Our Blog: Upward Alabama

Integrating Medication Tapering into Cognitive Behavioral Therapy for Insomnia (CBT-I)

By Courtney Worley, Ph.D., ABPP, DBSM, M.P.H.

Insomnia Evidence-Based Psychotherapy Sleep

Posted: February 7, 2026

For many patients, prescription sleep aids—such as benzodiazepines, Z-drugs, or other sedative-hypnotics—are the first line of defense against insomnia. While these medications can provide short-term relief, long-term reliance can lead to dependence, tolerance, or diminished effectiveness. Cognitive Behavioral Therapy for Insomnia (CBT-I) is widely recognized as the gold standard for treating chronic insomnia, and research increasingly supports the integration of a structured medication taper with CBT-I for sustainable results. This comprehensive overview explores the rationale, strategies, and benefits of combining medication tapering with CBT-I, culminating in a practical case example and an invitation to partner with Upward Behavioral Health for expert support in your insomnia recovery journey.

Sleep Across Time and Place

By Misti Norton, Ph.D., DBSM

Sleep

Insomnia

Posted: October 16, 2025

Many people put extensive pressure on themselves to sleep a certain way, at a certain time, with or without certain people. But when we look at world history, our own personal history, and cultures across the world today, we see that there are very few firm “shoulds,” and we can rework patterns and habits that are not serving us.

Embracing the Shortest Night: June 20th as World Insomnia Day

By Courtney Worley, Ph.D., ABPP, DBSM, M.P.H.

Insomnia Sleep Nightmares

Posted: June 20, 2025

While many celebrate the extended daylight hours, for those grappling with insomnia, even the briefest night can feel endless. Insomnia affects millions globally, manifesting as difficulty falling asleep, staying asleep, or waking up too early without being able to return to rest. This condition not only impacts physical health but also mental well-being, leading to fatigue, mood disturbances, and decreased performance in daily activities.

The Interplay Between Obsessive-Compulsive Disorder and Delayed Sleep Phase Disorder: Why Specialized Training Matters

By Courtney Worley, Ph.D.

OCD Insomnia Sleep

Posted: June 13, 2025

Individuals with OCD are more likely to have sleep problems such as delayed circadian rhythms (DSPD) and insomnia symptoms. Understanding the interplay between OCD and DSPD (and sometimes Insomnia) is essential for both providers and clients, particularly when engaging in evidence-based treatments like Exposure and Response Prevention (ERP), the gold standard for OCD treatment.