Billy Randolph

I work with adults who are exhausted from fighting their own sleep: lying awake for hours after the lights go out, waking in the middle of the night and staring at the ceiling, or giving up on sleeping by 5am. Most have already tried the standard advice: better sleep hygiene, melatonin, cutting caffeine — and none of it touched the real problem.

I treat insomnia exclusively, using Cognitive Behavioral Therapy for Insomnia (CBT-I), the first-line treatment for chronic insomnia, often more effective long-term than medication alone. My practice is built entirely around this one issue.

My approach is structured and evidence-based, not open-ended talk therapy. CBT-I works through your relationship with sleep, the behaviors that perpetuate the insomnia, and the thoughts that have you feeling wired when you are trying to sleep.

I'm direct about what we're doing and why. Some parts of this work will feel counterintuitive or genuinely hard before they get easier — I won't sugarcoat that — but we'll adjust the plan together based on how you respond.

Our first session is a thorough conversation about your sleep history and current patterns, and anything else that might be affecting your sleep.

You'll leave with a clear picture of what to expect in the weeks ahead. My goal is simple: you should understand exactly why your insomnia is sticking around, and feel like there's finally a concrete plan to address it.