First Line Treatment For Insomnia: Effective Approaches

First Line Treatment For Insomnia

Insomnia is a common sleep disorder that can cause difficulty falling asleep, staying asleep, or waking up too early. This condition often requires additional support and treatment. In this blog, we will discuss the first-line treatment for insomnia, therapy, medication, and self-care strategies. It’s important to note that medication should only be used under the guidance of a healthcare professional.

What Is Insomnia?

What Is Insomnia?Insomnia is a sleep disorder characterized by difficulty falling asleep, staying asleep, or both. It can lead to daytime fatigue, irritability, and difficulty with concentration and memory. Insomnia can be caused by a variety of factors, including stress, anxiety, depression, medications, and certain medical conditions. Treatment options include lifestyle changes, therapy, and medication.

First Line Therapy For Insomnia

First-line treatment for Insomnia typically includes different therapy approaches. Some of them are:

Cognitive Behavioral Therapy

This therapy involves identifying and changing negative thought patterns and behaviors that can interfere with sleep. For example, individuals may learn techniques to manage worries and racing thoughts that can keep them awake at night. They may also learn how to establish a consistent sleep schedule and create a relaxing bedtime routine. CBT-I typically involves several sessions with a therapist, who may also provide homework assignments to practice the techniques learned in therapy.

Mindfulness-Based Therapy

This therapy involves practicing present-moment awareness and non-judgmental acceptance. Individuals may learn techniques such as deep breathing and meditation to help reduce stress and anxiety, which can contribute to sleep difficulties. Mindfulness-based therapy can be delivered in a group setting or one-on-one with a therapist.

Sleep Restriction Therapy

This therapy involves limiting the amount of time spent in bed to the actual amount of time spent sleeping. This helps to increase sleep efficiency and reduce the time spent awake in bed. The therapy typically involves gradually reducing the amount of time spent in bed until the individual is consistently sleeping through the night and then gradually increasing the time spent in bed.

Light Therapy

This therapy involves exposure to bright light during the day and avoidance of bright light at night. It can help regulate the body’s natural sleep-wake cycle, also known as the circadian rhythm. Light therapy is often used to treat the seasonal affective disorder (SAD), a type of depression that occurs during the winter months.

Progressive Muscle Relaxation

This therapy involves tensing and relaxing different muscle groups to reduce muscle tension and promote relaxation. It can help individuals with insomnia reduce physical tension and promote a sense of calm before bed. This therapy is often combined with other relaxation techniques, such as deep breathing and visualization.

Stimulus Control Therapy

Stimulus Control TherapyThis therapy involves making changes to the sleep environment and bedtime routine to reinforce the association between the bed and sleep. For example, individuals may be instructed to use the bed only for sleep and sex and to avoid activities such as reading or watching TV in bed. This can help to increase the association between bed and sleep and reduce the time spent awake in bed.

Sleep Hygiene Education

This therapy involves education on healthy sleep habits, such as maintaining a regular sleep schedule, avoiding caffeine and alcohol before bed, and creating a relaxing sleep environment. Sleep hygiene education can be provided by a healthcare professional or through self-help materials.


This therapy involves the insertion of fine needles into specific points on the body to promote relaxation and relieve pain. Some studies have suggested that acupuncture may be effective in improving sleep quality and reducing the severity of insomnia symptoms.

First Line Medication Treatment For Insomnia

The first line of treatment for insomnia is therapy. However, in some cases, the therapist may suggest some medications for accompanying symptoms. The first-line medication treatments for insomnia are typically non-benzodiazepine hypnotics, also known as the “Z-drugs”. These include:

  1. Zolpidem (Ambien)
  2. Eszopiclone (Lunesta)
  3. Zaleplon (Sonata)

These medications are considered safer and have a lower risk of dependence and tolerance compared to benzodiazepines. They work by enhancing the action of the neurotransmitter GABA, which helps to calm the brain and promote sleep. It’s important to note that medication should not be the first line of treatment for insomnia, and it should be used under the guidance of a healthcare professional and for a limited time.

Self-Care Strategies For Insomnia

Self-Care Strategies For InsomniaSeveral self-care strategies can help manage insomnia. Here are some examples:

  • Maintain a Consistent Sleep Schedule: Go to bed and wake up at the same time every day, even on weekends. This can help regulate your body’s natural sleep-wake cycle and improve sleep quality.
  • Create a Relaxing Bedtime Routine: Establish a routine that helps you wind down before bed. This could include taking a warm bath, reading a book, or practicing relaxation techniques such as deep breathing or meditation.
  • Limit Stimulants: Avoid consuming caffeine, nicotine, and alcohol in the hours leading up to bedtime, as they can interfere with sleep.
  • Create a Comfortable Sleep Environment: Make sure your bedroom is cool, quiet, and dark. Use comfortable bedding and pillows, and consider investing in blackout curtains or a white noise machine if necessary.
  • Avoid Screen Time Before Bed: The blue light emitted by electronic devices can interfere with the body’s production of the sleep hormone melatonin. Try to avoid using screens for at least an hour before bedtime.
  • Exercise Regularly: Regular physical activity can help reduce stress and anxiety, which can contribute to insomnia. However, be sure to exercise earlier in the day, as exercising too close to bedtime can interfere with sleep.
  • Manage Stress: Stress and anxiety can interfere with sleep. Try to manage stress through relaxation techniques such as deep breathing, mindfulness, or yoga.
  • Limit Daytime Napping: Napping during the day can interfere with nighttime sleep. If you must nap, keep it short (less than 30 minutes) and early in the day.

Remember, self-care strategies can help manage insomnia, but if your symptoms persist or interfere with your daily life, it’s important to seek professional help from a healthcare provider or therapist.


In conclusion, there are several first-line medications for the treatment of insomnia, including therapy, medication, and self-care. However, it’s important to note that medication should not be the first choice for treating insomnia. Non-pharmacological therapies such as cognitive behavioral therapy for insomnia (CBT-I) should be considered first. If you’re struggling with insomnia, it’s important to seek help from a healthcare professional to determine the best course of treatment for you.

For more information, please contact MantraCare. Sleep is an essential part of our daily routine and it plays a significant role in maintaining a healthy body and mind. If you have any queries regarding Online Insomnia Counseling experienced therapists at MantraCare can help: Book a trial therapy session.

Try MantraCare Wellness Program free

"*" indicates required fields

This field is for validation purposes and should be left unchanged.