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.

Plan for Good Mental Health

By Misti Norton, Ph.D., DBSM

Self-Care ADHD Autism Stress

Posted: February 7, 2026

As we approached the new year, I saw a few jokes about how it was now time to buy the annual notebook that would change your life. Now, as the calendar turns to February, I see posts suggesting that many people have already abandoned their planners—and their goals—for the year. It’s easy to conclude that planning doesn’t work and that you might as well give up on the life you desire. Here’s the good news: you can start working toward good mental health just as effectively in February, April, July, or even December as you can in January.

Mental Exhaustion and Resilience

By Megan Keyes, Ph.D.

Resilience

Posted: January 20, 2026

One of the most important misconceptions to address is that resilience is not an inherent trait you either have or do not have. It is a set of skills that can be learned and strengthened over time through our choices, behaviors, and ways of relating to our thoughts and emotions.

Early Signs of Autism in Children and When to Seek an Evaluation

Posted: January 14, 2026

Autism looks different in every child, but there are some early signs that parents often notice. Seeing one or two of these doesn’t mean your child has autism, but patterns over time are worth paying attention to. Understanding Autism in Children Autism can show up...