habits

Why We Overlook CBT-I—and Why Life Transitions Often Trigger Sleepless Nights

Insomnia is one of the most common sleep disorders, yet it is often misunderstood. Many people assume sleepless nights are simply the result of stress or a busy mind, but insomnia can appear suddenly, especially during life transitions, and quickly become chronic.

Despite its prevalence, Cognitive Behavioral Therapy for Insomnia (CBT-I)—the gold-standard, evidence-based treatment—is often overlooked in favor of generic sleep hygiene tips or short-term medications.

Life Transitions and Insomnia

Insomnia often emerges during periods of change, both positive and negative. Common triggers include:

  • Major life events: moving, starting a new job, retirement, or divorce

  • Health changes: chronic pain, illness, or surgery

  • Emotional stressors: grief, caregiving, financial strain

  • Exciting transitions: marriage, parenthood, or career promotions

Even happy changes can create heightened arousal and racing thoughts that disrupt sleep. What begins as temporary sleep loss can develop into persistent insomnia if unaddressed.

Sleep Hygiene vs CBT-I

Many people first try sleep hygiene, which includes:

  • Limiting caffeine and alcohol before bed

  • Avoiding screens in the bedroom

  • Maintaining a cool, dark sleep environment

  • Keeping a consistent sleep schedule

While these strategies are helpful, sleep hygiene alone rarely resolves chronic insomnia. It addresses lifestyle factors but does not change the learned patterns of wakefulness or anxious thoughts that perpetuate insomnia.

CBT-I, in contrast, is a structured, evidence-based therapy designed to retrain both mind and body. It goes beyond environmental tweaks to target the root causes of insomnia:

  • Sleep restriction: Limiting time in bed to match actual sleep, then gradually expanding as sleep efficiency improves

  • Stimulus control: Strengthening the association between bed and sleep by leaving the bedroom if unable to fall asleep

  • Cognitive restructuring: Addressing anxious or racing thoughts about sleep

  • Relaxation and mindfulness: Teaching the body to wind down naturally

Unlike sleep hygiene or medication, CBT-I produces lasting improvements and reduces the risk of relapse.

Why CBT-I Is Overlooked

Despite strong evidence, CBT-I remains underutilized:

  • Low awareness: Many patients—and some providers—don’t know CBT-I exists

  • Access barriers: Few clinicians are trained in CBT-I, creating long waitlists

  • Quick-fix culture: People often prefer medications, which offer immediate but short-term relief

  • Misconceptions: Patients may believe sleep hygiene alone is enough, not realizing CBT-I is a separate, more effective therapy

Steps to Address Insomnia

If you’re struggling with sleepless nights, especially after a life transition:

  1. Recognize the difference: Sleep hygiene supports healthy sleep habits; CBT-I treats chronic insomnia.

  2. Maintain consistent wake times: Even after a poor night, getting up at the same time helps reset your body clock.

  3. Limit time in bed awake: Leave the bedroom if unable to sleep for 15–20 minutes and engage in a calming activity.

  4. Seek specialized help: Look for therapists trained in CBT-I or evidence-based digital programs.

Moving Forward

Sleep is foundational for mental and physical health. While sleep hygiene is useful, it is not a cure for chronic insomnia. CBT-I is the most effective, evidence-based approach, helping you restore restorative sleep, regulate mood, and build resilience during life transitions.

Stronger Every Decade: What Seniors’ Powerlifting Teaches Us About Aging Well

When we think about aging healthfully, the conversation often centers on diet, slowing down, or managing chronic conditions. But what if the secret to thriving later in life is less about slowing and more about lifting?

A gym outside Detroit, featured recently in the New York Times, is championing exactly that: showing how serious barbell training for people in their 60s, 70s, 80s—and beyond—is not only possible, but transformative.

Aging Meets Strength: Shifting the Narrative

At Greysteel Strength and Conditioning, older adults powerlift with purpose. It’s not just about building muscle—it’s a way to reclaim autonomy, improve mood, sharpen cognition, and stave off age-related decline. When someone in their 80s deadlifts impressive weights, it becomes more than a physical feat—it’s a statement about resilience in any stage of life.

Why Lifting Matters For Body and Mind

Physical strength plays a vital role in mental health, especially as we grow older:

  • Empowerment and Identity: Mastering strength challenges builds confidence. Each lift is a reminder that growth is still possible, regardless of age.

  • Brain-Body Connection: Resistance training enhances not just muscle tone, but cognitive clarity, memory, and stress regulation.

  • Emotional Resilience: Pushing physical boundaries can also help confront mental ones—providing a sense of mastery that spills into daily life.

  • Community and Purpose: The gym environment—rooted in encouragement and mutual support—is a powerful antidote to social isolation.

Clinical Insights: Encouraging Strength in Aging Clients

How can psychologists and health professionals integrate the lessons from gyms like Greysteel into meaningful support?

  1. Reframe strength as lifelong. Don’t see aging clients as fragile—see them as capable. Encourage physical routines that challenge them, not just preserve them.

  2. Think physical, not just psychological. Strong movement can be healing. Explore partnerships with trainers or recommending strength work as part of holistic mental health care.

  3. Use strength as symbolic therapy. Each weight lifted can mirror emotional resilience. Frame physical progress as a visible metaphor for inner growth.

  4. Foster community-based strength. Aging clients often benefit from more than one-on-one therapy. Group movement programs—where camaraderie and purpose meet—can change lives.

Powerlifting isn’t just for bodybuilders. For many older adults, lifting is a tool for reclaiming health, independence, joy—and mental well-being.

If you work with older clients—or have aging loved ones—consider how strength training can be a pillar of mental wellness. In a world that sometimes sees aging as decline, these lifters remind us: growth can happen at any age with the right support, community, and a barbell within reach.

How Travel Can Unlock Your Creative Potential

Travel is often seen as a chance to get away from the daily grind, but it’s so much more than just a break. It can actually be a powerful catalyst for boosting creativity and inspiring fresh ideas. When you step outside your usual surroundings and immerse yourself in new environments, your brain is invited to think in different ways, opening up pathways to innovation and insight.

Why Changing Your Environment Matters

Our brains naturally rely on routines and patterns to function efficiently. While this helps us manage day-to-day tasks, it can also limit our thinking, making it harder to come up with novel solutions or creative breakthroughs. Traveling disrupts these patterns by exposing you to a flood of unfamiliar stimuli—new landscapes, sounds, smells, and social interactions—that demand your brain’s full attention.

This disruption helps increase cognitive flexibility, a key ingredient in creative thinking. By adapting to new surroundings and ways of life, your brain strengthens its ability to connect seemingly unrelated ideas and solve problems in fresh, inventive ways.

The Power of Novelty and Dopamine

One of the reasons travel boosts creativity lies in the brain’s response to novelty. Encountering something new—whether it’s an exotic food, an unfamiliar tradition, or a different architectural style—activates the release of dopamine. This neurotransmitter is often called the brain’s “reward chemical” because it enhances pleasure, motivation, and learning.

When dopamine levels rise, your brain becomes more engaged and receptive to new ideas. This heightened state encourages curiosity and playfulness, which are essential for creative exploration and expression.

Learning From Different Cultures

Travel also provides a unique opportunity to experience diverse cultures firsthand. Meeting people with different values, beliefs, and ways of solving problems expands your own perspective. These cultural exchanges challenge assumptions and introduce alternative approaches to everyday challenges.

By integrating these new viewpoints, you enrich your creative repertoire. Whether you’re working on a project, tackling a work challenge, or pursuing a hobby, the insights gained from other cultures can lead to innovative thinking and fresh solutions.

Tips to Maximize Travel’s Creative Benefits

  • Observe with curiosity. Make a habit of noticing details—whether it’s the way light falls on a building, local gestures, or street art. These small observations can serve as seeds for creative ideas later.

  • Keep a travel journal or sketchbook. Writing or drawing your impressions helps deepen your experience and solidify creative inspiration.

  • Try new things. Engage in activities outside your comfort zone, like learning a local craft, tasting unfamiliar dishes, or exploring off-the-beaten-path locations. Novel experiences stretch your brain and promote creativity.

  • Connect meaningfully. Conversations with locals or fellow travelers can provide insights and stories that spark new ideas.

Bringing the Spark Home

You don’t have to travel far or long to reap creative rewards. Even exploring a new part of your city or taking a short trip can shake up your routine and inspire your mind. The key is to maintain the mindset of openness and curiosity.

Once home, try to hold onto the sense of wonder and perspective that travel cultivates. Use it as a springboard for creative projects, problem-solving, or simply seeing your everyday world in a new light.

Creativity is a skill that thrives on novelty, flexibility, and diverse experiences. Travel naturally provides these elements by immersing you in unfamiliar environments and cultures, pushing your brain to adapt and innovate.

So next time you plan a getaway, remember it’s not just about the destination—it’s about giving your mind the chance to grow, change, and create in exciting new ways.

What Kinds of Behaviors Does AI Reinforce? Understanding How Algorithms Shape Our Habits

Artificial intelligence (AI) is woven into our everyday lives—often in ways we don’t even notice. It powers our social media feeds, streaming suggestions, online ads, maps, shopping recommendations, job applications, and more.

But here’s something many of us don’t stop to consider:
AI doesn’t just respond to our behavior—it shapes it.

Whether we’re scrolling, searching, swiping, or shopping, the algorithms behind these platforms are constantly learning from us. And in turn, they’re reinforcing certain behaviors—sometimes in ways that help, and other times in ways that quietly impact our mental health, habits, and sense of agency.

So, what kinds of behaviors does AI tend to reinforce? And how can we stay mindful in the process?

1. Repetition and Routine

AI systems are designed to notice patterns. The more often we click on something—like a certain type of video, headline, or product—the more likely we are to see similar content again. This can make our digital experiences feel personalized, but it also reinforces repetition.

Helpful when:
You’re building a healthy habit (e.g., workout reminders, meditation apps, meal planning tools).
You want consistent recommendations based on your preferences.

Risky when:
You get stuck in a loop—only seeing content that reinforces your current views, interests, or mood (also known as an echo chamber).
It’s hard to break out of old patterns or discover something new.

2. Instant Gratification

AI is very good at figuring out what keeps us engaged. That means it tends to reward behaviors that give us quick emotional feedback—likes, shares, dopamine hits, short-form content, and easy answers.

Helpful when:
You need fast results (e.g., directions, quick answers, mood boosts from positive content).

Risky when:
You become reliant on quick rewards and lose tolerance for boredom, frustration, or slow progress.
You struggle to focus, reflect, or stay present because you’re constantly chasing the next hit of stimulation.

3. Avoidance and Emotional Reactivity

Many platforms use AI to optimize for attention—not well-being. If you engage more when you’re angry, anxious, or distracted, that emotional state may be unintentionally reinforced.

Helpful when:
You find relatable content that helps you feel seen, especially during emotional moments.

Risky when:
You’re nudged toward doomscrolling, outrage, or content that amplifies fear and worry.
You use technology to avoid discomfort or disconnect from your feelings, rather than process them.

4. People-Pleasing and Performance

On social media, AI reinforces what gets the most engagement. That can lead us to shape our online presence around what gets likes, approval, or validation—even if it’s not aligned with how we truly feel.

Helpful when:
You’re building a business, platform, or creative project and want to understand your audience.

Risky when:
You start equating your self-worth with likes, comments, or followers.
You censor or contort yourself to fit an algorithm, rather than connect authentically.

So What Can We Do?
Staying Mindful in a Digital World

We don’t have to reject AI or technology to protect our well-being—but we do need to be aware of how it shapes us. Here are a few ways to stay grounded:

Notice your habits
Pay attention to what content you're drawn to and how it affects your mood or mindset.

Take breaks from reinforcement loops
Try stepping away from the algorithm (e.g., switching to human-curated playlists, reading offline, or spending time without devices).

Get curious about discomfort
If you’re using AI-powered tools to avoid boredom, anxiety, or loneliness, gently explore what’s underneath.

Reclaim your agency
You can disrupt the loop. Seek out new perspectives, silence unhelpful content, or use tools that prioritize values over clicks.

You Are Powerful Too

AI systems are designed to serve us, but they’re not neutral. They reflect and amplify patterns—often without context or care for our mental health. That’s why awareness matters.

By understanding what kinds of behaviors AI reinforces, we give ourselves the chance to choose more consciously. We can ask:
Is this helping me grow?
Is this aligned with how I want to live?
Is this truly me—or a reflection of the clicks I’ve made?

The answers might surprise you. And they might help you reclaim a little more space, clarity, and freedom in your digital life.

Signs You May Be Struggling with Your Mental Health

Mental health can fluctuate, just like physical health. Some days feel manageable, while others feel overwhelming. But when emotional struggles persist and start interfering with daily life, it might be time to check in with yourself and seek support.

Recognizing the signs of mental health struggles can be the first step toward healing. Whether you’ve been feeling off lately or are unsure if what you’re experiencing is normal stress, here are some key signs that your mental health may need attention.

1. Persistent Feelings of Sadness, Anxiety, or Numbness

Everyone has bad days, but if you find yourself feeling down, anxious, or emotionally disconnected for weeks at a time, it may indicate something deeper. You might experience:

✔ A constant low mood or feeling empty

✔ Excessive worry or racing thoughts that won’t stop

✔ A sense of numbness or disconnection from yourself and others

If these feelings persist, they may signal depression, anxiety, or burnout.

2. Changes in Sleep Patterns

Sleep and mental health are closely linked. Disruptions in sleep can be both a symptom and a cause of emotional distress. Signs to watch for include:

✔ Trouble falling or staying asleep (insomnia)

✔ Sleeping much more than usual but still feeling exhausted

✔ Frequent nightmares or restless sleep

Poor sleep can amplify stress and make it harder to manage emotions, so it's important to address sleep struggles early.

3. Loss of Interest in Activities You Used to Enjoy

A sudden or gradual loss of interest in hobbies, work, relationships, or social activities can be a red flag. If you find yourself avoiding things you once loved—whether it’s exercising, spending time with friends, or pursuing creative passions—you may be experiencing a symptom of depression or emotional exhaustion.

4. Difficulty Concentrating or Making Decisions

Mental fog, forgetfulness, or struggling to stay focused can be more than just distraction—it can be a sign of stress, anxiety, or depression. You might notice:

✔ Trouble remembering things, even simple tasks

✔ Feeling overwhelmed by choices or unable to make decisions

✔ Losing track of time or struggling with productivity

When your brain is overloaded with stress, it can become difficult to think clearly.

5. Increased Irritability or Mood Swings

If you’re feeling unusually short-tempered, easily frustrated, or overwhelmed by small inconveniences, it could be a sign of emotional distress. Mental health struggles don’t always show up as sadness—sometimes they manifest as irritability, anger, or mood swings.

6. Withdrawing from Others

Feeling like you want to isolate yourself can be a sign that your mental health is suffering. You might:

✔ Ignore texts or cancel plans with friends and family

✔ Feel emotionally distant, even when surrounded by others

✔ Struggle to express what you're feeling, leading to further isolation

While alone time can be healthy, consistently avoiding connection can worsen feelings of loneliness and sadness.

7. Unhealthy Coping Mechanisms

When emotions become overwhelming, some people turn to coping strategies that provide temporary relief but create long-term problems. These might include:

✔ Increased use of alcohol, drugs, or smoking

✔ Emotional eating or skipping meals altogether

✔ Excessive scrolling on social media to escape reality

✔ Overworking or avoiding responsibilities as a distraction

If you find yourself using these coping mechanisms frequently, it may be a sign that deeper emotional struggles need to be addressed.

8. Physical Symptoms with No Clear Cause

Mental health issues don’t just affect the mind—they can manifest in physical ways too. Common signs include:

✔ Headaches or body aches with no medical explanation

✔ Digestive issues (nausea, stomach pain, or changes in appetite)

✔ Chronic fatigue, even after getting enough rest

If your body is showing signs of stress or distress, it’s worth considering whether emotional factors are playing a role.

What to Do If You Recognize These Signs

If you see yourself in any of these signs, know that you are not alone—and help is available. Here are some steps you can take:

✔ Talk to someone you trust – Whether it’s a friend, family member, or therapist, opening up can provide relief and support.

✔ Seek professional help – A mental health professional can offer guidance, coping strategies, and treatment if needed.

✔ Prioritize self-care – Small daily actions, like getting enough sleep, eating well, and engaging in activities that bring joy, can help stabilize your mood.

✔ Move your body – Exercise, even gentle movement like walking or yoga, can boost mood and energy levels.

✔ Be kind to yourself – Mental health struggles are not a personal failure. Healing takes time, and it’s okay to ask for help.

Recognizing that you’re struggling is a brave and important first step. You deserve support, care, and the chance to feel better.


Julie Kolzet, Ph.D.