1Are any neurologists involved in this consultation or in the therapeutic process?
It depends on the diagnosis. If the diagnosis is insomnia without comorbidities, there is no need for additional clinical intervention. There are some sleep disorders (other than insomnia) which by their nature require different treatment and therefore will, where appropriate, be referred to a relevant specialist. The same can happen if insomnia is caused by some other pathology.
2Does diagnosis of the problem involve various tests?
For a diagnosis of insomnia there is no need, in principle, for other examinations besides a clinical history, but there may be a need for clarification of the cause of insomnia. Additional examinations or analyses may be requested at the time.
3In your experience, what is the success rate of the CBT-I procedure?
The success rate we are working with is 90%, assuming either complete remission of insomnia or significant improvements in the relevant metrics. What the data analysis has shown us is that success depends essentially on a patient's adherence to the therapy.
4Is the 5-week therapy period independent of the amount of time the person has suffered from this disorder? Or does it depend on the patient's progress? In other words, can the therapy take longer?
The short answer is that the length of therapy is independent of the patient’s circumstances. The therapy is 5 weeks long according to a protocol that has been designed and approved internationally, based on meta-analyses of the success of its techniques. Cognitive-behavioural therapy is a short-term therapeutic process aimed at changing thoughts, attitudes (cognitive processes) and behaviours that are at the root of the difficulties, thus changing the way people feel. It is a short intervention process with the therapist but with work to be done over months by the patient. A plan to wean off treatment is included as part of the therapy.
5Are there any side effects of this treatment?
The only side effect is the expected increase in tiredness during the 3rd and 4th weeks of therapy as we decrease the opportunity to sleep.
6I take medication to sleep, which I do not like at all. How does the therapy incorporate the abandonment of medication?
The sleep efficiency rate is measured weekly during treatment and this is used to develop a plan to wean the patient off medication. Depending on the type of medication, a letter can be sent to the treating doctor.