Understanding Insomnia
Insomnia is the most common sleep disorder, affecting approximately 30% of adults at some point and becoming chronic in about 10%. It's defined as difficulty falling asleep, staying asleep, or waking too early — along with daytime consequences like fatigue, difficulty concentrating, mood disturbance, and impaired functioning.
Chronic insomnia (lasting 3+ months) is rarely just a sleep problem. It's often intertwined with anxiety, depression, PTSD, chronic pain, or medication side effects. Addressing the underlying causes while improving sleep habits leads to the most lasting results.
Poor sleep worsens anxiety, depression, ADHD, chronic pain, and physical health conditions. Improving sleep is often the single most impactful intervention for overall mental health. CBT-I has a 70-80% success rate — higher than sleep medications.
Types of Sleep Problems We Treat
- Chronic insomnia: Difficulty falling or staying asleep 3+ nights/week for 3+ months
- Sleep-onset insomnia: Taking more than 30 minutes to fall asleep
- Sleep-maintenance insomnia: Waking during the night and unable to return to sleep
- Early morning awakening: Waking hours before your alarm with inability to return to sleep
- Psychiatric sleep disturbance: Insomnia caused by anxiety, depression, PTSD, or bipolar disorder
- Medication-related sleep problems: Sleep disruption from psychiatric or medical medications
Our Insomnia Treatment Services
Sleep Evaluation (60 minutes)
- Detailed sleep history — patterns, habits, bedroom environment, daytime impact
- Assessment of co-occurring conditions (anxiety, depression, chronic pain)
- Medication review (many medications disrupt sleep)
- Standardized sleep assessments (ISI, PSQI, Epworth Sleepiness Scale)
- Referral for sleep study if obstructive sleep apnea or other medical causes suspected
CBT-I (Cognitive Behavioral Therapy for Insomnia)
The gold-standard first-line treatment recommended by the American Academy of Sleep Medicine:
- Stimulus control: Rebuilding the association between bed and sleep
- Sleep restriction: Temporarily limiting time in bed to increase sleep efficiency
- Cognitive restructuring: Addressing worry and catastrophic thinking about sleep
- Sleep hygiene education: Optimizing habits, environment, and routines
- Relaxation training: Progressive muscle relaxation, breathing techniques
Medication Management
When medication is appropriate, we prioritize options with lower dependence risk:
- Trazodone — sedating antidepressant, widely used for sleep, non-habit-forming
- Hydroxyzine — antihistamine with anxiolytic properties, helpful for anxiety-related insomnia
- Low-dose doxepin (Silenor) — FDA-approved for sleep maintenance insomnia
- Suvorexant (Belsomra) / Lemborexant (Dayvigo) — orexin receptor antagonists, newer class
- Melatonin / ramelteon (Rozerem) — for circadian rhythm issues
Keeping a simple sleep diary (bedtime, wake time, time to fall asleep, nighttime awakenings) for 1-2 weeks before your evaluation gives your provider valuable data to personalize your treatment plan.
How Insomnia Treatment Works at EnnHealth
Book Online
Schedule a sleep evaluation via our live calendar
Evaluation
Comprehensive sleep and mental health assessment
Treatment Plan
Personalized CBT-I protocol, medication if needed
Better Sleep
4-8 sessions to rebuild healthy sleep patterns
Why Choose EnnHealth for Sleep Care
- Evidence-based approach: CBT-I is our first-line treatment — more effective long-term than pills.
- Whole-person care: We treat the underlying conditions driving insomnia, not just the symptom.
- Telehealth convenience: Evening and weekend appointments available — no driving after a sleepless night.
- Same provider every visit: Continuity matters for tracking sleep patterns over time.
- Insurance accepted: In-network with Aetna, BCBS, Cigna, UHC, Humana, Oscar, Ambetter, Medicare, Tricare, and Molina.
- DPC option: Flat-rate plans from $99/month — no insurance needed.
Ready for Better Sleep?
Schedule a comprehensive sleep evaluation with a board-certified psychiatric provider. Telehealth appointments available in 30+ states.
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