Sleep Window Weekly Review
A CBT-I sleep restriction review worksheet calculating weekly sleep efficiency and adjusting the sleep window, with titration guidance.
1-page fillable PDF · US Letter (prints on A4) · CBT-I · Sleep restriction
- Approach / concern
- Sleep / CBT-I
- Technique
- CBT-I · Sleep restriction
- Format
- Fillable PDF, 1 page (US Letter / A4)
- Access
- Pro and Advanced plans (3-day free trial)
- For
- Licensed clinicians to use with clients
- Updated
- October 2026
Key facts
What is the Sleep Window Weekly Review?
Sleep restriction therapy titrates time in bed based on sleep efficiency to consolidate sleep and strengthen homeostatic sleep drive.
Why it works
Edinger and Carney (2014) describe sleep window titration rules. Brief behavioural treatment uses sleep efficiency-based adjustments (Troxel et al., 2012).
When to use it
- CBT-I with sleep restriction
- Chronic insomnia
- Weekly sessions
- Telehealth CBT-I
How to use it in session
- Average diary data.
- Calculate efficiency.
- Apply titration rules.
- Set new window.
- Review weekly.
Clinician tips
- Use caution with bipolar disorder, seizures and drowsy-driving risk.
- Keep a fixed wake time.
- Tailor rules to the client.
Worked example
Sharing with clients
Members can download the PDF to print or email, or copy a private client link from the download box. Your client opens the link and downloads the worksheet on any device. No client account is needed, and nothing your client writes is stored on TherapyAid.
Frequently asked questions
How do I calculate sleep efficiency?
Divide total sleep time by time in bed and multiply by 100.
Is sleep restriction safe?
It’s safe for most people when guided by a clinician, with precautions for some conditions.
References
Edinger, J. D., & Carney, C. E. (2014). Overcoming insomnia: A cognitive-behavioral therapy approach, therapist guide (2nd ed.). Oxford University Press.
Troxel, W. M., Germain, A., & Buysse, D. J. (2012). Clinical management of insomnia with brief behavioral treatment (BBTI). Behavioral Sleep Medicine, 10(4), 266-279.
This worksheet is an educational tool for use by, or under the guidance of, a licensed or registered mental-health professional. It is not a diagnostic instrument or a substitute for clinical judgement. If a client is in crisis in Canada, call or text 9-8-8 or call 9-1-1.
