Cognitive Behavioral Therapy for Insomnia (CBT-I) + 4 Session Sleep Reset (BBTI) Face-to-face and Telehealth for adults with insomnia in Florida, Texas, and Vermont.

Two Pathways for Better Sleep

Brief Behavioral Treatment for Insomnia: 4-Session Sleep Reset

The brief track, BBTI, is a structured, skills-based program focused on the behavioral patterns that often sustain insomnia. This may include inconsistent sleep timing, excessive time spent awake in bed, reduced sleep drive, and a lack of a clear plan for nighttime awakenings.

BBTI focuses on:

  • sleep schedule consistency

  • time-in-bed strategies

  • strengthening sleep drive

  • reducing time awake in bed

  • creating a clear plan for nighttime awakenings

  • retraining the bed as a cue for sleep

This track is intentionally narrow and practical. BBTI is not the best fit for every sleep concern. Some sleep problems require a more thorough assessment, medical coordination, or the standard CBT-I track.

Cognitive Behavioral Therapy for Insomnia: Standard CBT-I Track

CBT-I includes the behavioral foundations of BBTI, but allows more time to address the thoughts, emotions, habits, and nervous-system patterns that can keep insomnia stuck.

CBT-I may be a better fit when insomnia is more persistent, complex, or “sticky,” especially when sleep is affected by high sleep anxiety, rumination, conditioned arousal, trauma-related activation, medication dependence, chronic stress, or repeated setbacks.

CBT-I focuses on:

  • sleep scheduling and time-in-bed strategies

  • stimulus control and bed-sleep reassociation

  • cognitive work around sleep-related fear and frustration

  • ACT-based strategies for reducing struggle with wakefulness

  • tools for hyperarousal and nighttime rumination

  • support around setbacks and relapse prevention

  • coordination with medical or prescribing providers when appropriate

CBT-I is usually a better fit when we need more room than a brief behavioral reset can provide.

Where We Start

All insomnia treatment begins with an Initial Insomnia Assessment.

During this assessment, we review your sleep history, screen for other sleep or medical factors, review relevant safety considerations, and teach you how to complete a sleep log. The sleep log helps guide treatment decisions based on your actual sleep pattern rather than guesswork.

After the Initial Insomnia Assessment and sleep-log review, we decide together whether the 4-session BBTI track is the best fit or whether the standard CBT-I track will better serve you.

Fees

Insurance and EAP clients are billed per session based on plan benefits.

Self-Pay Pricing:

  • Initial Insomnia Assessment: $154

  • CBT-I Sessions: $154

  • 4-session BBTI Package- $399 prepaid. For self-pay clients who are a good fit for BBTI, the 4-session prepaid package is offered at a discounted rate.

This prepaid package includes:

  • two 55-minute sessions

  • two 30-minute check-ins

The Initial Insomnia Assessment is billed separately and is not included in the BBTI prepaid package.

BBTI pay-as-you-go option:

  • $154 per 55-minute session

  • $77 per 30-minute check-in

  • $462 total if paid per visit

If you discontinue the BBTI prepaid package, any unused visits will be refunded at the program’s prorated rates.

Choose Your Pathway

BBTI (4-Session Sleep Reset)

Best for: “I want a brief, structured behavioral reset.”

  • Sleep schedule + sleep drive reset.

  • Plan for awakenings.

  • Retrain bed = sleep cue.

CBT-I (6–8 Sessions)

Best for: “My insomnia is more persistent/complex, or my mind stays ‘on.’”

  • Everything in BBTI plus cognitive/ACT tools.

  • Reducing sleep worry/bedtime struggle.

  • Relapse prevention plan.