Your body already knows how to sleep. Insomnia treatment helps it remember.
CBT-I for adults with chronic insomnia is evidence-based, safe and effective.
Are you struggling to fall asleep or stay asleep? Are you spending hours tossing and turning in bed? There is a solution!
I'm Dale Decker, LCSW, a clinical social worker whose sole focus is Cognitive Behavioral Therapy for Insomnia (CBT-I). I provide treatment for insomnia online via secure video conferencing across the state of Wisconsin. Services are also available in-person for those who live in the Madison, WI area.
What CBT-I can do
CBT-I is the treatment recommended as first-line care for chronic insomnia by the American College of Physicians and the American Academy of Sleep Medicine. Most people feel meaningful improvement within four to eight sessions.
- Fall asleep faster and wake less often during the night
- Reduce or taper off sleep medication under your prescriber's care
- Quiet the thoughts and worries that have been keeping sleep at a distance
- Stop dreading bedtime
Why telehealth works well for insomnia
CBT-I translates well to video. Sessions are conversational and built around the small adjustments we make week to week so there's nothing that requires being in the same room. You get treatment from the comfort of your home. Research consistently shows telehealth CBT-I is as effective as in-person care.
Is CBT-I right for you?
CBT-I is a strong fit if you have trouble falling asleep, staying asleep, or waking too early — and it has been going on for more than a few weeks. It's also a good option if you've been on sleep medication for a while and want a path toward sleeping without it.
I've got 30+ years of clinical experience helping people of all ages and professions and a wide range of experience in outpatient, in-home, and inpatient settings. This breadth of knowledge means I can tailor your treatment to you and your concerns.
What to expect
We will have a free 15 minute phone consult to make sure CBT-I is a good fit for your needs
Our first session will focus on finding the factors interrrupting your sleep and education about how sleep works
You will begin keeping a daily sleep log that we will use to fine tune your treatment
We will use your logs to create a treatment plan that will have you sleeping better in as little as two weeks
FAQ
How long does CBT-I take?
Most people finish in four to eight weekly sessions. A few need more; some need fewer. We'll re-evaluate at session four.
What if I'm on sleep medication?
CBT-I is effective whether or not you're on medication. If tapering is a goal, I'll coordinate with your prescriber. I don't ask anyone to stop medication to start treatment.
Do you treat anything besides insomnia?
No. CBT-I is my sole clinical focus. If something else is going on, I'll help you find the right person for that work.
How does telehealth work?
Sessions are by secure, HIPAA-compliant video conferencing. You'll get a unique link before each session. All you need is a private space, a stable internet connection, and a phone, tablet, or computer with a camera.
Can I see you in person?
Certainly!
My office is located at 401 Wisconsin Avenue, Madison WI, 53703.
I'm happy to provide therapy in-person.
Which states are you licensed in?
I am currently licensed in Wisconsin. You will need to be physically present in Wisconsin at the time of our session. I plan on adding other states but for now, Wisconsin is the only state.
What's your cancellation policy?
Please give at least 24 hours' notice to cancel or reschedule. Late cancellations and no-shows are charged the full session fee. Your insurance will not pay for these fees.
Is CBT-I covered by HSA/FSA?
Yes, this is a medical service covered by HSA/FSA programs. I'm happy to provide receipts for you.
What if I also have sleep apnea or restless legs?
CBT-I and sleep apnea or restless leg syndrome treatments work well together. If you haven't been evaluated and your partner has mentioned snoring, gasping, or pauses in breathing, I'll recommend a sleep medicine consult before or alongside our work.