Cognitive Behavioral Therapy for Insomnia (CBT-I) is proven to be the most effective first-line treatment for adults with chronic insomnia.


  • CBT-I has an 80% effectiveness rate with lasting results.   

  • Studies show that when compared to sleeping medication, CBT-I was more effective and had better lasting results.

  • The American College of Physicians recommends CBT-I as first tier Initial Treatment for adults with chronic insomnia. 

  • Improvement is typically rapid; people often show substantial recovery in 3 - 5 sessions.


CBT-I fixes sleep problems using a series of changes in sleep-related behaviors. CBT-I identifies and eliminates sleep blocking habits that were learned over time or that may have been started with the intention to fix sleep problems.

Dr. Hoekstra will work with you to identify the important targets for behavior change so you can focus on making changes that will produce improvements in your sleep. Most people respond to CBT-I treatment quickly. Some experience significant improvement in their sleeping problems after as little as 2 sessions. Most improve after 3 to 5 sessions.  Some may need more. Research demonstrates that treatment is equally effective when sessions are in person or virtual via telephone and/or video conference. 

CBT-I focuses on addressing 4 main factors that contribute to the stubbornness of insomnia:

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