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.

Understanding Avoidance: A Barrier to Mental Health and Healing

By Susan Rathmell, Ph.D.

PTSD Insomnia OCD Anxiety Depression

Posted: December 5, 2025

Avoidance is a significant barrier to mental health and well-being. Often misunderstood, avoidance is not merely a sign of laziness or a lack of motivation; it is a complex clinical symptom deeply rooted in various mental health issues. Many individuals use avoidance as a way to cope with overwhelming emotions, fears, and stressors. Initially, it may provide immediate relief; however, this coping strategy often sabotages long-term recovery and growth. Avoidance is best understood as both a short-term coping mechanism and as a hallmark symptom of numerous mental health conditions such as insomnia, OCD, depression, and PTSD.

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.