Insomnia Treatment in Virginia and Maryland — Comprehensive Sleep Care Center

Comprehensive Sleep Care Center provides expert evaluation and evidence-based treatment for insomnia in adults and children across the Washington, DC metro area. Our board-certified sleep physicians use clinically proven approaches — including Cognitive Behavioral Therapy for Insomnia (CBT-I) and medication management — to help patients achieve lasting, restorative sleep.

What Is Insomnia?

Insomnia is the most common sleep disorder, affecting approximately 30% of adults at some point in their lives. It is characterized by difficulty falling asleep, difficulty staying asleep, waking too early, or sleep that is not refreshing — despite having adequate time and opportunity to sleep. Insomnia causes significant daytime impairment including fatigue, difficulty concentrating, mood disturbances, and reduced quality of life.

Types of Insomnia

Acute insomnia — short-term, typically triggered by stress, illness, or life events; resolves within days to weeks
Chronic insomnia — difficulty sleeping at least three nights per week for three months or longer
Sleep maintenance insomnia — ability to fall asleep but frequent awakenings throughout the night
Sleep onset insomnia — difficulty falling asleep at the beginning of the night
Comorbid insomnia — insomnia occurring alongside another medical or psychiatric condition

Symptoms of Insomnia

Difficulty falling asleep at night despite feeling tired
Waking frequently during the night
Waking too early and being unable to return to sleep
Sleep that does not feel refreshing or restorative
Daytime fatigue, drowsiness, or low energy
Difficulty concentrating, remembering, or making decisions
Irritability, anxiety, or depression related to sleep
Worry or anxiety about sleep itself
Relying on sleep aids, alcohol, or other substances to fall asleep

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Phone: 703.729.3420

Fax: 703.729.3422

E-mail: [email protected]

Insomnia Treatment at Comprehensive Sleep Care Center

Cognitive Behavioral Therapy for Insomnia (CBT-I)

CBT-I is the gold-standard, first-line treatment for chronic insomnia, recommended by the American Academy of Sleep Medicine over sleep medications for long-term management. CBT-I is a structured, evidence-based program that addresses the thoughts, behaviors, and habits that perpetuate insomnia. It includes sleep restriction therapy, stimulus control, sleep hygiene education, and cognitive restructuring.

CBT-I produces durable results — patients learn skills they can use for life, unlike sleep medications which address symptoms without the root cause.

Medication Management

For some patients, short-term sleep medication may be appropriate as a bridge while behavioral approaches take effect, or for acute insomnia triggered by a specific stressor. CSCC physicians carefully evaluate the appropriateness of pharmacological options, balancing benefits against risks of dependency or side effects.

Evaluation for Underlying Conditions

Insomnia frequently co-occurs with other sleep disorders — particularly sleep apnea, restless legs syndrome, and circadian rhythm disorders. CSCC physicians conduct thorough evaluations to identify any underlying conditions that may be contributing to or causing insomnia, and treat them appropriately.

Frequently Asked Questions — Insomnia

When should I see a sleep specialist for insomnia?

You should see a sleep specialist if your insomnia has lasted more than three months, is significantly affecting your daytime functioning, has not responded to basic sleep hygiene measures, or if you are relying on sleep medications or alcohol to sleep. CSCC can evaluate for underlying sleep disorders and develop a personalized treatment plan.

Is CBT-I better than sleeping pills for insomnia?

The American Academy of Sleep Medicine recommends CBT-I as the first-line treatment for chronic insomnia. CBT-I produces lasting improvements that continue after treatment ends, while sleep medications typically work only while being taken and carry risks of dependency and rebound insomnia upon discontinuation.

Can insomnia be a symptom of sleep apnea?

Yes. Sleep apnea frequently causes insomnia symptoms — particularly difficulty staying asleep and non-restorative sleep. Many patients diagnosed with insomnia have undiagnosed sleep apnea as an underlying cause. CSCC evaluates for sleep apnea in all insomnia patients to ensure accurate diagnosis and effective treatment.

Get Help for Insomnia Today

Effective, lasting insomnia treatment is available at Comprehensive Sleep Care Center. Call (703) 729-3420 or schedule online at comprehensivesleepcare.com. Telemedicine appointments available.