Skip to main content
QV

QuickVisitMD™

Start request

Insomnia guide

Insomnia treatment online in Virginia and West Virginia

This guide is for trouble falling asleep, staying asleep, or waking up too early. Care is built around CBT-I (cognitive behavioral therapy for insomnia) and sleep hygiene as the real fix, with non-controlled medication as an adjunct when appropriate. We never prescribe Ambien, Lunesta, Sonata, any other z-drug, or any benzodiazepine — on this lane or anywhere on QuickVisitMD.

Start online

Start a $59 online review for Insomnia (trouble sleeping).

If you're struggling to fall asleep, stay asleep, or wake up feeling rested, online review can help you build a real plan — starting with CBT-I and sleep hygiene, and adding a non-controlled medication like trazodone, hydroxyzine, ramelteon, or low-dose doxepin if appropriate. We screen for sleep apnea, mood symptoms, and mania before recommending any medication, and we never prescribe zolpidem, eszopiclone, zaleplon, or any benzodiazepine — no Ambien, no z-drugs, no benzos, ever.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Start this visitSee response windows

Quick facts

  • You must be physically in Virginia and West Virginia at the time of request
  • Starts at $59
  • No insurance needed
  • No app download
  • Physician review around the clock
  • Non-controlled prescriptions can be sent to your pharmacy when appropriate
  • A work or school note can be included when medically appropriate
  • Response windows: 24/7, every day

Common symptoms

  • Trouble falling asleep
  • Waking up during the night and struggling to fall back asleep
  • Waking up too early
  • Sleep that doesn't feel refreshing, or daytime fatigue from poor sleep

May fit online care

  • Adults 18 and older
  • Trouble sleeping without loud snoring, witnessed breathing pauses, or significant daytime sleepiness
  • No depressed mood, loss of interest/pleasure, or thoughts of self-harm
  • No signs of mania (decreased need for sleep with high energy or racing thoughts)
  • Willingness to start CBT-I and sleep hygiene as the core of the plan

Look for another care setting

  • Loud snoring, witnessed pauses in breathing, or significant daytime sleepiness (needs a sleep study first)
  • Feeling down, depressed, or hopeless, or losing interest in things you used to enjoy (needs a mood-focused visit)
  • Needing much less sleep while having unusually high energy or racing thoughts (needs in-person evaluation)
  • Looking for Ambien, Lunesta, Sonata, or a benzodiazepine — these are never prescribed here

What to have ready

  • What's happening with your sleep, and for how long
  • Whether you snore loudly or anyone has witnessed you stop breathing during sleep
  • Whether you've felt down, depressed, or lost interest in things lately
  • Whether you drink alcohol regularly or work night shifts / drive commercially
  • Your age (this changes which medication is preferred)

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer the fit questions, and choose the response window you want. If the concern still fits this service, a physician reviews it and sends a secure update after sign-in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Your physician

Every visit is personally reviewed by Ankur Fadia, MD — board-certified, cardiology-fellowship-trained, and Alpha Omega Alpha. Recognized with the Act Fast Award for the fastest physician stroke-treatment times (2019–2022) and as the most efficient, highest-rated physician in the HCA LewisGale Alleghany emergency department (2018). Licensed in Virginia and West Virginia — your care is never handed off.

Verify Virginia medical licenseVerify West Virginia medical licenseVerify board certification

Why won't you prescribe Ambien or a benzodiazepine for my insomnia?

Zolpidem (Ambien), eszopiclone (Lunesta), zaleplon (Sonata), and benzodiazepines are all federally controlled substances with real risks of dependence, next-day impairment, and misuse. QuickVisitMD does not prescribe any controlled substance, on this lane or any other — this is a firm policy, not a case-by-case decision. Instead, we offer non-controlled options (trazodone, hydroxyzine, ramelteon, low-dose doxepin) alongside CBT-I, which has the best long-term evidence for treating insomnia.

What is CBT-I, and why does it matter more than medication?

CBT-I (cognitive behavioral therapy for insomnia) is a structured program that changes the habits and thought patterns that keep insomnia going — things like sleep hygiene, stimulus control, and adjusting time in bed. It has been shown to work as well as or better than medication for chronic insomnia, without the side effects or dependence risk. We provide sleep hygiene guidance and point you to reputable CBT-I resources, like the free VA/DoD 'CBT-i Coach' app, as the foundation of your plan.

Why do you ask about snoring, mood, and energy levels?

Insomnia can sometimes be a symptom of something else that needs a different kind of care. Loud snoring with witnessed breathing pauses can signal sleep apnea, which needs a sleep study before any sedating medication. Low mood or loss of interest can signal depression, which is better treated through a mood-focused visit. Needing much less sleep while having unusually high energy can signal mania, which needs prompt in-person evaluation. Screening for these keeps your treatment safe and appropriate.