Which nondrug alternatives can help with insomnia?
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Cognitive behavioral therapy (CBT) interventions—particularly stimulus control and sleep hygiene—are well-validated, effective treatments for chronic insomnia that are equivalent or superior to pharmacological interventions (strength of recommendation: A, based on systematic reviews). The long-term efficacy of CBT interventions, and their successful implementation by primary care physicians (as compared with behavioral science providers), is unclear.
Journal of Family Practice, 56(10) 2007: 836+.