Insomnia relief

without meds

Cognitive Behavioral Therapy for Insomnia
Everywhere in Texas


CBT-I is as effective as medication in the short term and more effective in the long term. Seventy-eighty percent who try CBT-I get significantly better sleep. CBT-I improves sleep even in the presence of depression, anxiety, PTSD, chronic pain and cancer. It’s effective for anxiety-related insomnia, hormone-related insomnia, new parents once baby sleeps all night, busy professionals, athletes and people interested in good health.


CBT-I a drug-free therapy. The process provides an opportunity to reduce or eliminate sleep medications.

Sleep as Nature Intended

Sleep is regulated through two main mechanisms: circadian rhythm and homeostasis. CBT-I teaches you how to sleep well by tapping and training your body’s inherent abilities.

Life Changing Skills

We are wired for acute insomnia. It is a normal response to stress. The skills learned during CBT-I will help you prevent acute episodes of insomnia from becoming chronic in the future.

Long Lasting

Sleep may continue to improve for one to two years after CBT-I is completed. Improvements gained in CBT-I are shown to last as long as ten years.


Need an insomnia cure that works?

We are not scheduling new patient appointments at this time and our wait list is full. We will contact existing individuals on the waitlist on a first-come-first-serve basis.

You’re not alone. One in four people experience occasional insomnia and one in ten have chronic insomnia that may last months or years.

Most people with chronic insomnia have been on a long journey to get better sleep. They try a variety of prescription and over-the-counter medications, supplements and alternative treatments; countless gadgets, apps and tools. Each remedy promises  better sleep but fails to deliver. It can be an excruciating journey full of fatigue, anxiety and frustration.


Cognitive Behavioral Therapy for Insomnia (CBT-I) is overwhelmingly recommended as the first-line treatment for chronic insomnia by the National Institutes of Health, American College of Physicians and multiple other medical groups. They recommend people with insomnia try CBT-I first, not sleeping pills. Why?

Research outcomes show the effects of CBT-I are clear:

  • Improved sleep (70-80%)
  • Reduced or eliminated sleep medications
  • Decreased sleep-related anxiety and panic
  • Sleep can continue to improve for 1-2 years after CBT-I
  • Improvements can last 10 or more years


You will learn the skills to break the fever of chronic insomnia and decrease the likelihood that future bouts of acute insomnia will become chronic.

A comprehensive assessment leads to a personalized treatment plan addressing the various aspects of your unique insomnia story. CBT-I usually lasts 5- 8 sessions over 2-4 months. You will complete weekly sleep diaries.

Sessions are delivered by live two-way video. You need an internet connection, a computer/tablet with a video camera, and a microphone. You also need basic internet skills.


The initial 75-90 minute consultation is $375. Subsequent 50-minute sessions are $250.


Ellen Friedman is an out-of-network provider for all insurance companies. Your insurance plan may include out-of-network benefits. Call your insurance company’s customer service number before treatment begins to find out if you are covered and how much you can expect to be reimbursed.



Ellen is uniquely qualified to practice behavioral sleep medicine, with more than 35 years of experience in sleep medicine and the behavioral sciences in the Austin, Texas area. She is a board-certified Diplomate in Behavioral Sleep Medicine (DBSM).

Ellen got her start in the sleep research laboratory at the University of Texas. She worked in and managed hospital sleep labs for eighteen years. She returned to school, completed a master’s degree in counseling and practiced as a licensed professional counselor in various settings, including more than a decade in telehealth settings.

She completed specialized training in behavioral sleep medicine and cognitive behavioral therapy for insomnia with Donn Posner, PhD, Michael Perlis, PhD, and Jason Ellis, PhD at the University of Pennsylvania. Her practice has been focused on behavioral sleep medicine since 2015.


Texas Licensed Professional Counselor (LPC) #19077

Diplomate in Behavioral Sleep Medicine (DBSM)

Registered Polysomnographic Technologist (RPSGT) #791


Society for Behavioral Sleep Medicine

American Association of Sleep Medicine

American Association of Sleep Technologists


Behavioral Sleep Medicine (BSM) focuses on the evaluation and treatment of sleep disorders by addressing behavioral, psychological, environmental and social variables. The success of behavioral and cognitive techniques to treat sleep disorders is well-documented by decades of research.

Behavioral changes address your sleep schedule, sleep environment and other activities related to sleep. Cognitive techniques examine and modify thoughts and beliefs that interfere with sleep. Behavioral sleep medicine offers effective treatments for insomnia, sleep-related anxiety, obstructive sleep apnea, circadian rhythm disorders, nightmares and narcolepsy.


Telehealth is the delivery of services online or by phone with the client and therapist in different locations. Our services are delivered using live two-way video.

Telehealth is convenient and accessible:

  • Available from your home or private office
  • Great for busy families & professionals
  • Reduced travel time & costs
  • Decreased time away from work & need for child/elder care
  • Allows rural, small town residents & people with limited mobility to access expert diagnosis & treatment.
  • Telehealth makes it easy to ask questions & receive timely support.



No Surprises Act


Services are available everywhere in Texas

Abilene  – Amarillo – Austin – Beaumont – Big Bend – Brownsville – Bryan – College Station – Corpus Christi – El Paso – Ft. Worth – Galveston – Hill County – Houston – Killeen – Longview – Lubbock – McAllen – Pasadena – San Antonio – San Marcos – Tyler – Waco – Wichita Falls – Victoria – rural communities across the state

*** We are not scheduling new patient appointments at this time. ***