- Telehealth Psychiatry · Sleep & Insomnia
Insomnia Treatment in Texas
Better sleep, better days. Let’s find out why.
- Evidence-based care
- 100% virtual visits
- Adults & children 6+
- Evidence-based care
- 100% virtual
- Adults & children 6+
Clinically reviewed by Almas Baig, MD
- Our Approach
How We Evaluate Sleep Problems
Poor sleep affects mood, focus, energy, and how you handle stress, and mental health symptoms can make sleep harder in return. Ruhwell Med treats both sides of that cycle with evidence-based insomnia care by secure video, for adults and children 6+ across Texas.
Care starts with a full psychiatric evaluation by secure video. We look at when sleep breaks down, how you feel during the day, and the mental health, medical, and lifestyle factors that may be keeping insomnia going.
Your sleep evaluation may include
- Review of sleep timing, routines, and a sleep diary
- Trouble falling asleep, staying asleep, or waking early
- Screening for anxiety, depression, PTSD, ADHD, and bipolar disorder
- Review of medications, caffeine, alcohol, and other substances
- Screening for signs of sleep apnea and other sleep disorders
- Who It Helps
When to Seek Help for Insomnia
Everyone has an occasional rough night. It may be time for an evaluation when poor sleep becomes a pattern, affects how you function during the day, or shows up alongside mood, anxiety, or trauma symptoms. Ongoing insomnia also raises the risk of depression and can make existing conditions harder to manage.
Consider a visit if you
- Struggle to sleep three or more nights a week
- Have had sleep problems for a month or longer
- Lie awake with racing or worried thoughts
- Wake too early and cannot fall back asleep
- Feel tired, irritable, or unfocused during the day
- What We Treat
Common Sleep Problems We Treat
Sleep problems often travel with mental health conditions. Treating both together tends to work better than treating either one alone.
Chronic Insomnia
Trouble falling or staying asleep at least three nights a week for three months or more, with daytime effects.
Short-Term Insomnia
Sleep difficulty lasting days to weeks, often during stress, illness, travel, or a major life change.
Anxiety & Racing Thoughts
A worried, busy mind at bedtime that keeps the body on alert. Learn about our anxiety care.
Depression & Early Waking
Waking hours before the alarm, or sleeping too much, can be a sign of depression.
- Our Treatment
How We Treat Insomnia
Cognitive behavioral therapy for insomnia (CBT-I) is the recommended first-line treatment for most adults with chronic insomnia.
Your plan may include:
- CBT-I strategies, or a referral to a CBT-I provider
- Treatment of underlying anxiety, depression, or trauma
- A review of medications that may disrupt sleep
- Medication when appropriate, at the lowest effective dose
- Follow-up visits to adjust your plan as sleep improves
Good sleep habits help, but sleep hygiene alone is usually not enough to treat chronic insomnia. Learn more about our medication management.
- What to Expect
How to Get Started with Insomnia Care
From your first visit to better nights, every step happens by secure video.
Book Your Visit
Request a virtual visit online or call us. We see adults and children 6+ across Texas.
Sleep Evaluation
Talk through your sleep patterns, daytime symptoms, health history, and current medications.
Your Sleep Plan
Leave with a clear, personalized plan and follow-up visits to track your progress.
- Coordinated Care
When We Refer to a Sleep Specialist
Some sleep problems need testing or treatment beyond psychiatric care.
We may recommend an evaluation with your primary care provider or a sleep medicine specialist if you have signs of:
- Sleep apnea, such as loud snoring, gasping, or pauses in breathing
- Narcolepsy, such as sudden sleep attacks or severe daytime sleepiness
- Restless legs syndrome or frequent leg movements at night
- Sleepwalking, acting out dreams, or other unusual behaviors in sleep
We continue to treat any mental health conditions affecting your sleep and coordinate care with your other providers.
- FAQ
Common Questions About Insomnia Treatment
How much sleep do adults need?
Most adults need at least 7 hours of sleep a night. Children need more, and the right amount changes with age. Quality matters too: waking often or feeling unrefreshed can be a sign that something needs attention.
Is medication always needed for insomnia?
No. CBT-I and behavioral strategies are the first-line treatment for chronic insomnia. Medication may help in selected situations, and your provider will discuss benefits, risks, and how long to use it.
What is CBT-I?
Cognitive behavioral therapy for insomnia is a structured program, usually 4 to 8 sessions, that changes the habits and thoughts that keep insomnia going. It often includes sleep scheduling, stimulus control, and relaxation skills, and its benefits tend to last.
Can anxiety or depression cause insomnia?
Yes. Anxiety, depression, PTSD, and other conditions commonly disrupt sleep, and poor sleep can worsen those symptoms in turn. Treating the underlying condition is often a key part of sleeping better.
Do you treat sleep apnea or narcolepsy?
These conditions need sleep testing and specialized care. If we notice signs of a primary sleep disorder, we will recommend an evaluation with your primary care provider or a sleep specialist.
Can children be seen for sleep problems?
Yes. We see children 6 and older across Texas. Poor sleep in children can affect attention, behavior, mood, and school performance, so we look at the whole picture with you and your child.