ Individually tailored sleep restriction with different prescribed windows for each patient

Sleep restriction requires individually calculated sleep windows based on each patient's sleep diary data, making it more complex to manage simultaneously across 6-10 patients.

3. Regular aerobic exercise has been shown to improve insomnia by:
✓ Reducing anxiety, improving mood, and enhancing slow-wave sleep

Exercise reduces anxiety, improves mood, and increases slow-wave sleep, all of which benefit insomnia patients.

4. EMG biofeedback in insomnia patients typically targets which muscle group(s)?
✓ Frontalis or trapezius muscles

The frontalis (forehead) and trapezius (neck/shoulder) muscles are commonly monitored as proxies for overall body tension.

5. The Dysfunctional Beliefs and Attitudes about Sleep (DBAS) scale measures:
✓ Maladaptive sleep-related cognitions such as unrealistic sleep expectations and catastrophizing

The DBAS assesses the specific cognitive distortions about sleep that CBT-I cognitive restructuring aims to modify.

6. Which action best reflects the ethical principle of fidelity in CBT-I practice?
✓ Honoring commitments made to clients about treatment structure and follow-up

Fidelity refers to trustworthiness and keeping promises, such as adhering to agreed-upon session schedules and treatment plans.

🎯 Free CBT-I Practice Tests

📖 CBT-I Guides & Articles

Your CBT-I Study Path
1. Learn with Flashcards → 2. Drill Practice Tests → 3. Take the Full Exam Simulation

What Practice Test Geeks adds beyond an AI chat for CBT-I

An AI chatbot can quiz you, but it can't reproduce the exam conditions or keep your record. Here you get:

  • A timed, full-length CBT-I mock exam — 120 questions in 150 minutes with a 70% pass mark, modeled on the official exam's question count and time limit, followed by a score report broken down by exam domain.
  • A fixed CBT-I question bank: the same test every attempt, so your score is comparable from one try to the next instead of changing with every regenerated quiz.
  • Progress saved on your device: completed tests, scores and missed questions stay in My Progress, so you can retake only what you got wrong.
  • A printable CBT-I cheat sheet you can print or save as a PDF.
  • CBT-I flashcards built from the same question bank.
  • Free CBT-I practice tests with the correct answer shown after each question.
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How this page was made: written with AI tools and published by Nathan Beja, founder of Practice Test Geeks, who is responsible for its content. Exam facts are checked against the official sources listed below. Not reviewed by a subject-matter expert. Editorial policy

Sources & references

Exam facts on this page (fees, format, dates, passing scores) are checked against these official sources; the date is our last check. Editorial policy

  1. bsmcredential.org — Test delivery, eligibility, fees, exam format, passing score, renewal, retake policy, score release, score validity · verified Oct 2026
CBT-I Study Guide 2026 — Exam Format, Topics & Practice Questions