Treatments and supplements · Cognitive behavioural therapy (CBT)
Can CBT help with hot flashes and menopause symptoms?
What we can tell you today: how thoroughly this has been studied.
Thoroughly studied
30 studies, of which 10 bring together the results of several trials in people. This is as strong as evidence gets.
5 Repeated evidence 10 studies
4 Large controlled trial 16 studies
3 Small study in people 4 studies
This says how thoroughly something has been studied — not whether it works for you. What each study actually found is in the study itself, and in the plain-language write-ups we are adding.
Appears under: Sleep, energy and the brain · Menopause and hormones
The studies
- 5 Repeated evidence
Components and Delivery Formats of Cognitive Behavioral Therapy for Chronic Insomnia in Adults: A Systematic Review and Component Network Meta-Analysis.
2024 · JAMA psychiatry · 452 participants · manufacturer helped fund this
- 5 Repeated evidence
Cognitive Behavioral Therapy for Insomnia Comorbid With Psychiatric and Medical Conditions: A Meta-analysis.
2015 · JAMA internal medicine
- 5 Repeated evidence
The impact of cognitive behavioural therapy for insomnia on objective sleep parameters: A meta-analysis and systematic review.
2020 · Sleep medicine reviews
- 5 Repeated evidence
Does cognitive behaviour therapy for insomnia reduce repetitive negative thinking and sleep-related worry beliefs? A systematic review and meta-analysis.
2021 · Sleep medicine reviews
- 5 Repeated evidence
The effectiveness of the behavioural components of cognitive behavioural therapy for insomnia in older adults: A systematic review.
2023 · Journal of sleep research
- 5 Repeated evidence
Challenging beliefs for quality sleep: A systematic review of maladaptive sleep beliefs and treatment outcomes following cognitive behavioral therapy for insomnia.
2023 · Sleep medicine reviews
- 5 Repeated evidence
Cognitive behavioural therapy for menopausal symptoms: a systematic review of efficacy in improving quality of life.
2026 · BMC women's health · 910 participants
- 5 Repeated evidence
Does cognitive behavioural therapy for insomnia improve cognitive performance? A systematic review and narrative synthesis.
2018 · Sleep medicine reviews · 4 participants
- 5 Repeated evidence
Cognitive Behavioral Therapy for Mood and Insomnia in Persons With Dementia: A Systematic Review.
2021 · Alzheimer disease and associated disorders
- 4 Large controlled trial
Cognitive behavioral therapy for insomnia has sustained effects on insomnia, fatigue, and function among people with chronic heart failure and insomnia: the HeartSleep Study.
2022 · Sleep · 175 participants
- 4 Large controlled trial
Depression prevention via digital cognitive behavioral therapy for insomnia: a randomized controlled trial.
2020 · Sleep · 358 participants
- 5 Repeated evidence
Effect of Cognitive Behavior Therapy on the Mental Health of Patients With Irritable Bowel Syndrome: A Systematic Review.
2026 · Gastroenterology nursing : the official journal of the
- 4 Large controlled trial
Cognitive behavioral therapy, singly and combined with medication, for persistent insomnia: a randomized controlled trial.
2009 · JAMA · 160 participants
- 4 Large controlled trial
Digital App Based Cognitive Behaviour Therapy CBT-I Course Improving Insomnia and Sleep Hygiene: A Randomised Controlled Trial.
2026 · Journal of sleep research · 191 participants · manufacturer helped fund this
- 4 Large controlled trial
Impact of cognitive behavioral therapy for insomnia disorder on sleep and comorbid symptoms in military personnel: a randomized clinical trial.
2019 · Sleep · 151 participants
- 4 Large controlled trial
Effectiveness of one-week internet-delivered cognitive behavioral therapy for insomnia to prevent progression from acute to chronic insomnia: A two-arm, multi-center, randomized controlled trial.
2023 · Psychiatry research · 192 participants
- 4 Large controlled trial
Sleep-specific outcomes attributable to digitally delivered cognitive behavioral therapy for insomnia in adults with insomnia and depressive symptoms.
2024 · Behavioral sleep medicine · 1,149 participants · manufacturer helped fund this
- 4 Large controlled trial
A randomized controlled trial comparing sleep hygiene advice with a self-help book focusing on cognitive behavioral therapy for insomnia: a study among patients with prescribed hypnotics from the GP.
2026 · Scandinavian journal of primary health care · 125 participants
- 4 Large controlled trial
Cognitive Behavioral Therapy and Biofeedback for Chronic Headache: Effects on Pain Catastrophizing, Sleep Quality, and Disability.
2026 · Journal of clinical psychology in medical settings · 100 participants
- 4 Large controlled trial
Attribution, cognition and psychopathology in persistent insomnia disorder: outcome and mediation analysis from a randomized placebo-controlled trial of online cognitive behavioural therapy.
2015 · Sleep medicine · 164 participants
- 4 Large controlled trial
Digital cognitive behaviour therapy for insomnia (dCBT-I): Chronotype moderation on intervention outcomes.
2022 · Journal of sleep research · 1,721 participants
- 4 Large controlled trial
Cognitive behavioral therapy for insomnia treatment attrition in patients with weekly nightmares.
2023 · Journal of clinical sleep medicine : JCSM : official pu · 110 participants
- 4 Large controlled trial
Group cognitive behavioural treatment for insomnia in primary care: a randomized controlled trial.
2016 · Psychological medicine · 239 participants
- 4 Large controlled trial
Cognitive behavioural therapy to treat stress and insomnia: A randomized wait list-controlled trial of two online courses.
2023 · Journal of sleep research · 588 participants
- 4 Large controlled trial
Symphony of healing: Investigating the effects of integrating music therapy with cognitive behavioral therapy (CBT) and dynamic interpersonal therapy (DIT) on depression.
2025 · Psychiatry research · 230 participants
- 4 Large controlled trial
The impact of cognitive behavioral therapy for insomnia on cognitive performance and amyloid beta in older adults: A randomized controlled trial.
2026 · Alzheimer's & dementia : the journal of the Alzheimer's · 100 participants
- 3 Small study in people
Investigating the efficacy of digital cognitive behavioural therapy in comparison to a sleep-monitoring application via integrated diary and actigraphy: A randomised-controlled trial.
2025 · Journal of sleep research · 29 participants · manufacturer helped fund this
- 3 Small study in people
Effects of digital cognitive behavioural therapy for insomnia on insomnia severity: a large-scale randomised controlled trial.
2021 · The Lancet. Digital health
- 3 Small study in people
Cognitive behavioral therapy vs. Tai Chi for late life insomnia and inflammatory risk: a randomized controlled comparative efficacy trial.
2015 · Sleep
- 3 Small study in people
Preventing postpartum insomnia: findings from a three-arm randomized-controlled trial of cognitive behavioral therapy for insomnia, a responsive bassinet, and sleep hygiene.
2024 · Sleep