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Best Fit Counseling & PsychiatryAnn Arbor, Michigan
Are We the Right Fit?
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Do you dread bedtime because you already know what the night may bring?

Rest can become part of your recovery again.

We address sleep directly and consider the stress, mood, and habits that may be keeping it out of reach.

Are We the Right Fit?

Common Symptoms of Insomnia

  • Difficulty falling asleep, even when tired
  • Waking frequently during the night
  • Waking too early and being unable to fall back asleep
  • Daytime fatigue, irritability, or trouble concentrating

Sleep becomes learning. Improving sleep is one of the most effective levers for improving mood, focus, and resilience.

How we treat insomnia

CBT-I, Medication Support, and a Full Picture of Your Mental Health

CBT-I

Cognitive behavioral therapy for insomnia, the first-line, evidence-based treatment for chronic sleep difficulty.

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Psychiatry

Evaluation for underlying conditions, such as anxiety, depression, or other factors, that are often intertwined with sleep problems.

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Why we start here

Why CBT-I, Not Sleep Medication, Comes First

The American College of Physicians recommends that all adults with chronic insomnia try CBT-I before medication. It works as well or better over time, without the next-day grogginess or dependency risk that can come with sleep aids. CBT-I typically includes:

  • Stimulus control — re-training your brain to associate the bed with sleep, not lying awake
  • Sleep restriction — temporarily limiting time in bed to match your actual sleep time, which builds sleep drive and consolidates sleep
  • Cognitive restructuring — addressing the anxiety and unhelpful beliefs about sleep that often make insomnia worse
  • Relaxation & sleep hygiene — practical adjustments to light, temperature, and timing that support the other three
Understanding insomnia

Watch: Treatment Options for Insomnia

A short explainer from Cleveland Clinic on how insomnia is treated, starting with behavioral approaches.

Frequently asked questions

Insomnia Treatment, Explained

A rough guideline: difficulty falling or staying asleep at least three nights a week for three months or more, combined with daytime effects like fatigue, irritability, or trouble concentrating. Occasional bad nights are normal and usually don't need treatment.
Not necessarily. CBT-I is the recommended first step for most adults with chronic insomnia. Medication is something we consider together if CBT-I alone isn't enough, weighing the benefits against side effects.
Many people notice improvement within a few weeks of consistently following the plan, though it can feel counterintuitive at first, especially the sleep restriction part. Your provider will guide you through the adjustment period.
Related

You Might Also Want to Read About

Depression Anxiety & stress Stress & burnout Blog: Why CBT-I beats sleep medication Blog: How sleep affects mental health

Ready to Get Your Sleep Back?

Request an appointment and let's talk through what's keeping you up.

Are We the Right Fit?