Abstract
Evidence suggests that behavioral therapies for insomnia, typically combined with cognitive interventions, are an enduring and effective treatment for chronic insomnia. Over decades of theory-driven use and research, several behavioral insomnia techniques have emerged, including stimulus control therapy, sleep restriction therapy, relaxation training, paradoxical intention, and sleep hygiene therapy, with varying levels of efficacy and considerations for use. Behavioral treatment implementation has been somewhat limited by availability of trained providers and patient adherence barriers. A stepped-care model of treatment, including utilization of newer online interactive treatment programs, may offer a solution to these implementation barriers.
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