CBTI better than benzos for insomnia?

[[st...]]

 

Illuminating article from: AMA Journal of Ethics
Illuminating the Art of Medicine
October 2024

https://journalofethics.ama-assn.org/article/when-should-pharmacological-interventions-insomnia-be-recommended/2024-10

"Sleep loss has extensive and serious consequences, with detrimental effects that extend from the individual to society at large. The ethical treatment of chronic insomnia requires universally extending access to CBTI and (when possible) avoiding the use of benzodiazepine medications and their inherent risks.”

“Overall, the risks of benzodiazepine use for treatment of insomnia have been viewed as outweighing the benefits in the majority of cases, causing them to be listed on Beer’s Criteria with a strong recommendation against their use, particularly in the elderly with known cognitive deficits or in those at high risk of falls. The American Academy of Sleep Medicine recommends against long-term use of hypnotic medications..."