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Insomnia Therapy with CBT-I


Trouble sleeping can affect almost every part of your day.

When you are not sleeping well, it can be harder to focus, manage stress, regulate emotions, stay motivated, and feel like yourself. You may feel exhausted during the day and then frustrated when your brain will not settle down at night.

If you are struggling with falling asleep, staying asleep, waking too early, or feeling anxious about sleep, therapy can help you understand what may be keeping the cycle going and what changes may support better sleep.

Cognitive Behavioral Therapy for Insomnia

CBT-I stands for Cognitive Behavioral Therapy for Insomnia. It is a structured, skills-based approach that focuses on the thoughts, behaviors, habits, and patterns that can maintain insomnia over time.

CBT-I may help with:

  • difficulty falling asleep

  • waking during the night

  • waking too early

  • racing thoughts at bedtime

  • anxiety about not sleeping

  • irregular sleep schedules

  • frustration, dread, or pressure around sleep

  • sleep problems connected to stress, anxiety, ADHD, or life transitions

Why Sleep Can Become So Frustrating

Many people try harder and harder to sleep, but that pressure can sometimes make sleep feel even more difficult.

Over time, the bed can become connected with frustration, worry, clock-watching, or mental overactivity. The brain may start treating bedtime like a problem to solve instead of a time to settle.

CBT-I helps identify the patterns that may be keeping insomnia active and gives you practical strategies to work with those patterns.

How CBT-I Can Help

In insomnia therapy, we may work on:

  • understanding your current sleep pattern

  • identifying habits that may be interfering with sleep

  • reducing sleep-related worry and pressure

  • creating a more consistent sleep-wake rhythm

  • changing behaviors that accidentally reinforce insomnia

  • building a realistic wind-down routine

  • managing racing thoughts at night

  • improving the connection between bed and sleep

The goal is not to force sleep. The goal is to reduce the patterns that keep your brain and body on alert when you are trying to rest.

Insomnia, Anxiety, and ADHD

Sleep problems often overlap with anxiety and ADHD.

Anxiety can make it harder to quiet the mind at night. ADHD can make it difficult to transition into sleep, maintain a consistent routine, or shut down mental activity after a long day.

When sleep is poor, anxiety, focus, irritability, motivation, and emotional regulation can all become harder to manage. Addressing sleep can be an important part of improving overall functioning.

What to Expect

Insomnia therapy is practical and collaborative. We will look at your sleep patterns, daily routines, stress level, thoughts about sleep, and the behaviors that may be keeping the cycle going.

Treatment may include sleep tracking, structured behavior changes, cognitive strategies, relaxation or wind-down skills, and adjustments based on how your sleep responds over time.

When to Talk With a Medical Provider

Some sleep problems may be related to medical conditions, medication side effects, sleep apnea, restless legs, chronic pain, hormone changes, substance use, or other health concerns.

If your symptoms suggest that a medical issue may be affecting your sleep, it may be important to speak with a medical provider or sleep specialist.

Online Insomnia Therapy in Texas

I provide online therapy for adults in Texas who are struggling with insomnia, anxiety, ADHD, stress, and related concerns.

If sleep has become a nightly battle, you do not have to keep trying to figure it out alone.