#121 - A Practical Guide To Insomnia

Matt delves into insomnia, defining it as a persistent struggle to sleep despite having the opportunity. He presents "Cognitive Behavioral Therapy for Insomnia" (CBTI) as the scientifically validated gold standard, and details the five pillars: stimulus control to rebuild the bed-sleep association, time-in-bed restriction to boost efficiency, sleep hygiene, cognitive restructuring, and relaxation. These strategies retrain the brain to treat the bed as a sanctuary, deactivating the psychological triggers of wakefulness. The episode also addresses the physiological impacts of caffeine, alcohol, and nighttime rumination. Walker contrasts traditional "Z-drugs," which may hinder glymphatic housekeeping, with newer "DORAs" that target the orexin system like a dimmer switch. While discussing tools like Trazodone, he emphasizes that CBTI’s aim is to restore the body’s innate sleep signals. These evidence-based interventions offer a lasting payoff by aligning behavior with our deep biological needs. Please note that Matt is not a medical doctor, and none of the content in this podcast should be considered medical advice in any way, shape, or form, nor prescriptive in any way. Clean biological living requires precision. Podcast partner Caraway ’s non-toxic ceramic cookware eliminates deleterious "forever chemicals" for a seamless, slide-off-the-pan cooking experience. Save $190 on sets plus 10% off at Carawayhome.com/mattwalker . Caraway . Non-Toxic kitchenware made modern. In a supplement industry where trust is critical, Matt uses podcast supporter Puori . Their protein powders are free from hormones, GMOs, and pesticides, with every single batch third-party tested for over 200 contaminants. For protein you can trust, save 20% at puori.com/mattwalker . As always, if you have thoughts or feedback you’d like to share, please reach out to Matt: Matt: Instagram @drmattwalker , X @sleepdiplomat , YouTube:

You can listen to #121 - A Practical Guide To Insomnia online on Radio and Podcast. Open the player on this page to stream the available audio.

#121 - A Practical Guide To Insomnia is an episode from The Matt Walker Podcast by Dr. Matt Walker.

This episode is 23:52 long.

This episode was published on Jan 19, 2026.

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