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Edited and reviewed:

Dec 26, 2025

SCIENCEWORKS
BEHAVIORAL HEALTHCARE

Complete Care for all Neurotypes
Therapy | Assessments | Coaching

CBT-I for Insomnia in Chattanooga, Tennessee

If your nights are restless and your days feel like recovery mode, a structured plan can help. ScienceWorks Behavioral Healthcare offers CBT-I for adults and teens in Tennessee, including Chattanooga and Southeast Tennessee clients via secure telehealth.

You might be a good fit for CBT-I if:

  • You cannot fall asleep, or you keep waking up and feeling stuck in hyperarousal.

  • You feel "tired but wired" and bedtime triggers anxiety, rumination, or body tension.

  • Sleep maintenance insomnia is the main issue: you wake up and cannot settle again.

  • Your sleep timing has shifted later, or your schedule changes make sleep inconsistent.

  • You want a plan that supports anxiety and trauma patterns without forcing rigid rules.

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When CBT-I can help

Chattanooga clients often search for a sleep or insomnia therapist when insomnia starts to feel like a nightly threat: you brace for bedtime, you wake up startled or alert, and the next day is a fog. CBT-I is designed for insomnia patterns like hyperarousal, delayed sleep timing, and anxiety-linked insomnia.

CBT-I may be a good next step if you notice:

  • You feel a surge of alertness in the evening, even after an exhausting day.

  • You wake up in the middle of the night with your heart racing or your mind spinning.

  • You are falling asleep at a reasonable time but still waking too much.

  • Your sleep timing drifts later and then snapping back feels impossible.

  • Bedtime becomes a trigger for worry, trauma reminders, or body tension.

  • You are trying to cope by over-researching sleep, clock-watching, or changing routines nightly.

  • You want structured tools and steady support, not another set of rules you cannot maintain.

You are not doing sleep wrong. When the nervous system is on high alert, sleep skills need to be both behavioral and regulating - and we can build that together.

How CBT-I works at ScienceWorks Behavioral Healthcare

ScienceWorks combines CBT-I with CBT and ACT skills to address both sleep behavior and nighttime arousal. We use behavioral sleep medicine strategies, circadian rhythm support, and practical coping skills so you can fall asleep more reliably and stay asleep longer.

What sessions look like

  1. Clarify the insomnia pattern
    We identify what is driving your insomnia: timing, hyperarousal, learned sleep effort, anxiety loops, or all of the above. A sleep diary helps us see trends without guesswork.

  2. Create a wind-down that actually works
    We build an evening routine focused on downshifting arousal (body and brain), with tools that are realistic for your sensory needs and energy.

  3. Apply core CBT-I strategies
    We implement sleep scheduling and stimulus control in a flexible way, so your bed becomes a cue for sleep again (not for problem-solving).

  4. Coordinate for the full picture
    If anxiety, trauma, or medical sleep concerns are part of the story, we coordinate your care plan and help you decide whether telehealth CBT-I is the right fit or if local in-person resources would better meet your needs.

We do not push through with a rigid plan that ignores your nervous system. We pace change, practice skills with compassion, and adapt the work for neurodivergent brains and trauma-aware care.

Who we help in Chattanooga and across Tennessee

We serve adults and teens in Chattanooga and across Southeast Tennessee who want a doable, science-based plan for insomnia. We commonly support sleep maintenance insomnia, hyperarousal at night, delayed sleep timing, and anxiety-linked sleep disruption.

  • Adults who struggle with falling asleep, staying asleep, or both.

  • Teens whose sleep timing has shifted later and is hard to reset.

  • People with anxiety or trauma patterns that show up as nighttime alertness.

  • Neurodivergent clients (ADHD, autism) who need flexible routines and clear steps.

  • Clients who want guidance choosing between online CBT-I and local in-person options.

Services are provided by clinicians licensed in Tennessee. Telehealth is available to clients physically located in Tennessee.

Why choose ScienceWorks for CBT-I in Tennessee?

Behavioral sleep medicine focus

CBT-I is not just sleep hygiene. We target the patterns that keep insomnia going and track changes over time.

Tools for hyperarousal

We build routines that respect sensory needs, executive function, and burnout, without shaming or rigidity.

Neurodivergent-affirming plans

We use CBT and ACT skills plus regulation strategies to help your brain and body downshift at night.

Coordinated care mindset

We can collaborate with your broader care (anxiety, trauma, medical sleep evaluation) so sleep support fits the full picture.

Getting started with CBT-I in Tennessee

You do not have to solve insomnia alone before you reach out. We will help you start with a simple first step and build from there.

  1. Reach out
    Tell us what your nights look like, what you have tried, and what you want to change.

  2. We match you
    We help match you with a clinician and an approach that fits your needs, including nervous-system-aware pacing.

  3. Begin sessions
    We start with a sleep diary and a clear plan, then we adjust based on what your body and schedule show us over time.

If you are in Chattanooga or anywhere in Tennessee and you want a doable CBT-I plan for insomnia, schedule a consultation to begin.

FAQs about CBT-I in Tennessee

Do you offer CBT-I by telehealth for Chattanooga clients?
Yes. We provide secure telehealth to clients physically located in Tennessee, including Chattanooga and Southeast Tennessee communities.

What if my insomnia is connected to anxiety or trauma?
We can integrate CBT and ACT-informed coping skills and regulation strategies, and we can coordinate with your broader treatment plan so sleep work feels safe and sustainable.

How do I decide between telehealth and local in-person sleep care?
We can help you think through what you want, what feels accessible, and whether medical sleep evaluation is needed. If in-person care is a better fit, we will talk through options and next steps.

What if I am neurodivergent and routines are hard?
We keep routines flexible and supportive, with clear steps and realistic expectations. The goal is steady progress, not perfect adherence.

About ScienceWorks Behavioral Health

ScienceWorks Behavioral Health is a Tennessee practice providing neurodivergent-affirming therapy, coaching, groups, and psychological assessments. We take a down-to-earth, science-based approach that respects complexity and avoids shame.

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Disclaimer: This page provides general educational information and is not a substitute for mental health diagnosis or treatment. Reading this page does not create a therapist–client relationship with ScienceWorks Behavioral Healthcare. Services are provided via telehealth to clients located in Tennessee (and other jurisdictions where our clinicians are authorized to practice); if you are outside Tennessee, contact us to confirm availability in your location. If you are in crisis or may be at risk of harm to yourself or others, call 911, go to your nearest emergency room, or call/text 988 (U.S.). Additional emergency support can be found here: Emergency Resources.

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