Can you get CBT for insomnia (CBT-I) online?

Yes. 14 online services here say they give cognitive behavioral therapy for insomnia: Lemonaid Health, Online-Therapy.com, Amwell, Anywhere Clinic, Cerebral, LifeStance Health, SonderMind, Talkiatry, Talkspace, Wellnite, Calmerry, Klarity Health, Zencare and Learn to Live. The American College of Physicians recommends that all adults with chronic insomnia disorder receive cognitive behavioral therapy for insomnia (CBT-I) as the initial treatment.

Is there free CBT-I online?

Yes: Path to Better Sleep: SleepEZ (VA Veteran Training). The VA's sleep apps and a directory of clinicians who give CBT-I are listed below too, each with who can use it, from its own page.

Can you get Ambien prescribed online?

24 online services here say they do not prescribe Ambien, other Z-drugs or controlled substances: Lemonaid Health, Amwell, Cerebral, Talkspace, Wellnite, Affect, BetterHelp, Brightside Health, Charlie Health, Doctor On Demand, Headspace Care, Headway, MDLIVE, Meru Health, Mindful Care, Monument, PlushCare, Spring Health, Teladoc Health (Mental Health), GoodRx Care, QuickMD, Sesame, Included Health and Modern Health. 2 name Z-drugs among the sleep medicines they prescribe: Talkiatry and Klarity Health. The DEA and the Department of Health and Human Services extended the telemedicine flexibilities for prescribing controlled medications through December 31, 2026. Under the extended flexibilities, the DEA says DEA-registered practitioners may remotely prescribe Schedule II to V controlled medications by audio-video telemedicine visit. The Ryan Haight Act generally requires that controlled substances dispensed by means of the internet be based on a valid prescription involving at least one in-person medical evaluation.

Which online services prescribe sleep medication?

26 services here say their prescribers treat insomnia with medication: Lemonaid Health, Amwell, Anywhere Clinic, Cerebral, LifeStance Health, Talkiatry, Talkspace, Wellnite, Klarity Health, Affect, BetterHelp, Brightside Health, Doctor On Demand, Headway, MDLIVE, Meru Health, Mindful Care, Ophelia, PlushCare, Spring Health, Teladoc Health (Mental Health), Thriveworks, Workit Health, QuickMD, Sesame and Included Health. Medicines named: Trazodone (10), Low-dose doxepin (Silenor) (5), Orexin blockers (Belsomra, Dayvigo, Quviviq) (2), Ramelteon (Rozerem) (6), Z-drugs (Ambien, Lunesta) (2) and Other medicines (7).

Does Talkspace treat insomnia?

Talkspace says its licensed therapists and psychiatrists provide online insomnia treatment, and its insomnia page has a section on therapy for teens. Talkspace's insomnia page lists trazodone, hydroxyzine, doxepin (Silenor), gabapentin and ramelteon (Rozerem) as sleep medication its psychiatric providers can prescribe; it does not prescribe controlled substances.

Does BetterHelp treat insomnia?

BetterHelp says its psychiatric providers, through its UpLift psychiatry service, may evaluate and treat sleep disorders, among other conditions. BetterHelp's psychiatry prescribes from a defined list of commonly prescribed medications and says controlled substances are not prescribed. No sleep medicine is named.

Does Cerebral treat insomnia?

Cerebral says the medications its prescribers offer are used to treat conditions such as anxiety, depression and insomnia. A Cerebral help center article says trazodone may be prescribed for insomnia as well as depression; Cerebral says it does not prescribe controlled substances.

Does insurance cover online insomnia treatment?

29 of the services here that treat insomnia bill insurance in network: Amwell, Anywhere Clinic, Cerebral, LifeStance Health, SonderMind, Talkiatry, Talkspace, Wellnite, Affect, Array Behavioral Care, Bend Health, BetterHelp, Brightside Health, Circle Medical, Doctor On Demand, Equip, Grow Therapy, Headway, Little Otter, MDLIVE, Meru Health, Mindful Care, NOCD, Ophelia, PlushCare, Spring Health, Teladoc Health (Mental Health), Thriveworks and Workit Health. What you pay depends on your plan.

Insomnia

Online insomnia treatment: CBT-I, sleep medication, and who prescribes what

Guidance recommends cognitive behavioral therapy for insomnia (CBT-I) before sleeping pills, and many online services will not prescribe Ambien at all. Here is which services give CBT-I, which prescribe for sleep and which medicines they name or rule out, what each costs, and the free CBT-I you can start tonight, from each one's own pages.

Facts checked · checked 3 d ago

42say they treat insomnia

14give CBT-I

24say no Ambien or controlled drugs

42 online services compared here say they treat insomnia; 14 give CBT-I and 26 prescribe for sleep. 24 say they do not prescribe Ambien or other controlled sleep medicines. Free CBT-I is available too: see the free options.

Who treats it

42 online services say they treat insomnia

What each service's own pages say about insomnia and CBT-I, the sleep medicines it names or rules out, insurance, and the price.

Service	What its pages say	Sleep medication	Insurance	Price
Lemonaid HealthVisit site Psychiatry Adults	Lemonaid has an insomnia service where a doctor or nurse practitioner evaluates sleep problems in a video visit. CBT-I program Lemonaid's insomnia plan includes sleep strategies that teach cognitive behavioral therapy for insomnia, sleep hygiene and sleep therapy.	TrazodoneOther medicinesNo Ambien or other Z-drugsNo benzodiazepinesNo controlled substances Lemonaid says it prescribes only non-controlled, non-habit-forming sleep aids, and names hydroxyzine and trazodone.	Self-pay only	Lemonaid's insomnia plan is $60 a month, shown as $30 for the first month.
Online-Therapy.comVisit site Subscription therapy	Online-Therapy.com has an online therapy program for insomnia, based on cognitive behavioral therapy. CBT-I program Online-Therapy.com says its insomnia program is based on CBT, where a therapist helps clients change thoughts and habits that disrupt sleep and teaches relaxation techniques and bedtime routines.	Online-Therapy.com says its therapists cannot prescribe medications.	Out of network only	Online-Therapy.com says its subscription rates start at $48 per week, including a 20% discount for the first month.
AmwellVisit site Telehealth platform	Amwell has an insomnia treatment page and says its therapists and psychiatrists can assess how severe insomnia is and decide whether treatment is needed. Therapists give CBT-I Amwell lists cognitive behavioral therapy, relaxation training and stimulus control among the insomnia treatment options its clinicians may go over.	No Ambien or other Z-drugsNo benzodiazepinesNo controlled substances Amwell says its online psychiatrists cannot prescribe controlled substances and lists the sleep drugs Ambien, Ambien CR, Lunesta and Sonata among the controlled medications.	Bills insurance: services covered vary by plan; some cover urgent care but not therapy	$292 initial / $109-$169 follow-up
Anywhere ClinicVisit site Therapy + psychiatry Adults	Anywhere Clinic offers psychiatric evaluation and medication management for chronic insomnia, with coordination for CBT-I. Therapists give CBT-I Anywhere Clinic says it coordinates CBT-I alongside psychiatric care and runs an online sleep therapy program for the sleep-anxiety spiral.	Ramelteon (Rozerem)Orexin blockers (Belsomra, Dayvigo, Quviviq)Low-dose doxepin (Silenor)Trazodone Anywhere Clinic says clinicians may discuss ramelteon, suvorexant, lemborexant, low-dose doxepin or off-label trazodone for insomnia, and calls Z-drugs and benzodiazepines generally short-term tools.	Bills insurance in network Medicaid: varies by state: in network in 13 states and D.C. on its state pages; not Medi-Cal or Illinois Medicaid	Anywhere Clinic self-pay rate: $150 for new and follow-up visits (not specific to insomnia).
CerebralVisit site Therapy + psychiatry FTC order: health data shared for advertising and hard-to-cancel subscriptions, about $7 million Justice Department and DEA: non-prosecution agreement over controlled-substance prescribing, $3.65 million forfeited New York Attorney General settlement: more than $740,000 over cancellation practices Adults	Cerebral says the medications its prescribers offer are used to treat conditions such as anxiety, depression and insomnia. Therapists give CBT-I A 2022 Cerebral blog post says digital cognitive behavioral therapy for insomnia is available through Cerebral; it describes no fixed program or app.	TrazodoneNo controlled substances A Cerebral help center article says trazodone may be prescribed for insomnia as well as depression; Cerebral says it does not prescribe controlled substances.	Bills insurance in network	Therapy is $150 per session, charged when booked.
LifeStance HealthVisit site Therapy + psychiatry	LifeStance says its providers can help with sleep problems, and its sleep disorders page covers insomnia. Therapists give CBT-I LifeStance's cognitive behavioral therapy page says CBT can be a good option for people with insomnia.	Ramelteon (Rozerem)Trazodone LifeStance's ramelteon page says a psychiatric clinician can evaluate whether ramelteon is appropriate for insomnia, and its trazodone page lists insomnia as a common off-label use.	Bills insurance in network Medicaid: some plans; varies by state and provider	LifeStance says sleep treatment is generally covered by medical insurance, and coverage varies by plan. It states no sleep-specific price.
SonderMindVisit site Insurance marketplace	SonderMind lists sleep disorder therapy and says it can be done online, with providers experienced in sleep disorders. Therapists give CBT-I SonderMind says its sleep therapy providers use strategies like CBT-I and structured sleep routines.	Not stated	Bills insurance in network	SonderMind says self-pay rates for therapy vary by location, provider, session type and session length, and are shown before booking.
TalkiatryVisit site Psychiatry Adults	Talkiatry has an insomnia page and says its insurance-covered virtual care connects patients with providers who specialize in sleep and mental health. Therapists give CBT-I Talkiatry's insomnia page says therapists help with the patterns that affect sleep and calls CBT-I especially effective; it does not describe a separate CBT-I program.	Z-drugs (Ambien, Lunesta)Ramelteon (Rozerem)Other medicines Talkiatry's insomnia medication page lists zolpidem (Ambien), eszopiclone (Lunesta), zaleplon (Sonata), ramelteon (Rozerem) and temazepam; its help center says controlled substances depend on state law.	Bills insurance in network	Most visits cost patients $30 or less after insurance.
TalkspaceVisit site Therapy + psychiatry AdultsTeens	Talkspace says its licensed therapists and psychiatrists provide online insomnia treatment, and its insomnia page has a section on therapy for teens. Therapists give CBT-I Talkspace says its online therapy for sleep uses cognitive behavioral therapy (CBT) to replace behaviors that worsen sleep problems; it does not name CBT-I or a fixed program.	TrazodoneLow-dose doxepin (Silenor)Ramelteon (Rozerem)Other medicinesNo controlled substances Talkspace's insomnia page lists trazodone, hydroxyzine, doxepin (Silenor), gabapentin and ramelteon (Rozerem) as sleep medication its psychiatric providers can prescribe; it does not prescribe controlled substances.	Bills insurance in network	Most insured members have a $0 copay; out-of-pocket individual therapy pricing starts at $69 per week.
WellniteVisit site Therapy + psychiatry AdultsTeens	Wellnite has a Sleep Issues condition page that lists psychiatric care and individual, couple, family and teen (13 and older) therapy for it. Therapists give CBT-I Wellnite's Sleep Issues page describes sleep therapy as a type of CBT that aims to treat insomnia, next to its offer to match people with therapists for sleep issues.	No controlled substances Wellnite says it does not prescribe controlled substances, and its doctors can discuss and provide alternative treatment options if medication is needed.	Bills insurance in network	Wellnite lists out-of-pocket therapy at $75 for an individual session and $135 for a couples session. It states no sleep-specific price.
CalmerryVisit site Subscription therapy	Calmerry says its online therapy is tailored to people struggling with both insomnia and addiction. Therapists give CBT-I Calmerry says its licensed mental health professionals provide approaches like CBT-I to help clients improve sleep habits.	Calmerry says its therapists do not prescribe medication.	Out of network only	Calmerry lists its online therapy plans as starting from just $50 per week.
Klarity HealthVisit site Psychiatry50 states	Klarity has an insomnia treatment page that says its marketplace providers evaluate people for CBT-I therapy or sleep medication. Therapists give CBT-I Klarity says its providers can deliver CBT-I online, often covered by insurance.	Z-drugs (Ambien, Lunesta)TrazodoneLow-dose doxepin (Silenor)Orexin blockers (Belsomra, Dayvigo, Quviviq)Ramelteon (Rozerem)Other medicines Klarity says a provider on its marketplace can prescribe Ambien (zolpidem) after a telehealth visit if the provider decides it fits the person's insomnia.	Depends on the provider	Klarity's insomnia page says self-pay starts at $51 and it accepts 400+ insurance plans.
ZencareVisit site Therapist directory	Zencare, a therapist directory, has an insomnia page that links to vetted therapists in its directory who specialize in insomnia and sleep issues. Therapists give CBT-I Zencare's insomnia page tells readers to seek a therapist who specializes in CBT-I; it does not say every therapist in its directory offers CBT-I.	Not stated	Depends on the provider	No self-pay price published
AffectVisit site Addiction care Adults	Affect says its licensed psychiatric providers can evaluate difficulty sleeping, among other symptoms, and work with you on a medication plan.	Other medicinesNo Ambien or other Z-drugsNo benzodiazepinesNo controlled substances Affect says it does not prescribe controlled substances, including benzodiazepines and the sleep medicines Prosom, Ambien and Lunesta; it lists mirtazapine for depression and sleep issues in stimulant recovery.	Bills insurance in network Medicaid: plans in 16 states; Florida and Texas plans closed to new members	No self-pay price published
Array Behavioral CareVisit site Therapy + psychiatry	Array Behavioral Care lists sleep disturbances among the conditions its clinicians treat. The page names no insomnia program.	Not stated	Bills insurance in network Medicaid: Medi-Cal in California only	Self-pay fee for a 60-minute psychotherapy session is $107.50.
Bend HealthVisit site Pediatric care	Bend Health says it offers a sleep program that helps members get better rest by building healthy habits and emotional resilience, not an insomnia-specific program.	Not stated	Bills insurance in network	Coaching plan $199.99 per month; Coaching & Therapy plan $399.99 per month or pay with insurance.
BetterHelpVisit site Subscription therapy FTC order: $7.8 million over sharing health data for advertising Adults	BetterHelp says its psychiatric providers, through its UpLift psychiatry service, may evaluate and treat sleep disorders, among other conditions.	No controlled substances BetterHelp's psychiatry prescribes from a defined list of commonly prescribed medications and says controlled substances are not prescribed. No sleep medicine is named.	Bills insurance in network	A BetterHelp therapy subscription may cost $70 to $100 per week, billed weekly or monthly; psychiatry has an average copay of $26 per session for eligible insured members.
Brightside HealthVisit site Therapy + psychiatry AdultsTeens	Brightside lists insomnia among the mental health concerns it treats, with psychiatry and therapy for ages 13 and up.	No Ambien or other Z-drugsNo benzodiazepinesNo controlled substances Brightside prescribes non-controlled medicines only and says it does not prescribe benzodiazepines or Z-drug sleep medications such as Ambien, Lunesta and Sonata.	Bills insurance in network Medicaid: some plans in Oregon, North Carolina, Nebraska and Washington	Self-pay therapy costs $299 per month for four video sessions and unlimited messaging.
Circle MedicalVisit site ADHD care Justice Department False Claims Act settlement: $3.3 million over claims for services by providers who did not give them	Circle Medical says its primary care providers treat conditions such as sleep issues, the same as a traditional primary care practice.	Not stated	Bills insurance in network	Circle Medical says self-pay appointments start at $120.
Doctor On DemandVisit site Therapy + psychiatry AdultsTeens	Doctor On Demand says its online psychiatry is for adults and adolescents with ongoing concerns like anxiety, depression, or insomnia.	No Ambien or other Z-drugsNo controlled substancesNo benzodiazepines Doctor On Demand says its online psychiatrists cannot prescribe controlled substances such as Lunesta, a Z-drug sleep medicine, and Xanax, but can prescribe other psychiatric medicines.	Bills insurance in network Medicaid: some Medicaid managed-care plans	Doctor On Demand lists online psychiatry without insurance at $299 for the initial 45 minute consultation and $129 for a 15 minute follow-up. It states no insomnia-specific price.
EquipVisit site Eating-disorder care	Equip says its eating-disorder treatment team can help with sleep problems during eating disorder treatment, with skills and tips (sleep hygiene), not a separate insomnia program.	Not stated	Bills insurance in network Medicaid: some states	No self-pay price published
Grow TherapyVisit site Insurance marketplace	Grow Therapy's provider search offers Insomnia/Sleep Issues as a specialty that providers list and clients can filter by; no service-wide insomnia program is described.	Not stated	Bills insurance in network Medicaid: most states, plan by plan	No self-pay price published
HeadwayVisit site Insurance marketplace	Headway's prescriber directory shows individual providers listing Sleep disorder as a specialty; Headway publishes no insomnia page of its own.	No controlled substances Headway's rules for providers say prescribers may not advertise or promote prescribing controlled substances on their profiles; no sleep medication is named.	Bills insurance in network Medicaid: select Medicaid managed care plans in some states	No self-pay price published
Little OtterVisit site Youth & family22 states + DC Children	Little Otter lists sleep and bedtime among the issues it treats in children ages 0-2 and 3-7.	Not stated	Bills insurance in network Medicaid: Minnesota's Blue Plus Medical Assistance	Little Otter self-pay: therapy session $200, psychiatry assessment $500, then psychiatry session $250.
MDLIVEVisit site Therapy + psychiatry	MDLIVE lists sleep issues among the conditions its urgent care doctors treat. Its mental health pages do not mention insomnia or sleep as a condition.	No controlled substancesNo benzodiazepines MDLIVE says its doctors cannot prescribe DEA-controlled medications, including sleep medications and anti-anxiety benzodiazepines, and it names no sleep medication it does prescribe.	Bills insurance in network Medicaid: through participating plans	MDLIVE mental health shows an initial visit at $0 to $179 for talk therapy and $0 to $299 for psychiatry, depending on insurance. It states no sleep-specific price.
Meru HealthVisit site Therapy + psychiatryLimited availability	Meru Health says its 12-week program significantly reduced insomnia symptoms and improved sleep quality in a randomized trial it published.	No controlled substances Meru Health says its psychiatrist can prescribe in the Advanced program but will not prescribe any controlled substances. It names no sleep medicine.	Bills insurance in network	No self-pay price published
Mindful CareVisit site Psychiatry9 states	Mindful Care has an insomnia page that offers same-day care for sleep problems, online or in person.	No controlled substances Mindful Care says it does not prescribe any controlled substances or habit-forming medications, apart from buprenorphine in its recovery program.	Bills insurance in network Medicaid managed plans; vary by state	Mindful Care self-pay psychiatry (medication management): a 40-minute initial evaluation costs $175.
NOCDVisit site OCD therapy	NOCD says its specialty-trained OCD therapists design a treatment plan that addresses sleep issues together with OCD symptoms (for people with OCD).	Not stated	Bills insurance in network	Most members with in-network insurance have an average copay of $50 per session or less.
OpheliaVisit site Addiction care Adults	Ophelia says it can prescribe medication for trouble sleeping during opioid withdrawal and for insomnia disorders, alongside opioid use disorder treatment.	Ophelia says its clinicians primarily prescribe Suboxone or buprenorphine and naloxone, and can also prescribe medication for insomnia disorders; no sleep medicine is named.	Bills insurance in network Takes Medicaid	$245 per month
PlushCareVisit site Telehealth platform Adults	PlushCare has an insomnia page saying its board-certified doctors treat insomnia online and can prescribe or refill sleep medications.	TrazodoneLow-dose doxepin (Silenor)Other medicinesNo Ambien or other Z-drugsNo benzodiazepinesNo controlled substances PlushCare says its doctors cannot prescribe controlled substances for insomnia such as Ambien, Lunesta, Belsomra, Xanax and Valium, but can prescribe other sleep aids.	Bills insurance: doctor and psychiatry visits only; therapy is self-pay	PlushCare says insomnia treatment needs its monthly membership at $19.99 a month; the same page lists an initial visit at $129 without insurance.
Spring HealthVisit site Employer / EAP	Spring Health says its medication providers can prescribe for mental health concerns including insomnia.	No controlled substances Spring Health says its medication providers can prescribe for insomnia with non-controlled sleep aids and do not prescribe controlled substances.	Bills insurance in network	Spring Health says that once a member's employer-sponsored sessions are used up, eligible clinical services such as therapy or Medication Care are routed to the insurance plan on file.
Teladoc Health (Mental Health)Visit site Therapy + psychiatry	Teladoc lists insomnia under personal care on its 24/7 Care (virtual urgent care) page. Its mental health pages do not name insomnia or sleep.	No controlled substances Teladoc says its providers do not issue prescriptions for substances controlled by the DEA, and it names no sleep medication it does prescribe.	Bills insurance in network Medicaid managed care plans only, not fee-for-service	Teladoc says 24/7 Care visit costs depend on the health plan and are shown before connecting with a provider. It states no insomnia-specific price.
ThriveworksVisit site Insurance marketplace	Thriveworks lists insomnia as a condition its online psychiatric providers treat, on its trazodone prescribing page.	Trazodone Thriveworks says its psychiatric providers may prescribe trazodone off-label for sleep issues.	Bills insurance in network	Thriveworks self-pay psychiatry: intake sessions range from $300 to $375 and follow-ups from $210 to $300, depending on location and provider.
Workit HealthVisit site Addiction care Adults	Workit Health has an insomnia page saying its care team assesses sleep problems for members in addiction treatment and can prescribe sleep medicine when appropriate.	Workit Health says its care team may prescribe non-habit-forming sleep medicine when appropriate; no medicine is named, and it usually does not prescribe benzodiazepines to members treated for opioid use disorder.	Bills insurance in network Medicaid managed care in select states	Self-pay: opioid, kratom and 7-OH treatment $90 to start, then $75 a week (roughly $300 a month); alcohol treatment $250 the first month, then $150 a month.
7 CupsVisit site Peer & group support	7 Cups lists online therapy for insomnia and says its therapists will help people find a solution for sleep problems.	Not stated	Self-pay only	7 Cups lists messaging therapy with a licensed therapist, with daily replies Monday to Friday, at $159.00 per month.
JoyousVisit site Ketamine therapy Adults	Joyous has a Sleep page for its low-dose ketamine program and says many of its patients report better sleep quality.	Not stated	Self-pay only	Joyous says its ketamine plans start as low as $129 a month.
Open Path Psychotherapy CollectiveVisit site Therapist directory	Open Path's therapist directory has a specialty filter called Sleep Issues or Insomnia for finding therapists.	Open Path says its therapists offer talk therapy, and any medication management from a psychiatrist or psychiatric nurse practitioner in its directory is outside its scope.	Self-pay only	Open Path says the per-session fee for individual counseling is in a range of $40 to $70 (US). It states no sleep-specific price.
QuickMDVisit site Addiction care Adults	QuickMD says its clinicians can evaluate insomnia and make a plan and may prescribe medication; it refers chronic or longer-term cases to a primary care provider or sleep specialist.	TrazodoneNo Ambien or other Z-drugsNo benzodiazepinesNo controlled substances QuickMD prescribes trazodone, often for sleep in people with depression or anxiety, and says it does not prescribe Ambien, Lunesta, benzodiazepines or controlled substances.	Self-pay only	Mental health consultation $99 per visit; trazodone starts at $19 for a 30-day supply (medication priced separately).
SesameVisit site Cash marketplace Adults	Sesame has an insomnia treatment page where patients talk to a licensed doctor or provider about insomnia symptoms and can get a sleep medicine prescription if appropriate.	TrazodoneLow-dose doxepin (Silenor)Ramelteon (Rozerem)Other medicinesNo controlled substances Sesame's insomnia page lists doxepin, mirtazapine, ramelteon and trazodone as prescription options and says controlled substances are not prescribed on Sesame.	Out of network only	Upfront prices for an insomnia visit start as low as $34 before booking (each provider sets its own price).
Learn to Live Employer / EAPEmployer or plan benefit	Learn to Live runs a self-paced digital Insomnia program. Its terms say the service is not designed to treat clinical levels of insomnia. CBT-I program Learn to Live's Insomnia program is one of its digital programs, each based on the principles of cognitive behavioral therapy. Its pages do not use the term CBT-I.	Learn to Live offers digital programs and coaching and says its service does not constitute the practice of medicine. Its pages name no prescribers.	Employer or plan benefit only Medicaid: free through a sponsoring plan	A self-pay subscription to one Learn to Live program costs $149.
Included Health Employer / EAPEmployer or plan benefit AdultsTeens	Doctor On Demand by Included Health says its online psychiatry is for adults and adolescents with ongoing concerns like anxiety, depression, or insomnia.	No Ambien or other Z-drugsNo controlled substancesNo benzodiazepines Doctor On Demand by Included Health says its online psychiatrists cannot prescribe controlled substances such as Lunesta, a Z-drug sleep medicine, and Xanax, but can prescribe other psychiatric medicines.	Employer or plan benefit only Medicaid: through a sponsoring health plan	Doctor On Demand by Included Health lists online psychiatry without insurance at $299 for the initial 45 minute consultation and $129 for a 15 minute follow-up. It states no insomnia-specific price.
Lyra Health Employer / EAPEmployer or plan benefit	Lyra Health lists sleep challenges and insomnia among the conditions its Health Challenges Toolkit covers, with a direct path to a mental health provider.	Not stated	Employer or plan benefit only	Lyra says many members get a set number of therapy or coaching sessions at no cost, and others pay low copays or cost-sharing for extended care.

Read from each service's own pages on Oct 30, 2026. A prescriber's price is for a visit, not the medicine.

Free CBT-I

Free CBT-I and help finding a sleep specialist

Each verified on its own official page.

988 Suicide & Crisis LifelineNationalCrisis line

The 988 Suicide & Crisis Lifeline is free, confidential and available 24 hours a day, every day of the year.

Who: Anyone
What it gives: Crisis counseling by call, text or chat (not therapy)
Cost: Free
How to start: Call or text 988, or chat at 988lifeline.org

Insomnia Coach (VA)United States, phone app (iOS and Android)Official guidance

VA's Insomnia Coach app was created for everyone, including Veterans and Service members, to help manage insomnia.

Who: Anyone with insomnia, including Veterans and Service members.
What it gives: A self-care and education app based on CBT-I that can be used alone or alongside professional care.
How to start: Use the iOS or Android download link on the VA App Store page. The page asks people with sleep apnea, restless leg syndrome, bipolar disorder, seizure disorder, sleep walking, night terrors, excessive daytime sleepiness, or frailty and risk of falling to consult a health provider first.

CBT-i Coach (VA)United States, phone app (iOS and Android)Official guidance

VA's CBT-i Coach app is designed to be used with a mental healthcare provider as part of CBT-I and is not meant to be used for self-care.

Who: People who are already doing CBT-I with a health provider.
What it gives: An app that teaches sleep strategies, a sleep diary and relaxation tools to use during CBT-I with a provider.
How to start: Ask a mental health provider to deliver CBT-I with the app. For self-care without a provider, VA points to its separate Insomnia Coach app.

Path to Better Sleep: SleepEZ (VA Veteran Training)United States, online course (web and mobile)Official guidance

VA's SleepEZ course is a digital cognitive behavioral therapy for insomnia (dCBT-I) course in its Path to Better Sleep program.

Who: Written for Veterans. The course guidebook is for anyone who wants to help a Veteran taking the course.
What it gives: A digital CBT-I course that helps set a sleep schedule, change sleep behaviors and reduce unhelpful thoughts, with a sleep diary.
Cost: Free
How to start: Open the SleepEZ course on the VA Veteran Training site. The page says the courses are not intended to replace treatment by a healthcare professional.

Society of Behavioral Sleep Medicine provider directoryUnited States, in person and telehealth (varies by listed provider)Free directory

The Society of Behavioral Sleep Medicine's United States directory lists clinicians, including some who provide telehealth CBT-I for adults with insomnia.

Who: Adults and children looking for a clinician who provides CBT-I.
What it gives: A list of clinicians by state. Each listing shows the provider's services, whether it takes new patients and a phone number, and some say they provide telehealth CBT-I.
How to start: Open the United States list, pick a clinician in your state or one who offers telehealth, and call to ask about fees and insurance.

Ambien and controlled sleep medicines

24 services say they do not prescribe Ambien or other controlled drugs

Zolpidem (Ambien), eszopiclone (Lunesta) and the orexin blockers are Schedule IV controlled substances. Each service's own words:

Check before you pay

1 service says it does not treat insomnia

Each one's own words, from its own pages.

Mindbloom
Mindbloom says it does not treat insomnia as a standalone condition; treatment is for adults diagnosed with anxiety, depression or PTSD.

What guidance says

CBT-I first, and what the sleep medicine labels say

The FDA-approved insomnia medicines from their labels, and what clinical guidance and the research say.

Medicine	Class	FDA label
Zolpidem (Ambien)	Z-drug (sleep medicine, GABA-A receptor positive modulator)	Short-term treatment of insomnia with trouble falling asleep. A Schedule IV controlled substance. Its label carries a boxed warning for complex sleep behaviors such as sleep-walking and sleep-driving.
Eszopiclone (Lunesta)	Z-drug (nonbenzodiazepine sleep medicine)	Treatment of insomnia. A Schedule IV controlled substance. Its label carries a boxed warning for complex sleep behaviors such as sleep-walking and sleep-driving.
Suvorexant (Belsomra)	Orexin receptor antagonist	Treatment of insomnia with trouble falling asleep and/or staying asleep. A Schedule IV controlled substance.
Lemborexant (Dayvigo)	Orexin receptor antagonist	Treatment of adults with insomnia with trouble falling asleep and/or staying asleep. A Schedule IV controlled substance.
Daridorexant (Quviviq)	Orexin receptor antagonist	Treatment of adults with insomnia with trouble falling asleep and/or staying asleep. A Schedule IV controlled substance.
Ramelteon (Rozerem)	Melatonin receptor agonist	Treatment of insomnia with trouble falling asleep. Not a controlled substance.
Doxepin (low dose, 3 mg and 6 mg tablets) (Silenor)	Low-dose doxepin tablet	Treatment of insomnia with trouble staying asleep. Not a controlled substance.

What guidance recommends first

ACP: CBT-I is the first treatment for chronic insomnia

The American College of Physicians recommends that all adults with chronic insomnia disorder receive cognitive behavioral therapy for insomnia (CBT-I) as the initial treatment.

AASM: strong recommendation for multicomponent CBT-I

The American Academy of Sleep Medicine strongly recommends that clinicians use multicomponent cognitive behavioral therapy for insomnia to treat chronic insomnia disorder in adults.

NIH: CBT-I is usually the first treatment option for long-term insomnia

The National Heart, Lung, and Blood Institute describes CBT-I as a 6- to 8-week treatment plan that is usually recommended as the first treatment option for long-term insomnia.

What CBT-I is

What CBT-I can include

The Society of Behavioral Sleep Medicine says cognitive behavioral therapy for insomnia combines several interventions, such as stimulus control, sleep restriction, relaxation training, cognitive therapy, bright light therapy and sleep hygiene education.

Who can give CBT-I and how it is delivered

The National Heart, Lung, and Blood Institute says CBT-I can be done by a doctor, nurse or therapist, and in person, by telephone or online.

Sleep hygiene tips alone are not the recommended treatment

The American Academy of Sleep Medicine conditionally suggests that clinicians not use sleep hygiene as a single-component therapy for chronic insomnia disorder in adults.

Does CBT-I work online

Meta-analysis: internet-delivered CBT-I is a viable option

A 2016 meta-analysis of randomized controlled trials found internet-delivered CBT-I efficacious and a viable option in the treatment of insomnia.

Meta-analysis: internet-delivered CBT-I improves sleep in adults with insomnia

A 2016 meta-analysis of randomized trials concluded that internet-delivered cognitive behavioral therapy is effective in improving sleep in adults with insomnia.

Meta-analysis: digital CBT-I helps, though face-to-face CBT-I did slightly better

A 2020 meta-analysis of randomized controlled trials found that face-to-face CBT-I produced greater improvement on the Insomnia Severity Index than digital CBT-I.

What the medicine labels warn

ACP: medicines are a short-term add-on, decided together, after CBT-I alone has not worked

The American College of Physicians says clinicians should discuss the benefits, harms and costs of short-term medicines with adults whose chronic insomnia did not improve with CBT-I alone, to decide whether to add a medicine.

FDA: serious injuries from sleepwalking and sleep driving with certain insomnia medicines

The FDA warns that rare but serious injuries have happened with certain common prescription insomnia medicines because of sleep behaviors such as sleepwalking, sleep driving and other activities while not fully awake.

FDA: do not prescribe eszopiclone, zaleplon or zolpidem after a complex sleep behavior

The FDA says health care professionals should not prescribe eszopiclone, zaleplon or zolpidem to patients who have previously had a complex sleep behavior after taking any of these medicines.

Controlled sleep medicines and telehealth

DEA and HHS extended telemedicine prescribing of controlled medications through December 31, 2026

The DEA and the Department of Health and Human Services extended the telemedicine flexibilities for prescribing controlled medications through December 31, 2026.

What the extension allows: Schedule II to V by audio-video visit

Under the extended flexibilities, the DEA says DEA-registered practitioners may remotely prescribe Schedule II to V controlled medications by audio-video telemedicine visit.

The default federal rule for internet prescribing of controlled substances

The Ryan Haight Act generally requires that controlled substances dispensed by means of the internet be based on a valid prescription involving at least one in-person medical evaluation.

How you pay

Insomnia treatment with insurance, Medicaid, or without

The services above that a person can start on their own, by how they can be paid.

Bill insurance in network (29)

Name Medicaid (15)

Publish a price without insurance (33)

Questions

Online insomnia treatment, answered

Can you get CBT for insomnia (CBT-I) online?: Yes. 14 online services here say they give cognitive behavioral therapy for insomnia: Lemonaid Health, Online-Therapy.com, Amwell, Anywhere Clinic, Cerebral, LifeStance Health, SonderMind, Talkiatry, Talkspace, Wellnite, Calmerry, Klarity Health, Zencare and Learn to Live. The American College of Physicians recommends that all adults with chronic insomnia disorder receive cognitive behavioral therapy for insomnia (CBT-I) as the initial treatment.
Is there free CBT-I online?: Yes: Path to Better Sleep: SleepEZ (VA Veteran Training). The VA's sleep apps and a directory of clinicians who give CBT-I are listed below too, each with who can use it, from its own page.
Can you get Ambien prescribed online?: 24 online services here say they do not prescribe Ambien, other Z-drugs or controlled substances: Lemonaid Health, Amwell, Cerebral, Talkspace, Wellnite, Affect, BetterHelp, Brightside Health, Charlie Health, Doctor On Demand, Headspace Care, Headway, MDLIVE, Meru Health, Mindful Care, Monument, PlushCare, Spring Health, Teladoc Health (Mental Health), GoodRx Care, QuickMD, Sesame, Included Health and Modern Health. 2 name Z-drugs among the sleep medicines they prescribe: Talkiatry and Klarity Health. The DEA and the Department of Health and Human Services extended the telemedicine flexibilities for prescribing controlled medications through December 31, 2026. Under the extended flexibilities, the DEA says DEA-registered practitioners may remotely prescribe Schedule II to V controlled medications by audio-video telemedicine visit. The Ryan Haight Act generally requires that controlled substances dispensed by means of the internet be based on a valid prescription involving at least one in-person medical evaluation.
Which online services prescribe sleep medication?: 26 services here say their prescribers treat insomnia with medication: Lemonaid Health, Amwell, Anywhere Clinic, Cerebral, LifeStance Health, Talkiatry, Talkspace, Wellnite, Klarity Health, Affect, BetterHelp, Brightside Health, Doctor On Demand, Headway, MDLIVE, Meru Health, Mindful Care, Ophelia, PlushCare, Spring Health, Teladoc Health (Mental Health), Thriveworks, Workit Health, QuickMD, Sesame and Included Health. Medicines named: Trazodone (10), Low-dose doxepin (Silenor) (5), Orexin blockers (Belsomra, Dayvigo, Quviviq) (2), Ramelteon (Rozerem) (6), Z-drugs (Ambien, Lunesta) (2) and Other medicines (7).
Does Talkspace treat insomnia?: Talkspace says its licensed therapists and psychiatrists provide online insomnia treatment, and its insomnia page has a section on therapy for teens. Talkspace's insomnia page lists trazodone, hydroxyzine, doxepin (Silenor), gabapentin and ramelteon (Rozerem) as sleep medication its psychiatric providers can prescribe; it does not prescribe controlled substances.
Does BetterHelp treat insomnia?: BetterHelp says its psychiatric providers, through its UpLift psychiatry service, may evaluate and treat sleep disorders, among other conditions. BetterHelp's psychiatry prescribes from a defined list of commonly prescribed medications and says controlled substances are not prescribed. No sleep medicine is named.
Does Cerebral treat insomnia?: Cerebral says the medications its prescribers offer are used to treat conditions such as anxiety, depression and insomnia. A Cerebral help center article says trazodone may be prescribed for insomnia as well as depression; Cerebral says it does not prescribe controlled substances.
Does insurance cover online insomnia treatment?: 29 of the services here that treat insomnia bill insurance in network: Amwell, Anywhere Clinic, Cerebral, LifeStance Health, SonderMind, Talkiatry, Talkspace, Wellnite, Affect, Array Behavioral Care, Bend Health, BetterHelp, Brightside Health, Circle Medical, Doctor On Demand, Equip, Grow Therapy, Headway, Little Otter, MDLIVE, Meru Health, Mindful Care, NOCD, Ophelia, PlushCare, Spring Health, Teladoc Health (Mental Health), Thriveworks and Workit Health. What you pay depends on your plan.
Does CBT-I work online?: A 2016 meta-analysis of randomized controlled trials found internet-delivered CBT-I efficacious and a viable option in the treatment of insomnia. A 2016 meta-analysis of randomized trials concluded that internet-delivered cognitive behavioral therapy is effective in improving sleep in adults with insomnia. A 2020 meta-analysis of randomized controlled trials found that face-to-face CBT-I produced greater improvement on the Insomnia Severity Index than digital CBT-I.

OnlineTherapy.me is an informational data platform, not a medical provider, pharmacy or insurer. What each service offers is its own statement on the dates shown and can change. Only a clinician can decide whether a sleep medicine is safe for you. If you are thinking about suicide or are in danger, call or text 988, or call 911.

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