Starting Here
Maybe your mind won't turn off at night, or you wake up at 3 a.m. and can't get back to sleep. Chronic sleep issues aren't just exhausting—they can make everything else harder, too.
Therapy can address both your sleep habits and the anxiety, stress, or racing thoughts that are often behind them.
This Can Look Like
Sleep issues and insomnia can look like:
- Lying awake with racing or anxious thoughts
- Difficulty falling asleep, staying asleep, or both
- Dreading bedtime because you expect it to go badly
- Feeling exhausted during the day despite time spent in bed
- Relying on screens, alcohol, or other habits to try to wind down
- A cycle where worry about not sleeping makes it even harder to sleep
How Therapy Can Help
Therapy addresses sleep from more than one angle. We'll help you:
- Identify the anxiety, stress, or thought patterns disrupting your sleep
- Build a healthier relationship with bedtime, without the dread
- Address racing thoughts before they take over at night
- Understand whether sleep issues are tied to anxiety, depression, or something else
- Build sustainable habits that support better sleep over time
Our Approach
We look at the psychological and emotional factors disrupting your sleep, not just habits and routines. If anxiety, stress, or unresolved worry is keeping you up, that's often the more effective place to start.
Therapeutic Approaches We May Use
- Cognitive Behavioral Therapy (CBT) — addressing the thought patterns that interfere with sleep
- Mindfulness-Based Therapy — quieting a racing mind at bedtime
- Acceptance and Commitment Therapy (ACT) — reducing the struggle against sleeplessness itself
- Somatic Experiencing — calming a nervous system that won't downshift at night
Who Might Benefit From Treatment
This kind of therapy may be a good fit if you:
- Regularly struggle to fall or stay asleep
- Notice anxiety or racing thoughts specifically at night
- Feel like sleep issues are affecting your mood, focus, or health
- Have tried sleep hygiene tips without lasting improvement
- Suspect your sleep issues are connected to anxiety, stress, or depression
What to Expect in Therapy
Your first session maps out your sleep patterns and what tends to keep you up, along with any anxiety, stress, or life factors that might be involved.
Your therapist will build a plan that addresses both practical habits and the underlying thoughts or worry disrupting your rest.
Sessions are available in person at our Midtown Nashville office or online for clients throughout Tennessee.
FAQ
Do I need a sleep study before starting therapy?
Not necessarily. If your sleep issues seem connected to anxiety, racing thoughts, or stress, therapy can be a good starting point. If there's reason to suspect a medical sleep disorder, your therapist can help you think through a referral.
Can therapy really help with something as physical as sleep?
Yes. Many sleep issues are maintained by anxious thought patterns and nervous system activation, both of which respond well to therapy, alongside any medical factors your doctor may also want to evaluate.
Do you accept insurance?
Nashville Counseling Associates is out-of-network with insurance providers, so we don't bill insurance directly. Many clients use out-of-network benefits to get reimbursed, and we're happy to provide a superbill (an itemized receipt) for you to submit.
Session fees generally range from $130–$185 depending on the clinician, with $85 sessions available with our graduate-level interns and sliding-scale options based on financial need.
How do I get started?
Fill out our contact form or call (615) 281-9139. We'll ask a few questions about what you're looking for and help match you with a therapist whose experience fits what's keeping you up at night.
Sessions are available in person at our Midtown Nashville office or online for clients located anywhere in Tennessee.
Ready to begin counseling?
You don't have to keep carrying this on your own. Reach out to Nashville Counseling Associates, and we'll help connect you with a therapist whose training and approach fit the racing thoughts or worry keeping you up at night.
