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Pete, thanks for sharing your thoughts.

CBT-I isn’t just “sleep hygiene by a better name”. Sleep hygiene is one component of CBT-I, but there are several other components to it like cognitive restructuring, stimulus control, sleep restriction…etc. Here are a few articles that you might find helpful: https://slumber.one/how-does-cbt-i-work, https://www.sleepfoundation.org/insomnia/treatment/cognitive...

The latest research confirms that CBT-I with sleep restriction therapy is an effective treatment for insomnia: (here’s a meta-analysis you might find helpful https://bmcprimcare.biomedcentral.com/articles/10.1186/1471-... and here’s an article by the American Academy of Sleep Medicine https://sleepeducation.org/sleep-restriction-therapy-insomni...). From our conversations with our clinical advisors and sleep experts, for the right patient, sleep restriction remains an important and effective tool in using behavioral therapy to treat insomnia and has worked for tens of thousands of patients.

While I empathize with you that there could be more research done in the sleep space, behavioral therapy for insomnia and sleep restriction therapy are both highly proven both by sleep researchers and in real-world clinical practice.



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