Compare telehealth services for chronic insomnia, from guideline-first CBT-I programmes to clinician-prescribed sleep medication.
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Favour services that offer or refer to cognitive behavioural therapy for insomnia rather than defaulting straight to a sedative, and that screen for sleep apnoea, restless legs and shift-work disruption before prescribing anything.
Complete a sleep history and screening questionnaire, have a licensed clinician review it, and begin a behavioural programme or, where appropriate, a prescription with follow-up to reassess.
Cognitive behavioural therapy for insomnia (CBT-I) is recommended as first-line treatment for chronic insomnia in adults, ahead of medication. It combines sleep restriction, stimulus control and cognitive work, and its benefits tend to persist after the programme ends.
It depends on the medication. Several common hypnotics are controlled substances and are generally not prescribed through online-only services. Non-controlled options may be prescribed where clinically appropriate, usually after a clinician has ruled out untreated sleep apnoea and other causes.
See a clinician in person if you snore heavily or stop breathing during sleep, fall asleep uncontrollably during the day, have symptoms of restless legs, or if insomnia persists despite a completed CBT-I programme. These point to conditions that need testing rather than a prescription.
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