Lower ISI scores • Improve sleep efficiency • Reduce reliance on hypnotics
Most Insurances Accepted
HIPAA-Secure Video Visits
Most Insurances Accepted
HIPAA-Secure Video Visits
Sleep-trained physicians & NPs guide stimulus cGontrol, sleep restriction, and safe hypnotic tapering while echoing your recommendations.
Structured CBT-I dismantles “I’ll never sleep” thinking and calms sympathetic overdrive.
Avg. –9 ISI points, +14% sleep efficiency, –44% nightly hypnotic use at 8 weeks.
Evening or lunchtime video slots keep shift-workers and commuters compliant.
| Driver / Symptom | Core CBT-I Intervention |
Typical win
|
|---|---|---|
| Long sleep-onset latency | Stimulus control & sleep-restriction | ↓ SOL 15–20 min |
| Frequent awakenings / WASO | Relaxation drills, worry-time scheduling | ↓ WASO 30 min |
| Early-morning waking | Chronotherapy tweaks | ↑ TST 30–45 min |
| Hyper-arousal / anxiety | Cognitive restructuring, mindfulness | ↓ Pre-sleep arousal scale |
| Over-reliance on hypnotics | Graduated taper ladder | –40% dose by wk 8 |
| Irregular schedule | Personalized sleep-window planning | ≥ 85% sleep efficiency |
ISI 24, sleep efficiency 73%, SOL 55 min
Sleep-restriction, stimulus control, cognitive reframing, taper ladder
ISI 12 (–50%), efficiency 87%, SOL 20 min, zolpidem 5 mg prn only 2×/wk