Sleep disorders: CBT for insomnia: practice question

A Psychiatry question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Psychiatry · Sleep disorders: CBT for insomnia

Sample item

A 40-year-old with chronic insomnia asks for a long-term, non-drug treatment. Which component is part of CBT for insomnia?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Stimulus control and sleep restriction

CBT for insomnia includes sleep hygiene, stimulus control (bed used only for sleep), sleep restriction, relaxation and cognitive restructuring. It is first-line for chronic insomnia and has more durable benefit than hypnotics. Napping, staying in bed awake and alcohol worsen sleep.

Option by option

  • A. Staying in bed awake until sleep comes

    Staying in bed awake strengthens the association of bed with wakefulness.

  • B. Alcohol at bedtime

    Alcohol fragments sleep and causes tolerance.

  • C. Stimulus control and sleep restriction (correct)

    Correct. Stimulus control and sleep restriction are core techniques.

  • D. Daytime napping as needed

    Napping reduces sleep drive and perpetuates insomnia.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Psychiatry question

What is the answer to this Psychiatry question?

The best answer is C, Stimulus control and sleep restriction. CBT for insomnia includes sleep hygiene, stimulus control (bed used only for sleep), sleep restriction, relaxation and cognitive restructuring.

Why is "Staying in bed awake until sleep comes" not the answer?

Staying in bed awake strengthens the association of bed with wakefulness.

Why is "Alcohol at bedtime" not the answer?

Alcohol fragments sleep and causes tolerance.

Why is "Daytime napping as needed" not the answer?

Napping reduces sleep drive and perpetuates insomnia.

What concept does this question test?

It tests Sleep disorders: CBT for insomnia in Psychiatry. It is first-line for chronic insomnia and has more durable benefit than hypnotics. Napping, staying in bed awake and alcohol worsen sleep.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Sleep disorders: CBT for insomnia?

Learn each diagnosis by its core features and its first-line treatment. Then use the flashcards and the other Psychiatry questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.