
Insomnia Therapy
CBTI is recommended internationally as the gold-standard treatment for insomnia by the NHS, the British Medical Association and the National Institute of Health (NIH) in the U.S.
Cognitive Behavioural Therapy for Insomnia (CBTI) is the name for a structured programme of techniques that has been scientifically proven to help people with insomnia. At least 100 randomized controlled trials have demonstrated the effectiveness of this insomnia therapy.
What is CBTI?
CBT‑I has two main components: behavioural and cognitive. The behavioural side helps gently shift any habits that may be unintentionally keeping your insomnia going. The cognitive side focuses on reducing the worry, pressure and unhelpful thoughts that often develop when sleep becomes a nightly struggle.
CBT‑I is a structured, evidence-based approach to treating insomnia; it's not the same as ‘sleep hygiene’. It includes tailored sleep education, techniques to retrain your brain to associate bed with sleep, gently strengthening your sleep drive, learning how to wind down effectively, and tackling the racing thoughts or worries that can keep you awake.
CBT‑I is a time-limited therapy - typically delivered across 6 sessions. It’s focused on equipping you with tools to restore healthy sleep patterns and maintain them independently into the long-term.
Using CBTI, we help you get refreshing sleep naturally, without having to rely on sleeping tablet prescriptions or over-the-counter medication.
Many people might worry that CBT-I is harsh or overly rigid, especially when they hear about 'sleep restriction'. In reality, our approach is always personalised and collaborative. We tailor your sleep window carefully to your individual sleep pattern, health, and lifestyle - and we adjust it gently but effectively over time. The goal is never to deprive you of sleep, but to rebuild your natural sleep drive in a way that feels safe, sustainable, and empowering.
Our approach is always bespoke and personalised — we go at a pace that feels manageable to you. Some people worry they'll be told to get out of bed in the middle of the night no matter what - but in practice, we work collaboratively to find strategies that are both effective and realistic for your situation.
The benefits of CBTI persist in the long-term, long beyond when the therapy finishes. It has been proven to help those with even very long-term (decades) poor sleep.
It works with all ages and has been used successfully in those with physical and mental health conditions e.g., those with depression and anxiety disorders and those with cancer, heart disease and chronic pain.
Most clients begin to notice meaningful improvements within around 4 weeks of starting CBT‑I, but everyone’s journey is different. Some experience faster change; others take more time. Your bespoke programme is tailored around your lifestyle, health, and circumstances - we guide the process carefully to help you feel supported, stay motivated and on-track.
CBTI tackles insomnia head-on, by addressing the underlying causes of insomnia, rather than just relieving symptoms.
While CBT‑I is our primary therapeutic approach, we also draw selectively from newer models such as Acceptance and Commitment Therapy for Insomnia (ACT‑I), particularly when clients are coping with sleep‑related anxiety or excessive attempts to ‘fix’ their sleep.
Article: Can Cognitive Behavioural Therapy for Insomnia help me sleep better?
Nightmares Therapy
Nightmares cause significant disruption to sleep alongside daytime symptoms such as difficulty concentrating, lower mood, greater anxiety, and depression.
Imagery Rehearsal Therapy (IRT) is an evidence-based technique used to reduce the frequency of nightmares as well as their intensity.
Several studies have documented the effectiveness of this technique e.g. Albanese et al., 2022.
Teenage (Age 16+) Sleep Therapy
Teenagers face unique challenges with their sleep, from academic pressures, social pressures, to digital device use.
Insomnia therapy can be carefully and effectively adapted to older teenagers (aged 16+). This can take a more CBTI format if appropriate or a gentler, less structured approach depending on the individual teenager and their specific sleep difficulty.
Studies demonstrate the effectiveness of CBTI for teenagers e.g. de Bruin et al., 2015.
Our approach is compassion-focused, and the sessions are structured, educational, collaborative, and enjoyable!
What does Therapy at The Sleep Sphere involve?
We can see you either face-to-face at our clinic space in central Cambridge, or online through Zoom, Teams, or Skype, meaning we can see you for insomnia therapy wherever you are. This means that you can get help for your sleep in the comfort of your own home with the sessions causing minimal disruption to your schedule.
Article: 5 things that might surprise you about insomnia therapy
Addressing insomnia isn’t an overnight process, especially if you’ve had difficulties for a long time. This means that without the right encouragement, it can be easy to give up trying to improve your sleep, leaving you feeling isolated and stuck. For this reason, we are committed to providing a guided, supportive experience via our one-on-one, expert-facilitated sessions.
Not only do we help you get past your insomnia, but also we empower you to become your own sleep expert.
These are skills that will support you for life.
Our approach is compassion-focused and non-judgemental; the sessions are structured, educational, collaborative, and enjoyable!
Who do we help?
We are experienced in helping a diverse array of people overcome their insomnia, from teenagers, university students, those pregnant or going through the menopause, tech CEOs, to retired seniors.
Our clients are often high-achievers, entrepreneurs, senior executives, barristers, chief technical officers and creatives. People with demanding roles and great responsibilities, seeking to improve their lives by conquering their sleep difficulties.
Find out how we can help you, or ask a question: