Insomnia Treatment

Cognitive Behavioral Therapy for Insomnia (CBT-I) is a structured, short-term, drug-free treatment that targets the thoughts and habits keeping you awake. You'll learn to retrain your sleep schedule, reduce nighttime worry, and strengthen the link between your bed and sleep. Core techniques include sleep scheduling, stimulus control, cognitive strategies, and relaxation training.

Yes. The American College of Physicians recommends CBT-I as the first-line treatment for chronic insomnia, and most people who complete it see meaningful improvement in how quickly they fall asleep and how well they stay asleep. Unlike sleep medication, its benefits tend to last after treatment ends because you're building skills rather than relying on a pill.

Most clients complete CBT-I in 4-8 sessions, and five is average. The exact number depends on your sleep patterns, how long you've had insomnia, and how quickly you respond to the strategies. We review your progress along the way so you always know where you stand.

Many clients come to CBT-I hoping to cut back on sleep medication or eliminate it completely. We can support you in building the skills to sleep without it, in coordination with your prescribing provider, who should guide any changes to your medication. Please don't stop a prescribed sleep medication on your own.

Possibly. A core part of CBT-I is limiting your time in bed to match the time you actually sleep, then gradually expanding it as your sleep improves. This is tailored to you and monitored closely.

Talk with your physician if you snore loudly, gasp or stop breathing during sleep, have uncomfortable sensations in your legs at night, act out your dreams, or fall asleep unintentionally during the day. These can signal sleep apnea or other sleep disorders that need medical evaluation, sometimes before or alongside CBT-I.

Yes. We see clients in person at our Denver office and by telehealth. Dr. Bloomfield holds PSYPACT authorization and can provide virtual CBT-I to clients in most U.S. states. Click here to see if you live in a participating state or just reach out to us to ask.

For clients in Colorado, we accept Aetna, Anthem Blue Cross Blue Shield, and Cigna insurance and session costs vary by insurer and plan. Without insurance, session fees range from $165 to $225, depending on the clinician. Visit our Fees page for details, or contact us and we'll help you find the right fit.

Call (720) 460-0543 or email info@bloomfieldpsych.com to set up a free 10-15 minute phone consultation. We'll talk through your sleep concerns, answer your questions, and help you decide whether CBT-I is the right next step.