[Sticky] Insomnia

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