Whole-person care guide

All the ways to sleep better

A sleeping pill should not be your first step. The best proven fix for insomnia is a short skills program, and many sleep problems have a physical cause worth ruling out. Below is every option, in order.

Insomnia counts as chronic when you struggle to fall or stay asleep three or more nights a week for three months. Lots of people have it, and it responds well to treatment. Guidelines rank a special form of CBT first, before medication.

We sort the options by how strong the research is. Each card tells you what the approach is, what it involves, what studies found and who offers it.

Whole Wellbeing Atlas lists providers. We do not give medical care. Bring this guide to your doctor or therapist and decide together. In a crisis, call or text 988 (the Suicide and Crisis Lifeline). You can also go straight to the closest emergency room.

Written by the Whole Wellbeing Atlas Editorial Team and reviewed on September 29, 2026. You will find every source at the bottom of the page. How we write and check our guides.

Find these options close to home

Type your ZIP code and we will show local providers under each approach.

Step 1

Best evidence

Clinical guidelines name these first. This is the place to begin.

Traditional

CBT for insomnia (CBT-I)

A program of 4 to 8 sessions. It resets your sleep schedule, teaches your brain to connect bed with sleep again and calms worry at night. It is the recommended first treatment for chronic insomnia.

Who offers itSleep medicine clinics, and psychologists or therapists with training in behavioral sleep medicine. There are digital CBT-I programs too.

Cost and insuranceInsurance often pays. Prices for digital programs vary.

Evidence: Annals of Internal Medicine, 2016. American College of Physicians guideline; 2021 guideline, American Academy of Sleep Medicine

Traditional

Sleep apnea evaluation

Loud snoring, gasping at night or feeling sleepy all day can be signs of sleep apnea, which has its own treatment. A sleep test at home or in a lab will tell you.

Who offers itSleep centers and sleep medicine doctors.

Cost and insuranceInsurance usually pays.

Evidence: Diagnostic guideline, American Academy of Sleep Medicine, 2017

Step 2

Good evidence

Solid trials support these. They pair well with first-line care.

Traditional

Short-term medication

When CBT-I is out of reach or does not do enough, some prescription sleep medicines help for a short time. Take them with a prescriber's guidance, at the lowest dose that works.

Who offers itPrimary care doctors, psychiatrists and sleep medicine doctors.

Cost and insuranceInsurance usually pays.

Evidence: Pharmacologic guideline, American Academy of Sleep Medicine, 2017

Alternative

Regular exercise

Staying active on a regular basis gives you better sleep and helps you drift off sooner.

Who offers itExercise physiologists and personal trainers.

Cost and insuranceCosts vary. Walking costs nothing.

Evidence: Journal of Behavioral Medicine, 2015. Kredlow et al., meta-analysis

Step 3

Some evidence

The studies are smaller or mixed. Many people like these as extras next to their main care.

Alternative

Mindfulness meditation

Compared with people given sleep education or a similar comparison program, those in meditation programs slept better.

Who offers itTherapists with mindfulness training, and meditation teachers.

Cost and insuranceOften free, or close to it.

Evidence: Annals of the New York Academy of Sciences, 2019. Rusch et al., meta-analysis

Alternative

Tai chi and yoga

Slow, gentle movement that helped sleep in several trials, most of all for older adults.

Who offers itYoga teachers, and tai chi or qigong instructors.

Cost and insuranceClasses run about $10 to $25.

Evidence: Backed by trials, with the clearest results in older adults.

Alternative

Acupuncture

It may help sleep, but a Cochrane review judged the trials too small and too different to give a firm answer.

Who offers itLicensed acupuncturists.

Cost and insuranceUsually $75 to $150 a visit.

Evidence: Cochrane Review, 2012. Cheuk et al.

Step 4

Emerging or specialist

Research is still under way, or these are kept for when first treatments fall short.

Alternative

Melatonin and supplements

Melatonin can help with jet lag and body clock problems. Sleep guidelines advise against leaning on it for chronic insomnia. There is little evidence for magnesium or CBD.

Who offers itNutritionists, functional and integrative medicine practitioners, and sleep medicine providers.

Cost and insuranceSold over the counter, and cheap.

Evidence: Pharmacologic guideline, American Academy of Sleep Medicine, 2017

Check with a doctor first if

Sources

Do you provide one of these?

Listing is free. Show up under your approach, in your ZIP code, right beside the research.