Dr. Michael Grandner

And so when someone is taking, say, a sedative medication, what you're doing is you're trying to drive up that sleepiness signal so high, it's just steamrolling over whatever activation you have.

And often that may work.

And the reason it can work long-term sometimes is if you steamroll it over enough, you can maybe break that learning.

So it isn't just the sedation, but for a lot of people, it's not sedation that's the problem.

The problem is in the activation.

And when you're doing therapy for insomnia, it's often not about... So a patient will come in thinking like, how do you make me sleepier?

Actually, we've got some tools for that.

We'll talk about that.

But often the magic isn't about making you sleepy.

It's about making you less awake.

And it's a different process.

And that's also why it doesn't work 100% of the time.

Nothing does.

But that's why CBTI...

is so effective because it's actually targeting the problem that the person actually has.

So, so here's the deal.

Oh, a few, several decades ago now.

So, so stimulus control was first published in 1972.

This isn't new stuff.

Um, and it was this, it was under this idea.