Insomnia Treatment via Telehealth in Oregon and Washington
What Is Insomnia?
Insomnia is more than the occasional bad night of sleep. It's a persistent pattern of difficulty falling asleep, staying asleep, or waking too early — and it affects how you feel and function during the day.
You might be experiencing:
- Lying awake for hours unable to quiet your mind
- Waking up in the middle of the night and not being able to fall back asleep
- Feeling exhausted during the day despite spending enough time in bed
- Anxiety about sleep itself — dreading bedtime because you know you won't sleep
Insomnia often occurs alongside other conditions like anxiety, depression, or PTSD. Treating the underlying cause is key to lasting improvement.
Learn more: NIMH — Mental Health Resources
How Is Insomnia Treated with Medication?
Medication can help break the cycle of sleeplessness, especially when combined with good sleep habits. Approaches include:
- Non-habit-forming sleep aids — often the first choice for chronic insomnia
- Low-dose medications that address both sleep and underlying anxiety or depression
- Short-term sleep medications when appropriate for acute insomnia
I take a careful approach to sleep medication — the goal is to restore your natural sleep patterns, not create dependence. We'll also discuss sleep hygiene strategies that support long-term improvement.
What Does Insomnia Treatment Look Like via Telehealth?
- Initial evaluation (60 min): Assessment of sleep patterns, underlying conditions, medication history, and lifestyle factors
- Treatment plan: Medication recommendations plus sleep hygiene strategies
- Follow-up (15–30 min): Monitor sleep improvement and adjust treatment as needed
- Coordination: If insomnia is related to anxiety, depression, or another condition, we'll address both together
Frequently Asked Questions About Insomnia Treatment
Will I become dependent on sleep medication?
I prioritize non-habit-forming options and use sleep medications as part of a broader treatment plan. The goal is to restore your natural sleep patterns. Many patients use medication temporarily while building better sleep habits.
Could my insomnia be caused by anxiety or depression?
Very often, yes. Insomnia frequently occurs alongside anxiety, depression, PTSD, or ADHD. During your evaluation, I'll assess for underlying conditions. Treating the root cause often resolves the sleep problems as well.
What if over-the-counter sleep aids aren't working?
Over-the-counter options are limited and often not effective for chronic insomnia. Prescription medications and targeted treatment of underlying conditions are usually more effective. I can evaluate what's been tried and recommend a better approach.
You Deserve a Good Night's Sleep
Effective treatment is available. I'm accepting new patients throughout Oregon and Washington.
Schedule a ConsultationRelated: Anxiety Treatment · Depression Treatment · All Services
Written by [Provider Name], PMHNP-BC · Last updated: March 2026