Treatment Options

Dr. Jaffery utilizes only the following treatment options for treating insomnia, which
are set as standard and guidelines by American Academy of Sleep Medicine.

Cognitive and Behavioral Therapy (CBTI)

Cognitive and Behavioral treatments are safe and effective and are equal or better
than pharmacotherapy, and continue to work after their discontinuation. Dr Jaffery
will initiate these behavioral and Psychological techniques alone or in combination
with medications to decrease behavioral perpetuating factors and improve long term

Please review the following components of this therapy.

  • Cognitive therapy (CT)
Cognitive therapy is aimed at changing the patient’s beliefs and attitude about

  • Relaxation therapy (RT)
Progressive muscle relaxation (PMR) is a technique that focus on somatic arousal
(creating awareness of tension and relaxation in various body muscles), and Guided
imagery relaxation (GIR) uses techniques of visualizing a relaxing setting or activity,
and focuses on cognitive arousal.

  • Stimulus Control Therapy (SCT)
This technique is most effective in behavioral treatment of insomnia. The goal is to
eliminate the negative association between the bed and wakefulness, frustration and

  • Sleep Restriction Therapy (SRT)
Sleep will become deeper when long periods in bed and napping are prohibited. SRT
limits the ‘time in bed’ (TIB), using sleep logs to improve sleep continuity and will
gradually increase the ‘total sleep time’ (TST).

  • Sleep Hygiene
Sleep hygiene is a variety of different practices that are necessary to have normal,
quality nighttime sleep and full daytime alertness. Light and Dark Exposure Therapy
and Temperature Modifications

Pharmacological Treatment

Dr. Jaffery is an advanced clinical psycho-pharmacologist certified by American
Society of Clinical Psycho-pharmacology. He utilizes cutting edge and evidence based
pharmacological interventions in the context of your overall psychiatric and medical
history. The considerations for choice of medications may include need for fast onset
vs. intermittent use, sleep pattern, gender (women may be vulnerable to dosages in
some meds), age, abuse potential and circadian rhythm.