You dread bedtime. Or you fall asleep fine and wake at 3 a.m. with your mind already running.
Rappore provides telehealth psychiatry for insomnia, serving adults in New York, New Jersey, Connecticut, and Florida.
Sleep problems amplify everything — anxiety, depression, irritability, cognitive fog. But insomnia isn't just a nighttime problem. It's a nervous system pattern: your brain hasn't learned to let go of vigilance when the lights go off.
Many people have been on sleep medication for years without anyone addressing what's driving the insomnia in the first place — anxiety, hormonal shifts, medication side effects, or a circadian rhythm that's been disrupted and never corrected.
How we treat insomnia
We prioritize restoring natural sleep architecture over long-term medication dependence. That means identifying what's disrupting sleep — and addressing it directly.
Sometimes the fix is adjusting a medication taken for something else. Sometimes it's addressing an anxiety or mood problem that's keeping the nervous system activated. Sometimes a short-term sleep medication is appropriate — with an explicit plan for how and when to taper.
The goal is sustainable sleep without a prescription you can't stop.
Insomnia FAQs
Will I need sleep medication forever?
Usually not. Many patients use short-term pharmacological support while we address underlying causes. The exit strategy is part of the plan from day one.
Are sleep medications addictive?
Some are. We avoid benzodiazepine sleep aids and prioritize approaches that don't create dependence.
Can fixing sleep improve anxiety and depression?
Often dramatically. Sleep is the foundation — when it's broken, everything else is harder to treat.
I've been on Ambien for years. Can I come off it?
In most cases, yes — carefully and gradually. It's one of the things we do frequently.
Additional information on insomnia.
In our blog, The Rappore Report, we discuss insomnia in our post:
Are "Safe Sleep Meds" Really Safe?
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Anxiety · Depression · Perimenopause Mood Changes
Do you struggle to fall or stay asleep most nights?
Does poor sleep worsen mood or anxiety?
Do you worry about sleep during the day?
Have sleep aids helped only temporarily?
Do you feel unrefreshed even after rest?
If you answered yes to even one of these, it may be time for the next step. A clear plan starts with a conversation.
This is not a diagnosis. It’s a way to notice patterns that may be worth discussing.