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Being Well · October 19, 2026 · 1h 16m

How to Fix Insomnia: CBT-I with Dr. Ashley Mason

Forrest Hnson interviews Dr. Ashley Mason, a clinical psychologist and sleep researcher at UC San Francisco. They discuss what separates clinical insomnia from occasional poor sleep, why people with insomnia often sleep only slightly less than good sleepers but experience the night very differently, and how the 3P model (predisposing, precipitating, perpetuating) explains the development of chronic insomnia. The conversation covers the five pillars of CBT-I, including fixing wake time, restricting time in bed, managing nighttime thoughts, and avoiding common pitfalls like meditation apps in bed. They also touch on emerging research around heat exposure for sleep and mood.

This summary was generated from show notes and public descriptions, not from a full transcript review. Details may contain inaccuracies.

Preview

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Insomnia is defined by perception, not just hours of sleep00:03:43
Clinical insomnia involves a consistent pattern of sleep difficulty combined with distress or daytime impairment, and is characterized by a striking mismatch between subjective experience and objective sleep measurement.
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How insomnia develops: the 3P model00:14:06
Insomnia typically arises when predisposing factors (genetics, personality), a precipitating event (stress, illness), and perpetuating behaviors (worry, extended time in bed, irregulr schedules) combine.

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