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In Sessions
CBT-I sets a protected wake time, re-associates the bed with sleep, and addresses the thinking that turns one bad night into a catastrophe. We treat sleep deliberately rather than folding it into a general anxiety hour.
Sleep is the actual clinical problem here, and CBT-I gets practiced every night in the house rather than handed over as a worksheet. Teens ages 12-17 in Southern California keep a protected wake time, and medication is not the plan.
What this is
Insomnia treatment here treats sleep as the main clinical problem, not as a side note to anxiety work. A late night now and then is normal adolescence. Insomnia is a body that cannot fall asleep or a sleep schedule so far off that school is already gone. Sleep hygiene handouts have usually been tried by the time families call, and that is not what this is.
When sleep has taken over everything
Racing thoughts, a body that will not settle, and the phone as the only thing that helps turn bedtime into a nightly fight nobody wins.
Asleep at four in the morning, awake in the afternoon, and a weekend that makes Monday a crisis before the week has even started.
Waking repeatedly, checking the phone, a nightmare, then hours in bed that are not actually sleep, so they cannot function by breakfast.
The bedroom is where the worry loops, so they avoid it, then cannot sleep in it, and the bed itself starts the anxiety.
Irritability, missed school, nodding off in class, and a mood that looks like depression, because their brain has not had a real night in weeks.
You wait up, screens stay on, mornings become optional, and the family's whole routine now runs on the middle of the night.
Daily life
Therapy sessions, the family's schedule, and staffed overnight hours all treat sleep as the main problem rather than a symptom of something else.

01
CBT-I sets a protected wake time, re-associates the bed with sleep, and addresses the thinking that turns one bad night into a catastrophe. We treat sleep deliberately rather than folding it into a general anxiety hour.

02
Parents learn how to hold a wake time without a war, and what to do about the phone after midnight. We write the plan for Friday night and Saturday morning before the schedule can slip.

03
Lighting, a real wind-down routine, and staffed overnight hours keep the whole house on a consistent schedule, because sleep is a clinical priority here.
Our approach
A fixed wake time, a bed used only for sleeping, and medication only in rare short courses, because the nights are the actual problem.
Stimulus control, a fixed wake time, and work on the fear of not sleeping get practiced here nightly, which is the only way any of it sticks.
Rumination or unprocessed trauma usually travels with insomnia, and we treat that in the same plan rather than only adjusting the schedule.
A nervous system still scanning for problems at midnight needs a reliable way to come down that is not a screen.
A consistent wake time, morning light, and staffed nights are the actual intervention, because willpower alone does not fix a schedule this far off.
Any sleep medication is short-term and uncommon here. Behavioral sleep work leads this treatment, and a prescription does not become the plan.
Your part
Insomnia puts the whole household on the middle of the night. Family work here teaches you a wake time you can actually enforce.
Let them catch up until afternoon.
Letting them sleep until mid-afternoon feels like kindness, and it undoes the schedule we just spent a week rebuilding.
Fight about the phone at midnight.
An argument at bedtime only raises their alertness. We write the rule during the day, practice it here, and send it home as a plan.
Let Friday night undo the week.
Friday night, Saturday morning, and Sunday evening all get a written plan that gets practiced here, rather than after the schedule has slipped again.
Academics
A night that will not end costs your teen the next morning, and the absences add up fast. We rebuild the sleep schedule while school keeps running on site.
A First Period They Can Attend
Our accredited on-site school uses home district coursework, so credits keep accumulating while a protected wake time makes morning class possible again.
Class Still Happens After A Short Night
Academic support runs alongside CBT-I, and we do not cancel the day because last night went badly.
Rehearsing A Real School Morning
Before discharge we practice an early class, the car ride, and a Sunday night that does not slide back into old habits.
Send the transcript, the current schedule, and any IEP or 504 so morning classes match the wake time we are protecting.
Length of stay
30
days in residence, by progress
Most stays run 60 to 90 days. Some finish closer to 30, and a few need longer.
90
A rough stretch may belong in outpatient CBT-I if your teen's day can still start. When sleep has cost them school and their mood, a 30 to 90 day stay provides a schedule the household can genuinely hold. The work happens nightly, and aftercare can run for months afterward.
When to call
If sleep is costing your teen school, their mood, or your family's mornings, and sleep hygiene advice has already failed, call us. Aaron Earnest and the admissions team will be honest about whether outpatient CBT-I is still enough. If the nights are mostly anxiety rather than a schedule problem, our residential treatment for teen anxiety page fits better. Sleep medication stays brief and uncommon here.