Online insomnia and sleep treatment

CBT-I, the first-line therapy

Cognitive behavioral therapy for insomnia (CBT-I) is the first-line treatment for chronic insomnia. It retrains the timing, habits, and racing thoughts that keep you awake, with skills you can use between sessions.

Medication management

When medication helps, we use evidence-based, non-controlled options and review them regularly. We don't prescribe controlled sedative-hypnotics or benzodiazepines (e.g., Xanax) for long-term sleep — they carry risks of dependence, next-day grogginess, and difficulty stopping, and they don't fix what's actually keeping you awake.

A coordinated plan

Your prescriber and therapist work from the same plan, so medication and therapy reinforce each other instead of pulling in different directions.

From first visit to a steady night's sleep

Intake & evaluation

A thorough first visit to understand your sleep patterns, history, and goals — and to screen for anxiety, depression, or a medical sleep disorder that may be driving the problem. We verify your insurance before you start.

Your plan, together

Your clinician walks you through a clear plan — CBT-I, behavioral changes, medication, or a combination — with the reasoning behind each choice and what to expect in the first few weeks.

Follow-up & adjustment

Regular follow-ups and secure messaging let us track what's working, fine-tune the plan, and space visits out as your sleep stabilizes.

Trouble concentrating, low energy, and irritability are often driven by poor sleep and can look like depression or ADHD. We address the sleep problem itself before assuming the daytime symptoms are the whole story.

Cognitive behavioral therapy for insomnia (CBT-I) is the most effective long-term treatment. We use it to 'un-pair' your bed from the struggle to sleep and rebuild a steady, natural sleep drive.

When medication helps, we favor options that can address both sleep and mood together, and we avoid habit-forming sleep aids where a better long-term choice exists.

Both bring trouble falling or staying asleep and exhausting, unrefreshing nights, so they're easy to blur together. The distinguishing question is what else is present: when insomnia is the standalone problem we treat it directly, whereas in depression or anxiety the sleep trouble travels with low mood, loss of interest, or relentless worry — and early-morning waking, especially alongside low mood, can be a clue that depression is involved. When insomnia co-occurs with a mood or anxiety condition we treat both, because insomnia rarely resolves on its own once it's established.

Both leave you tired through the day and waking during the night, so apnea is often mistaken for ordinary insomnia. The tell is what's happening while you sleep: loud snoring, gasping or witnessed pauses in breathing, morning headaches, and feeling unrefreshed after a full night point toward obstructive sleep apnea rather than insomnia. When the picture fits we refer you for a sleep study — CBT-I and sleep medication won't fix a breathing problem, and getting it right matters for your heart and blood pressure. It also matters because sedative sleep medications can worsen untreated apnea, which is another reason we screen for it before prescribing.

Both look like you can't sleep when you want to. What separates them is timing: in insomnia you struggle to sleep even at a reasonable hour, whereas in a circadian rhythm disorder — from shift work, jet lag, or a delayed body clock — your sleep itself is fine, just shifted to the wrong times. These respond to light timing, schedule adjustments, and sometimes melatonin rather than standard insomnia treatment, and the two can co-occur.

Insurance & cost

Coverage and cost

We're in-network with major commercial plans — including Aetna, Cigna, UnitedHealthcare/Optum, Anthem/Blue Cross Blue Shield, and Humana — and Medicare where our clinicians are licensed. We verify your benefits before your first appointment, so you know your cost up front. Prefer not to use insurance? Transparent self-pay rates are available.