Chronic insomnia means trouble falling asleep or staying asleep at least three nights a week for three months or more. The recommended first treatment is cognitive behavioral therapy for insomnia (CBT-I), not sleeping pills.
7,683 clinics in our directory treat insomnia. The closest ones to you are below, or search your city to find an insomnia specialist near you.
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Cognitive behavioral therapy for insomnia (CBT-I) is the first-line treatment recommended by the American Academy of Sleep Medicine and the American College of Physicians. It changes the habits and thoughts that keep insomnia going, and its benefits tend to last after treatment ends. Medication can help in the short term but is usually not the first choice.
Sleep medicine physicians diagnose insomnia and rule out other causes, and behavioral sleep medicine specialists (usually psychologists) deliver CBT-I. Primary care doctors and psychiatrists also treat insomnia, especially when it occurs with depression or anxiety.
CBT-I is usually four to eight sessions spread over six to eight weeks. Sleep often gets a little worse in the first week or two of sleep restriction before it improves.
Usually not. Insomnia is diagnosed from your history and sleep diary. A sleep study is ordered when another disorder, such as sleep apnea or periodic limb movements, may be causing or worsening the insomnia.
Yes. Many providers deliver CBT-I by video visit, and there are structured digital CBT-I programs. Ask a sleep clinic near you whether it offers telehealth sessions.