
The evidence-based 6-week protocol for chronic insomnia — sleep restriction, stimulus control, cognitive restructuring, and the tracker that proves it is working.
Insomnia affects roughly 10-30 percent of adults at any time, and chronic insomnia (more than three nights a week for more than three months) lasts on average over a decade if untreated. The mainstream first-line treatment is not a sleeping pill — it is Cognitive Behavioral Therapy for Insomnia (CBT-I). The American College of Physicians, NICE, and the European Sleep Research Society all recommend CBT-I before any medication. The clinical evidence base is strong: meta-analyses across thousands of patients consistently show CBT-I outperforms sleeping pills for long-term outcomes, with no withdrawal, no tolerance, and no dependence.
The catch is access. CBT-I is delivered by sleep psychologists who charge $200-$400 per session over 6-8 sessions, and most regions have months-long waiting lists or no certified providers at all. The result: most adults with chronic insomnia end up on Z-drugs, benzodiazepines, or off-label antihistamines, none of which the guidelines actually recommend as long-term treatment. CBT-I has four core components, all of which can be self-administered with discipline: sleep restriction (consolidating fragmented sleep into a single tighter window to rebuild sleep pressure), stimulus control (re-pairing the bed with sleep instead of frustration), cognitive restructuring (defusing the catastrophic thoughts that fuel night-time arousal), and sleep hygiene (the foundational habits — most people overestimate this category).
The protocol takes 6-8 weeks. Sleep efficiency improves before total sleep time does, which trips up many self-administered users; the workbook addresses this directly. None of this is medical advice — just a structured workbook based on the publicly-available CBT-I protocol used by sleep clinics worldwide.
CBT-I (Cognitive Behavioural Therapy for Insomnia) has 30+ years of evidence and outperforms sleep medication for long-term outcomes. The catch: there are not enough CBT-I therapists, and they are expensive. This workbook is the self-directed version of the 6-week protocol used in clinical practice. Sleep restriction (the hard part), stimulus control, cognitive restructuring, and the sleep efficiency tracker that proves it is working.
Run a 1-week sleep diary baseline. Calculate your sleep efficiency. Apply sleep restriction to compress your time-in-bed to your actual sleep time. Implement the five stimulus control rules. Restructure the cognitive distortions about sleep. Adjust window each week based on efficiency. Reach maintenance by week 6.
A peek at three pages from inside the workbook.
Sleep efficiency = time asleep / time in bed. The metric CBT-I uses. Below 85% means too much time in bed; restriction needed. Above 90% for two weeks = expand the window. Tracked nightly for 6 weeks.
Week 1: limit time in bed to actual average sleep time (often 5-6 hours for chronic insomniacs). Painful for the first week. By week 3, sleep consolidates. By week 6, the bed = sleep again.
Bed for sleep and sex only. No phone, TV, work, eating in bed. If awake more than 20 minutes, leave the bed. Counterintuitive but proven — the bed must regain its association with sleep.

Worksheet-based cognitive behavioural therapy techniques you can do at home, paced over 30 days.

For burnout that is NOT autism-specific — work burnout, caregiver burnout, life burnout. The 30-day stabilisation plan plus the values audit that prevents the next one.

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