Explain CBT-I and hypnotic taper for chronic insomnia disorder — CASC communication station

Station brief

Format. Communication station, approximately 7–10 minutes after reading. You are the psychiatry registrar in outpatient clinic. ^[1]

Candidate instructions. Explain chronic insomnia disorder as treatable, why CBT-I is first-line (not “just hygiene”), what the main techniques involve, why long-term hypnotics are not ideal, negotiate a collaborative short-term medication plan with deprescribing, and check understanding. Address anxiety about not sleeping. The examiner plays the patient. ^[1][2][3]