We offer a range of solutions designed to meet your needs—whether you're just getting started or scaling something bigger. Everything is tailored to help you move forward with clarity and confidence.CBT-I (Cognitive Behavioral Therapy for Insomnia) is a structured, evidence-based treatment that targets the thoughts, behaviors, and physiological patterns that maintain chronic insomnia. Unlike sleep medications, CBT-I addresses the root causes of insomnia rather than managing symptoms temporarily. It is recommended as the first-line treatment for chronic insomnia by the American Academy of Sleep Medicine and the American College of Physicians.

Sleep hygiene — habits like limiting caffeine, keeping a consistent bedtime, or avoiding screens before bed — can be helpful but rarely resolves chronic insomnia on its own. CBT-I goes deeper, addressing the underlying behavioral and cognitive patterns that keep insomnia going even when the original trigger has passed. It includes specific techniques such as sleep restriction, stimulus control, and cognitive restructuring that sleep hygiene alone does not address.

CBT-I is a short-term treatment, typically completed in 4 to 8 sessions. Most people begin to notice improvements in sleep within the first few weeks, though the full benefits often consolidate over time after treatment ends. Unlike sleep medications, the improvements from CBT-I tend to persist and often continue to improve after treatment is complete.

Yes. CBT-I has strong research support for chronic insomnia and produces durable improvements in sleep onset, sleep maintenance, and overall sleep quality. It is more effective than sleep medications in the long term and produces improvements that last well beyond the end of treatment.

Yes. CBT-I is effective for insomnia that occurs alongside anxiety, depression, chronic pain, and other medical conditions. In fact, treating insomnia with CBT-I often leads to improvements in mood, energy, and daytime functioning as well. I frequently work with adults who have complex medical or mental health histories alongside their sleep difficulties.

Yes. CBT-I is well-suited to telehealth delivery and has been shown to be effective in video-based formats. I provide CBT-I via secure, HIPAA-compliant telehealth to adults located in California and New York.

No referral is needed, although sometimes it is helpful to have done an initial evaluation with a sleep physician, and potentially completed a sleep study if indicated.

You can contact me directly to schedule a free 15-minute consultation to discuss whether CBT-I is a good fit for your situation.

Sleep medications can provide short-term relief but do not address the underlying causes of insomnia and are not recommended as a long-term solution. CBT-I targets the root behavioral and cognitive factors that maintain insomnia, producing improvements that last beyond the end of treatment. CBT-I can also be used to support gradual tapering of sleep medications in coordination with a prescribing provider.

Sessions are structured and skills-focused. They typically include review of sleep diary data, psychoeducation about sleep, and implementation of specific CBT-I techniques tailored to your sleep pattern. Between sessions, you will track your sleep and practice the skills covered in session.

I'm Dr. Elika Razmjou, a licensed clinical psychologist specializing in CBT-I and behavioral sleep medicine. I am VA-certified in CBT-I and CBT for Nightmare Disorder, and hold appointments at the VA West Los Angeles Medical Center and as a Health Sciences Clinical Instructor at UCLA. I am a member of the Society of Behavioral Sleep Medicine (SBSM) and am currently pursuing the Diplomate in Behavioral Sleep Medicine (DBSM) credential.

Contact me to schedule a free 15-minute phone consultation. We'll discuss your sleep history, your goals, and whether CBT-I is the right fit.