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Nowakowski S, Meers JM. Cognitive-behavior therapy for sleep disorders at midlife. Menopause (New York, N.Y.). 2021 May 24; 28(7):833-835.
ABSTRACT: Insomnia is a clinical disorder characterized as difficulty falling asleep, staying asleep, or waking too early. To meet diagnostic criteria for an insomnia disorder, these difficulties must be present for a minimum of 3?months and cause significant daytime impairment. Insomnia is common in women transitioning through menopause and frequently continues in the years after menopause. Cognitive-behavior therapy for insomnia (CBT-I) is a brief behavior treatment, with decades of evidence supporting its effectiveness across the adult lifespan, including midlife. This Practice Pearl highlights the rationale for CBT-I and describes treatment components, with specific considerations for its use in midlife women.