Insomnia & sleep · Ages 10 and up
Better sleep starts with understanding why.
When trouble falling asleep, staying asleep, or waking too early starts affecting your days, a psychiatric evaluation can help find out what is behind it. Great Minds offers individualized care for insomnia and sleep problems. We see patients ages 10 and up, including children, adolescents, and adults.
- Now accepting new patients
- In person or telehealth
- Ages 10 and up
What insomnia can feel like
Sleep problems look different for different people. Some common signs:
- Trouble falling asleepLying awake for a long time, even when you are tired.
- Waking during the nightWaking up often, or having a hard time getting back to sleep.
- Waking too earlyWaking well before you need to and not being able to fall back asleep.
- Not feeling restedFeeling unrefreshed in the morning, even after time in bed.
- Daytime tirednessLow energy, sleepiness, or struggling to get through the day.
- Trouble concentratingPoor focus or memory that gets worse after a bad night.
- Mood changesIrritability, low mood, or feeling more anxious when sleep is poor.
- Worrying about sleepDreading bedtime, or a racing mind as soon as the lights go out.
These are common experiences, not a diagnosis. Medical conditions, other mental health conditions, medications, and some substances can affect sleep, which is why a full evaluation matters.
When it may be time to get help
Consider an evaluation if:
- Sleep problems have lasted for weeks or months
- Poor sleep is affecting work, school, mood, or relationships
- You rely on alcohol, cannabis, or over-the-counter products to sleep
- Sleep problems come with worry, low mood, or racing thoughts
- You have tried to improve your sleep on your own and it is not getting better
Sleep rarely travels alone
Insomnia often overlaps with other concerns, such as anxiety, depression, ADHD, and trauma-related symptoms. A comprehensive evaluation looks at the whole picture, so your care addresses what is actually going on.
How Great Minds helps
- A comprehensive evaluation
A 45 to 60 minute first visit to understand your sleep, symptoms, history, functioning, concerns, and goals.
- A personalized treatment plan
An individualized approach based on your evaluation. Medication recommendations are individualized, never automatic.
- Supportive therapy when it helps
Supportive therapy may be incorporated into your care when clinically appropriate.
- Ongoing follow-up
Follow-up visits to monitor progress and adjust your plan when appropriate.
Looking at the whole picture
Sleep can be affected by mood, stress, medications, health conditions, and daily habits. Your evaluation considers all of these. If your symptoms suggest a medical sleep disorder such as sleep apnea, we will recommend follow-up with your primary care provider or a sleep specialist.
In person or by telehealth
In person at our Henrico or Chester, Virginia offices by appointment, or by secure telehealth. You must be physically located in one of these states at the time of your appointment:
Costs
| Initial psychiatric evaluation | $250 self-pay |
| Follow-up visit | $150 self-pay |
Virginia patients can also use one of 15 accepted insurance plans. See plans. Washington State patients can use one of 10 accepted plans, and Washington, D.C. patients can use CareFirst. In other states, care is self-pay while insurance credentialing is underway.
Insomnia care questions
Do you treat insomnia in children and teens?
Yes. Great Minds provides care for insomnia and sleep problems for patients ages 10 and up, including children, adolescents, and adults.
Will I be prescribed sleep medication?
Not automatically. Recommendations are individualized and depend on the psychiatric evaluation, clinical history, and treatment needs. When medication is appropriate, it is prescribed and monitored in accordance with federal and state requirements.
Is my insomnia connected to anxiety or depression?
It can be. Sleep problems often overlap with anxiety, depression, ADHD, and trauma-related symptoms. A comprehensive evaluation looks at the whole picture so your care addresses what is actually going on.
Do you treat sleep apnea or other sleep disorders?
Great Minds provides psychiatric care. If your symptoms suggest a medical sleep disorder such as sleep apnea, we will recommend that you follow up with your primary care provider or a sleep specialist.
Can insomnia be treated by telehealth?
Yes, subject to applicable state telehealth requirements. Telehealth visits are available in Virginia, Washington, D.C., Maryland, Washington State, Colorado, Connecticut, Arizona, and Massachusetts, and you must be physically located in one of those states at the time of your appointment.
Are there conditions you do not treat?
Yes. Great Minds is primarily a telehealth practice. For safety and appropriate evaluation, we do not provide care for suicidal crises, psychosis, or schizophrenia, which need in-person evaluation and a higher level of support. If you are in crisis, call or text 988, or call 911.
More questions? See our full FAQ or call (804) 295-4344.
Taking the first step is a conversation, not a commitment.
Book an evaluation online, or call us with your questions first. Now accepting new patients, ages 10 and up.