Management of Chronic Insomnia Disorder in Adults: A Clinica
Recommendation 1:
ACP recommends that all adult patients receive cognitive behavioral therapy for insomnia (CBT-I) as the initial treatment for chronic insomnia disorder. (Grade: strong recommendation, moderate-quality evidence)

Recommendation 2:
ACP recommends that clinicians use a shared decision-making approach, including a discussion of the benefits, harms, and costs of short-term use of medications, to decide whether to add pharmacological therapy in adults with chronic insomnia disorder in whom cognitive behavioral therapy for insomnia (CBT-I) alone was unsuccessful. (Grade: weak recommendation, low-quality evidence).....

http://annals.org/aim/article/2518955/management-chronic-insomnia-disorder-adults-clinical-practice-guideline-from-american
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