Glossary · Treatments

Cognitive Behavioral Therapy (CBT)

Also called: Cognitive Behavioral Therapy, CBT-I, CBT-Meno.

Definition: Cognitive Behavioral Therapy (CBT) is a structured, evidence-based psychotherapy that targets thoughts, behaviors, and emotional responses. CBT for menopause symptoms (CBT-Meno) and for insomnia (CBT-I) have randomized-trial evidence for reducing hot flash bother, mood symptoms, and sleep disruption.

Detailed definition

CBT is one of the most well-studied psychotherapies, with RCT evidence across mood disorders, anxiety, insomnia, chronic pain, and other conditions. CBT-Meno is a specific protocol developed for menopausal symptoms, particularly hot flash bother, mood, and sleep, with evidence of efficacy in randomized trials. CBT-I (CBT for insomnia) is the gold-standard non-pharmacologic treatment for chronic insomnia and is recommended as first-line by ACP and AASM guidelines. Both protocols are typically delivered over 4–8 sessions and increasingly available through digital programs (apps such as Sleepio for CBT-I). For perimenopausal mood symptoms, standard CBT is effective alongside or instead of pharmacotherapy.

Why it matters in menopause

CBT-I is one of the most effective interventions for chronic menopausal insomnia and underutilized because of access. Digital CBT-I programs make it more accessible. ClearedRx may incorporate CBT-I referral or recommendation into treatment plans for women with persistent sleep issues.

Sources

External references: Wikipedia.

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