Chronic insomnia usually runs on a loop: a few rough nights lead to trying harder at sleep, that effort raises arousal, and the harder-you-try the more awake you feel. Cognitive behavioral therapy for insomnia (CBT-I) breaks that loop, and it's the treatment clinical guidelines recommend before medication.

Early on we set a consistent wake time and a sleep window matched to how much you're actually sleeping, which rebuilds your natural sleep pressure. We use stimulus control so the bed signals sleep instead of struggle, and we work on the anxious, effortful thinking that keeps you alert at lights-out. As your sleep consolidates, the window widens and the routine becomes something you can keep. Memphis and West Tennessee clients do all of this by secure video — no cross-town drive to find specialty sleep care.