Medication alone has not produced desired results OR recommendation to discontinue sleep medication.

Screenings have ruled out medical cause for the insomnia.

Therapy has helped with other mental health issues, but has not provided relief for chronic insomnia.

An adjunct therapy is needed to specifically target insomnia (supporting primary therapist).

Sleep difficulty is exacerbating mental health symptoms and/or medical issues.

Difficult to accurately assess mental health and medical issues due to the impact of sleep deprivation.

Sleep anxiety/sleep disturbance has increased relative to COVID.