Online Insomnia Treatment
See a sleep doctor for insomnia
Chronic insomnia is treatable. Meet by video with a board-certified sleep physician who builds an evidence-based plan led by CBT-I — the guideline first-line therapy — and rules out other sleep disorders along the way.
Medically reviewed by the board-certified sleep physicians at Nocturne Health · Last updated July 2026
What is chronic insomnia?
Insomnia is difficulty falling asleep, staying asleep, or waking too early, even when you have enough time and opportunity to sleep — and feeling the effects during the day. It becomes chronic insomnia disorder when it happens at least three nights a week for three months or longer.
Chronic insomnia is not just “a few bad nights.” It is a recognized condition that a sleep physician can diagnose and treat, and it often responds well to structured, evidence-based care — without necessarily relying on long-term sleep medication.
When should you see a physician about insomnia?
Occasional sleepless nights are normal. Consider a professional evaluation if you recognize several of these:
- Trouble falling asleep, staying asleep, or waking too early at least 3 nights a week
- The problem has persisted for 3 months or longer despite adequate opportunity to sleep
- Daytime consequences — fatigue, low mood, irritability, or trouble concentrating
- You are relying on alcohol, over-the-counter sleep aids, or borrowed medication to fall asleep
- Sleep problems are affecting your work, relationships, or safety (e.g. drowsy driving)
A physician can confirm whether you meet criteria for chronic insomnia, identify contributing factors, and start treatment that targets the cause rather than only the symptom.
How Nocturne Health treats insomnia
Treatment is led by a board-certified sleep physician and follows the evidence:
CBT-I first. Cognitive behavioral therapy for insomnia is the recommended first-line treatment for chronic insomnia in adults, according to the American Academy of Sleep Medicine and the American College of Physicians. It uses practical, structured techniques — such as stimulus control, sleep restriction, and addressing unhelpful thoughts about sleep — to retrain your sleep system. Its improvements tend to be durable, without the tolerance or dependence that can accompany some sleep medications.
Medication, used selectively. When appropriate, medication may be added to the plan — for short-term relief or when behavioral therapy alone is not enough. Because sleep medications carry benefits and risks, this is always a shared decision that considers your health history and goals.
Ruling out other sleep disorders. Insomnia can overlap with conditions like obstructive sleep apnea, restless legs syndrome, and circadian rhythm disorders. Your physician screens for these, because treating a hidden contributor can be the key to sleeping better. If apnea is suspected, a standalone home sleep apnea test can be ordered and interpreted, with the report emailed to you.
What a visit looks like
Book your virtual visit
Schedule a $199 video consultation at a time that works for you. There is no insurance to bill, no referral needed, and no prior authorization.
Comprehensive sleep evaluation
Your physician reviews your sleep history, schedule, medications, medical and mental-health history, and daytime symptoms to understand what is driving your insomnia and whether another sleep disorder is contributing.
A personalized treatment plan
You leave with a clear, evidence-based plan — typically starting with CBT-I strategies, with medication considered when appropriate — plus any testing orders if a condition like sleep apnea needs to be ruled out.
Follow-up and adjustment
Insomnia care is iterative. Follow-up visits ($99) let your physician review progress, refine the plan, and adjust as your sleep improves.
Transparent, insurance-free pricing
Nocturne Health is cash-pay — no insurance to bill, no prior authorizations, no surprise bills. All services are HSA/FSA eligible.
- Initial consultation: $199 — full sleep evaluation and a personalized treatment plan
- Follow-up visit: $99 — review progress and adjust the plan
- Home sleep apnea test: $169 — only if apnea is suspected and testing is clinically indicated
Sleep better, starting with a real plan
Book a $199 virtual consultation with a board-certified sleep physician and get an evidence-based plan for your insomnia. Available to patients in Arkansas, California, Massachusetts, Missouri, Ohio, Oklahoma, and Pennsylvania.
Online insomnia treatment: common questions
Can you treat insomnia online?
Yes. Chronic insomnia is well suited to virtual care because it is diagnosed through a detailed history and treated primarily with behavioral strategies. At Nocturne Health, you meet by video with a board-certified sleep physician who evaluates your sleep, builds an evidence-based plan, and follows up over time. No in-person visit is required for most patients.
What is the first-line treatment for chronic insomnia?
Cognitive behavioral therapy for insomnia (CBT-I) is the recommended first-line treatment for chronic insomnia in adults, per the American Academy of Sleep Medicine and the American College of Physicians. CBT-I addresses the thoughts and behaviors that keep insomnia going — through methods such as stimulus control, sleep restriction, and cognitive techniques — and its benefits tend to last longer than those of sleep medications.
Will I be prescribed sleeping pills?
Not automatically. Guidelines recommend CBT-I as the foundation of treatment. Medication may be added selectively — for example, for short-term relief or when behavioral therapy alone is not enough — and always as a shared decision that weighs benefits, side effects, and your medical history. Your physician will discuss whether medication has a role in your specific plan.
How do I know if my insomnia is chronic?
Insomnia is generally considered chronic when difficulty falling asleep, staying asleep, or waking too early occurs at least three nights a week for three months or longer, despite having adequate opportunity to sleep, and causes daytime distress or impairment. Shorter-lived (acute) insomnia often resolves on its own, but persistent insomnia usually benefits from evaluation and treatment.
Could another sleep disorder be causing my insomnia?
Sometimes. Conditions such as obstructive sleep apnea, restless legs syndrome, and circadian rhythm disorders can present as, or coexist with, insomnia. Part of a sleep physician's evaluation is identifying these contributors. If sleep apnea is suspected, a standalone home sleep apnea test can be ordered and interpreted, with the report emailed to you.
Do you accept insurance for insomnia treatment?
Nocturne Health is a cash-pay practice — we do not bill insurance, Medicare, or Medicaid. The initial consultation is $199, follow-up visits are $99, and a home sleep apnea test (only if clinically indicated) is $169. All services are HSA/FSA eligible, and we can provide a detailed receipt for reimbursement.
References
- Qaseem A, et al. Management of Chronic Insomnia Disorder in Adults: A Clinical Practice Guideline From the American College of Physicians. Annals of Internal Medicine, 2016.
- Edinger JD, et al. Behavioral and Psychological Treatments for Chronic Insomnia Disorder in Adults: An AASM Clinical Practice Guideline. Journal of Clinical Sleep Medicine, 2021.
- National Heart, Lung, and Blood Institute (NIH). Insomnia — Treatment.