It’s encouraging to see you’ve been doing well with CBT-I for the previous 6 years – great job! What makes you anxious when you experience these “flare ups”? Since we have less control over our thoughts than we want to realize and knowing that we can’t escape our thoughts, have you tried making room for them and welcoming them as they arrive? When one of those, “what if I can’t sleep tonight…” thoughts arrive, greet it with, “oh hey, thanks for that thought, mind” and let it be. It takes practice and repetition but allowing the thought to exist instead of putting in effort to get rid of it may be more beneficial for you.
Hope that helps,
Scott J
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