Insomnia

Insomnia treatment by telehealth

Difficulty falling asleep, staying asleep, or waking too early. Sleep is fundamental to mental health, and we address both sleep and underlying causes.

Book a insomnia evaluation Call (432) 770-3341 Free 2-minute screening

Symptoms we look for

Difficulty falling asleep
Frequent waking
Early morning waking
Daytime fatigue
Irritability

Our approach to insomnia

We evaluate for underlying causes and may recommend sleep medications, melatonin, or other agents alongside sleep hygiene education and CBT-I referrals.

What your first insomnia appointment looks like

The initial evaluation runs 60 to 90 minutes over secure video. Bright Setorglo, PMHNP-BC takes a full history — how long symptoms have lasted, what makes them better or worse, sleep, medical conditions, family history, and anything you have already tried. There is no rushing and no ten-minute intake.

You leave the first visit with a working diagnosis, a written plan, and, when medication is appropriate, a prescription sent electronically to the pharmacy you choose. Follow-up visits run 20 to 30 minutes and are scheduled as closely as your plan needs — weekly at first if a medication is being started or adjusted, then spaced out as things stabilize.

Treatment options

Medication management — starting, adjusting, combining, or tapering psychiatric medication, with side effects reviewed at every visit.
Ongoing monitoring — symptom tracking between visits, so changes are caught early rather than at the next annual review.
Coordination — working alongside your therapist or primary care provider, and referring to therapy when that is the more effective next step.
Second opinions — reviewing an existing insomnia diagnosis or a medication regimen that is not working.

Does insurance cover insomnia treatment?

In most cases, yes. We work with Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, Optum, Humana, Medicare, Medicaid, and most plans cover a telehealth psychiatric visit at the same rate as an in-person one. Self-pay rates are quoted before you book, so there is no surprise bill.

Where we treat insomnia

Online throughout Texas — you need to be physically located in Texas at the time of your visit. Same-day and next-day appointments are common, and most new patients are seen within 24 to 48 hours.

Houston · Dallas · Austin · San Antonio · Fort Worth · El Paso · every city we serve

Related conditions

Depression · Anxiety · ADHD · PTSD · Bipolar Disorder · OCD

Sleep and mental health

Services

This page is general health information, not medical advice. Insomnia requires evaluation by a qualified clinician, and no website can diagnose you. In crisis, call or text 988, text HOME to 741741, or call 911.