In Reply: Dr Jindal provides a plausible and elegant explanation of why CBT is more effective when used singly compared with its combination with hypnotic medication for maintenance therapy of persistent insomnia. While there is evidence showing that CBT produces better long-term outcomes than medication or combined therapy,1- 4 this was the first study to document the superior outcome of CBT in the context of maintenance therapies.
Morin CM. Cognitive Behavioral Therapy Alone and With Medication for Persistent Insomnia—Reply. JAMA. 2009;302(10):1053-1054. doi:10.1001/jama.2009.1284