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Does cognitive behavioral therapy help you get better sleep if you have fibromyalgia?

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Cognitive behavioral therapy, or CBT, teaches you to change thought patterns for the better. Using CBT for fibro-related insomnia may improve alertness and thinking ability and lessen anxiety. It can be especially helpful if you're stuck in a negative thought spiral: Many people worry that they won't be able to sleep because of their pain, which in turn makes the pain worse so it's harder to sleep.

SOURCES:

WomensHealth.gov: "Fibromyalgia."

Journal of Neurophysiology: "Thalamic mechanisms underlying alpha-delta sleep with implications for fibromyalgia."

Pain Practice: "The Effect of a Novel form of Extended-Release Gabapentin on Pain and Sleep in Fibromyalgia Subjects: An Open-Label Pilot Study."

National Institute of Arthritis and Musculoskeletal and Skin Diseases: "Questions and Answers about Fibromyalgia."

Mayo Clinic: "Fibromyalgia: Symptoms and Causes."

Journal of Back and Musculoskeletal Rehabilitation : "Evaluation of restless legs syndrome in fibromyalgia syndrome: an analysis of quality of sleep and life."

Journal of Clinical Sleep Medicine: "High Prevalence of Restless Legs Syndrome among Patients with Fibromyalgia: A Controlled Cross-Sectional Study."

National Sleep Foundation: "Fibromyalgia and Sleep."

New England Journal of Medicine: "A Randomized Trial of Tai Chi for Fibromyalgia."

Pain Research and Management: "Music as a sleep aid in fibromyalgia."

UpToDate: "Treatment of fibromyalgia in adults not responsive to initial therapies."

Current Pain and Headache Reports: "Cognitive Impairment in Fibromyalgia."

JournalofClinicalSleepMedicine : "Development of the Pain-Related Beliefs and Attitudes about Sleep (PBAS) Scale for the Assessment and Treatment of Insomnia Comorbid with Chronic Pain."

Pain Management: "How to manage fatigue in fibromyalgia: nonpharmacological options."

Reviewed by Melinda Ratini on August 23, 2017

SOURCES:

WomensHealth.gov: "Fibromyalgia."

Journal of Neurophysiology: "Thalamic mechanisms underlying alpha-delta sleep with implications for fibromyalgia."

Pain Practice: "The Effect of a Novel form of Extended-Release Gabapentin on Pain and Sleep in Fibromyalgia Subjects: An Open-Label Pilot Study."

National Institute of Arthritis and Musculoskeletal and Skin Diseases: "Questions and Answers about Fibromyalgia."

Mayo Clinic: "Fibromyalgia: Symptoms and Causes."

Journal of Back and Musculoskeletal Rehabilitation : "Evaluation of restless legs syndrome in fibromyalgia syndrome: an analysis of quality of sleep and life."

Journal of Clinical Sleep Medicine: "High Prevalence of Restless Legs Syndrome among Patients with Fibromyalgia: A Controlled Cross-Sectional Study."

National Sleep Foundation: "Fibromyalgia and Sleep."

New England Journal of Medicine: "A Randomized Trial of Tai Chi for Fibromyalgia."

Pain Research and Management: "Music as a sleep aid in fibromyalgia."

UpToDate: "Treatment of fibromyalgia in adults not responsive to initial therapies."

Current Pain and Headache Reports: "Cognitive Impairment in Fibromyalgia."

JournalofClinicalSleepMedicine : "Development of the Pain-Related Beliefs and Attitudes about Sleep (PBAS) Scale for the Assessment and Treatment of Insomnia Comorbid with Chronic Pain."

Pain Management: "How to manage fatigue in fibromyalgia: nonpharmacological options."

Reviewed by Melinda Ratini on August 23, 2017

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Do naps help if you have fibromyalgia?

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THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for general informational purposes only and does not address individual circumstances. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.

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