• Melissa Ree, Moira Junge, and David Cunnington.
• The Marian Centre, 187 Cambridge St, Wembley, Western Australia, 6014, Australia; Sleep Matters, 11 Hamilton St, Subiaco, Perth, Western Australia, 6008, Australia. Electronic address: melissa.ree@optusnet.com.au.
• Sleep Med. 2017 Aug 1; 36 Suppl 1: S43-S47.

AbstractInsomnia disorder is a high prevalence condition with a high disease burden, which, left untreated, can increase risk of poorer health outcomes. Due to Insomnia's tendency towards having a chronic course, long-term treatment approaches are required to reduce the impact of Insomnia over time. After reviewing the available literature, The Australasian Sleep Association (ASA) recommends Cognitive Behavior Therapy for Insomnia (CBT-I) as a first line treatment in the management of Insomnia. The ASA notes that in addition to CBT-I, there is emerging evidence for the use of Mindfulness Based Therapy for Insomnia when used in combination with behavioural techniques (MBT-I). CBT-I should be used whenever possible, and medications should be limited to the lowest necessary dose and shortest necessary duration. CBT-I, whilst the most effective long-term treatment, does not work for everybody across all circumstances, so there will be circumstances in which other treatments are required (e.g., pharmacotherapy). Improving access to CBT-I is an important issue which will involve raising awareness of the effectiveness of CBT-I, increasing the number of trained practitioners, and the development of effective low intensity treatments that can be offered in the first instance.Copyright © 2017 Elsevier B.V. All rights reserved.

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