
Deep into Sleep Ep197: Finding Effective Insomnia Treatments: Insights into BBTI with Dr. Christina Pierpaoli Parker
Oct 31, 2024
Dr. Christina Pierpaoli Parker, a behavioral sleep medicine expert, elaborates on innovative insomnia treatments. She discusses the benefits of Cognitive Behavioral Therapy for Insomnia (CBTI) and introduces Brief Behavioral Treatment for Insomnia (BBTI) as a quicker, more accessible option. Their conversation explores barriers to treatment access in primary care and emphasizes the importance of personalized approaches to sleep issues. Christina also highlights the effectiveness of BBTI in improving sleep quickly and preventing chronic insomnia.
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CBTI Is The Proven First-Line Treatment
- CBTI is the gold-standard, evidence-based treatment for chronic insomnia with durable effects.
- It treats perpetuating factors and often outperforms sleeping medication long-term.
Medication Has A Role But Limits Long-Term Fixes
- Hypnotic medication can help acutely but doesn't address underlying perpetuating processes.
- Use medication thoughtfully while prioritizing CBTI for patients vulnerable to chronic insomnia.
Primary Care Is Where Sleep Problems Present
- Most people seek help for sleep in primary care, but PCPs are often unprepared to provide evidence-based insomnia treatment.
- This mismatch drives reliance on quick solutions like prescribing sleep medication.

