10 doctors weighed in:
Do you need to take medication in addition to having cbt to help with insomnia?
10 doctors weighed in

Dr. Heidi Fowler
Psychiatry
4 doctors agree
In brief: Along with CBT use
1. Keep a regular bedtime & wakening time (to include weekends). Get up the same time each day, regardless of what time you fell asleep. 2. Make a regular, relaxing bedtime routine. Relaxing rituals prior to bedtime may include a warm bath or shower, aroma therapy, reading, or listening to gentle music. 3. Sleep in a dark, quiet, cool room on comfortable mattress & pillows.

In brief: Along with CBT use
1. Keep a regular bedtime & wakening time (to include weekends). Get up the same time each day, regardless of what time you fell asleep. 2. Make a regular, relaxing bedtime routine. Relaxing rituals prior to bedtime may include a warm bath or shower, aroma therapy, reading, or listening to gentle music. 3. Sleep in a dark, quiet, cool room on comfortable mattress & pillows.
Dr. Heidi Fowler
Dr. Heidi Fowler
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Dr. Heidi Fowler
4. Use the bedroom only for sleep & sex. Have work materials, computers, & TVs in another room. 5. Finish eating at least 2-3 hs prior to your regular bedtime. 6. No caffeine within 6 hours; alcohol & smoking within 2 hrs of bedtime. Alcoholism is a major cause for insomnia. 7. Exercise regularly; finish a few hours before bedtime. 8. No naps. 9. Go to bed only when sleepy. Lay in bed only for sleeping, not for work or watching TV. 10. Designate another time to write down problems & possible solutions in the late afternoon or early evening, not close to bedtime. 11. After 10-15 minutes of not being able to get to sleep, go to another room to read or watch TV until sleepy. Consider chamomile tea before bed. Warm milk. Lavender oil in bath or lavender scent on pillow. Melatonin is very helpful. Acupuncture often works well for insomnia.
Dr. Lisa Shives
Internal Medicine
4 doctors agree
In brief: No
Cbt alone is often quite effective for insomnia.

In brief: No
Cbt alone is often quite effective for insomnia.
Dr. Lisa Shives
Dr. Lisa Shives
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