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Top 10 CBT-Based Tips for Managing Insomnia

By Debra Kissen

Insomnia can feel like a relentless cycle of worry and sleepless nights, but CBT-based techniques can help break the pattern, bringing restful sleep within reach. These tips focus on sleep hygiene, stimuli control, and cognitive therapy, making practical changes to your sleep habits while challenging unhelpful thoughts. By combining science-backed strategies with practice, you can gradually retrain your brain to view sleep as a simple, basic aspect life vs. an unattainable goal.

  1. Establish a Consistent Sleep Schedule
    Aim to go to bed and wake up at the same time every day, even on weekends. Consistency reinforces your body’s natural sleep-wake cycle, helping you fall asleep more easily over time. The goal here isn’t necessarily immediate sleep, but instead, a routine that signals to your body when it’s time to wind down.
  2. Create a Relaxing Pre-Sleep Routine
    About an hour before bedtime, engage in calming activities like reading, stretching, or deep breathing. Avoid screens during this time as blue light disrupts melatonin production, making it harder to fall asleep. By replacing screen time with relaxing rituals, you signal to your brain that it’s time to transition into sleep mode.
  3. Limit Time in Bed to Actual Sleep
    If you’ve been lying awake for over 20 minutes, it’s better to get up and engage in a low-stimulation activity than to stay in bed. This is a stimulus control strategy that breaks the association between your bed and sleeplessness. Return to bed only when you feel drowsy, so your brain associates your bed solely with restful sleep.
  4. Challenge Maladaptive Thoughts About Sleep
    Many people with insomnia hold thoughts like, “If I don’t sleep enough, I won’t function tomorrow,” or “I have to sleep now, or else!” These thoughts create pressure and anxiety, making sleep more elusive. Through cognitive therapy, work on reframing these beliefs. Remind yourself that, while poor sleep can be uncomfortable, it doesn’t mean you won’t be able to manage the next day.
  5. Limit Caffeine and Alcohol
    Caffeine can interfere with sleep for hours after you consume it, so try to cut it off in the early afternoon. Alcohol, though it may make you feel drowsy initially, disrupts sleep stages, leading to poorer quality rest. Monitoring your intake can improve the quality and duration of your sleep.
  6. Reserve Your Bed for Sleep and Intimacy Only
    Reinforce that your bed is a place solely for rest and relaxation, rather than an area for activities like work, eating, or scrolling on your phone. Over time, this can strengthen your brain’s association between your bed and sleep, helping you feel sleepy when it’s time to turn in.
  7. Set Realistic Expectations for Sleep
    Trying to achieve “perfect” sleep can add unnecessary stress. Instead, set a realistic goal: if you’re getting less sleep than you’d like, aim to get a bit more over time rather than expecting an ideal sleep night immediately. Realize that everyone has nights of light sleep, and with patience, quality sleep will improve gradually.
  8. Challenge Sleep-Related Anxieties
    Cognitive therapy can help you address worries that fuel insomnia. For example, if you often worry that a poor night’s sleep will ruin the next day, challenge this thought by reflecting on times when you functioned reasonably well despite being tired. Reframe these situations as manageable rather than catastrophic.
  9. Practice Relaxation Techniques
    Deep breathing exercises, progressive muscle relaxation, and mindfulness meditation are excellent ways to calm your mind and body before bed. These techniques decrease physiological arousal, making it easier to drift into sleep. For example, focus on slow, deep breaths or mentally scan your body from head to toe, releasing tension along the way.
  10. Limit Naps
    While naps can be tempting, especially on days when you’re particularly tired, they can interfere with your natural sleep drive and disrupt your sleep cycle. If you must nap, aim for no more than 20-30 minutes, and avoid napping late in the day.

Overcoming insomnia with CBT-based methods takes time, patience, and a willingness to experiment. Implementing these techniques gradually, challenging unhelpful thoughts, and practicing consistency can help pave the way toward healthier sleep. Insomnia may feel overwhelming, but remember: with each small step, you’re retraining your mind and body to welcome sleep rather than fight against it.

Dr. Debra Kissen is a licensed clinical psychologist and the CEO and founder of Light On Anxiety CBT Treatment Centers....

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