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[Sticky] Insomnia


Michael Gray MD JD
Posts: 107
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Yes — insomnia is commonly evaluated and treated through telemedicine, especially when symptoms are persistent but not associated with a dangerous medical cause.

👍 Telemedicine is usually appropriate for

  • Trouble falling or staying asleep

  • Early-morning waking

  • Non-restorative sleep or daytime fatigue

  • Jet lag or shift-work–related sleep disruption

  • Follow-up for insomnia treatment or medication review

During a virtual visit, a clinician can:

  • Review your sleep schedule, habits, and environment

  • Screen for anxiety, depression, pain, or medication effects

  • Identify circadian-rhythm or behavioral contributors

  • Provide sleep-hygiene and behavioral therapy guidance (CBT-I)

  • Prescribe or adjust sleep medications when appropriate

  • Set up follow-up and monitoring


🟡 Telemedicine may be appropriate but could need in-person follow-up if you have

  • Loud snoring, witnessed apnea, or gasping at night

  • Restless legs or abnormal sleep behaviors

  • Severe daytime sleepiness or dozing while driving

  • Chronic medical conditions affecting sleep

  • Long-term sedative use or substance use

In these cases, the clinician may recommend:

  • Sleep study or home sleep apnea test

  • Lab work or vitals

  • Referral to a sleep specialist


🔴 Seek in-person or urgent evaluation (not telemedicine) if you have

  • Sudden confusion, chest pain, or fainting

  • Possible withdrawal from alcohol/benzodiazepines

  • New neurologic symptoms with insomnia


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