Do you have trouble sleeping and pain?

You’re not alone. Sleep disturbances are reported among 80-90% of people who seek care for persistent pain. 

Did you know the best treatment for insomnia isn’t medication? The #1 treatment for insomnia is Cognitive Behavioral Therapy for Insomnia (CBT-I). CBT-I is a practical approach for getting better sleep, often lasting just four to eight treatment sessions. CBT-I aims to interrupt the cycle of poor sleep and re-establish a consistent sleep schedule. 

Why can’t I just take sleeping pills? 

The combination of pain and sleep medications can be dangerous. For example, taking Ambien and OxyContin together can suppress breaking and increase the risk of death.

Does CBT-I work? 

Most users reported improvement in sleep quality, even if pain didn’t improve, and they described a connection between better sleep and improved quality of life. 

What do Veterans with pain have to say about CBT-I? 

(The following are direct quotes from Veterans who participated in a recent study about CBT-I and pain)

“I’m still in pain, but my enjoyment of life is better.” 

“It was tough at first… Then, it started to get better and better… I wasn’t tired. I wasn’t lethargic.” 

“It’s been a drastic change in my social interaction, because I’m actually getting out and doing stuff.”

“I’m sleeping… I’m able to do more things… To me this is huge.” 

What can I do if I have pain and trouble sleeping?

Talk with your health care provider or contact your VA facility about CBT-I if your trouble sleeping is having an impact on your life. 

Visit the Veterans Health Library for more information about CBT-I.

Content last updated: November 2022