CBTIare

CBTIare is a term used in informal discourse to describe an integrative approach to treating insomnia that combines cognitive behavioral therapy for insomnia (CBT-I) with arousal regulation strategies. As a term, it lacks formal definition or broad acceptance in peer-reviewed literature, and its meaning can vary by source.

Definition and scope: In some usages, CBTIare refers to extending CBT-I with explicit arousal-management techniques intended to lower physiological and cognitive arousal at night. In others, it denotes adapting CBT-I for individuals with comorbid hyperarousal disorders (anxiety, chronic stress) or for use with digital or biofeedback-assisted platforms.

Methods and components: Where described, CBTIare retains core CBT-I elements—sleep restriction, stimulus control, cognitive restructuring, and sleep hygiene—while adding arousal-regulation components such as diaphragmatic breathing, progressive muscle relaxation, mindfulness or acceptance strategies, paced breathing, and biofeedback. The aim is to reduce nocturnal wakefulness and daytime sleepiness by addressing both cognitive and autonomic factors.

Evidence and status: There is currently limited empirical work specifically on CBTIare. Separate literatures on CBT-I and on arousal-regulation techniques suggest potential complementary benefits, but robust comparative studies are lacking. Clinicians considering informal CBTIare approaches should rely on established CBT-I protocols and monitor safety and efficacy in individual patients.

See also: Cognitive behavioral therapy for insomnia, insomnia, arousal regulation, biofeedback.