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The first-line treatment for chronic insomnia is not a sleeping pill. The American College of Physicians recommends cognitive behavioral therapy for insomnia, CBT-I, for all adults with the condition, and grades it a strong recommendation. Medication comes second, weighed with a doctor as a joint decision. The catch is delivery: there are not enough trained therapists to give everyone the treatment the guidelines call for.

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Insomnia Treatment: Why the Guidelines Put CBT-I Before Sleeping Pills

The first-line treatment for chronic insomnia is CBT-I, not medication. Here is what the American College of Physicians recommends, why the 2026 guideline advises against adding pills, and what 1.26 million zolpidem prescriptions in five months say about the gap.

Aug 12, 20265 min readUnited States, South Korea

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Country	Articles
United States	Insomnia Treatment: Why the Guidelines Put CBT-I Before Sleeping Pills
South Korea	Insomnia Treatment: Why the Guidelines Put CBT-I Before Sleeping Pills