Abstract

Cognitive Behavioral Therapy for Insomnia (CBT-I) is a highly effective intervention for chronic insomnia. Insomnia is especially common in individuals with substance use disorder (SUD), particularly during the withdrawal phase. The few studies that have been conducted on CBT-I in patients with substance use disorders suggest that CBT-I is also an effective treatment in this population and there may be additional modifications to consider when working with this patient population. This chapter will focus on insomnia in individuals with alcohol use disorder and cannabis use disorder. Specifically, we discuss patient assessment, how the substance affects sleep, modifications to CBT-I for alcohol and cannabis users, clinical pearls, and areas for future consideration.

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