CBT-I for Insomnia in Vancouver

Cognitive Behavioural Therapy for Insomnia is the first-line treatment recommended by every major sleep medicine body worldwide. Treatment is accessible online to residents across Vancouver, from the Downtown, to Kitsilano, Mount Pleasant, East Van, and the broader Lower Mainland.

Are you a clinician? Refer a patient here

4 in 5

patients improve their sleep with CBT-I

Registered Clinical Counsellor

Virtual sessions available across B.c.

Flexible fees & Insurance accepted

Backed by Hundreds of studies

Serving Vancouver

Online CBT-I for Vancouver residents

Cognitive Behavioural Therapy for Insomnia isn't sleep hygiene tips or relaxation podcasts. It's a structured, short-term therapy that targets the root causes of why you can't sleep, not just the symptoms.

Whether you are navigating the high-stress demands of Vancouver's fast-paced professional sectors or dealing with the impact of our notoriously dark, overcast winters on your circadian rhythm, our targeted therapy helps you regain control. We provide specialized, virtual insomnia treatment tailored specifically for adults living and working in Metro Vancouver.

Instead of relying on pills that stop working, CBT-I retrains the patterns that keep insomnia going. It works by rebuilding your body's natural ability to sleep.

Rebuild your sleep drive

Your body has a natural pressure to sleep. Insomnia disrupts it. We restore it so sleep comes naturally again.

Break the bed-wakefulness connection

Your brain has learned to associate bed with being awake. We reverse that so your bed means sleep again.

Quiet the racing mind

The worry, the clock-watching, the dread of another bad night. We address the thought patterns that fuel insomnia.

At BC CBT-I, we integrate CBT-I with Acceptance and Commitment Therapy (ACT) for the most effective, flexible approach to restoring your sleep.

Who this affects in Vancouver

A lot of this city works
while the rest of it sleeps.

Vancouver Coastal Health and Providence run two of the province's busiest hospitals without closing. Port terminals work around the clock. Coast Mountain Bus Company and SkyTrain are moving people before five in the morning and after one at night. And as the third largest film and television production centre in North America, this city employs thousands of crew whose call time moves later every day of the week by design. None of that causes insomnia on its own. What irregular hours do is narrow the margin, so a rough stretch that a nine to five worker would sleep off instead becomes a pattern that outlasts whatever started it.

Hospital and health authority staff

VGH, St Paul's and the community sites run continuously. Nurses, care aides and allied health staff rotating from days to nights lose sleep on the turnaround, and twelve-hour rotations compress the recovery window at both ends of the stretch off.

Film and television crews

Camera wrap drifts later across the shooting week, so crew are chasing a bedtime that never settles. Add a block of night shoots and the pattern has more in common with repeated jet lag than with a work schedule. Then the show wraps and the body clock has to be rebuilt from scratch.

Transit and port operations

The TransLink enterprise employs roughly 9,600 people across buses, SkyTrain and Transit Police, much of it on split shifts and early sign-ons. Port terminals run continuously, and dispatch makes the next shift difficult to plan sleep around.

Police, fire and paramedics

VPD, Vancouver Fire Rescue and BCEHS crews come off shift with arousal still elevated, and downtown call volume gives it little chance to settle. That failure to wind down after the shift ends is the mechanism that converts occasional bad nights into chronic insomnia.

Tech, finance and professional services

A different mechanism producing the same complaint. Fixed hours, but a mind that keeps working after the laptop closes. This group usually has the strongest benefits coverage in the city and the longest history of trying to solve it alone first.

Two different problems get called insomnia here

Crew and operators on drifting or rotating schedules often have a circadian problem: the body clock is out of step with the hours being asked of it, and sleep would be fine if it were allowed to happen at the time the body wants. Someone downtown on fixed hours, lying awake at eleven with a mind that will not stop, has insomnia itself. The two feel similar from the inside and need close to opposite treatment.

Sleep restriction is the strongest tool in CBT-I, and used on a circadian problem it makes things worse. Working out which one you have comes first, before any part of the protocol starts. How the two are told apart, why the mind races at bedtime, and which jobs in BC carry the highest insomnia rates.

What this costs with your plan

  • Health authority, municipal, transit and school district plans in BC are commonly administered through Pacific Blue Cross or Sun Life. BC CBT-I direct bills both, so there is nothing to submit and nothing to wait for.
  • Film and television crew covered through a union health and welfare plan should confirm eligibility before booking. These plans are funded by hours banked on production, so coverage moves with how much you have worked in the plan year rather than sitting at a fixed amount.
  • Employer plans in tech and finance often pair a counselling allowance with a health spending account. If the counselling maximum runs out partway through treatment, the spending account will usually absorb the rest.
  • Sessions are delivered by a Registered Clinical Counsellor (RCC #21951), the designation most BC extended health plans cover, and are GST exempt. Here is exactly what to ask your provider before you book.
Your Therapist

Graeme Thompson, RCC

I started BC CBT-I because there is a glaring need for qualified sleep therapists in British Columbia. I’ve seen the life-changing difference it makes when someone finally overcomes their insomnia. It’s the difference between surviving and actually thriving.

I’m excited to be part of that transformation with you.

MA Counselling Psychology RCC #21951 CBT-I Certified ACT for Insomnia
The Evidence

This isn't alternative medicine.

It's the most researched treatment for insomnia in the world. Every major medical guideline recommends it.

"CBT-I should be the first-line treatment for all adults with chronic insomnia."
American College of Physicians, Annals of Internal Medicine
"Strong recommendation for CBT-I as the treatment of choice for insomnia disorder."
World Sleep Society Position Statement, Sleep Medicine (2023)
"CBT-I is now unequivocally recommended as first-line treatment for insomnia."
European Sleep Research Society, Journal of Sleep Research (2023)
241
Clinical Trials
A 2024 JAMA Psychiatry analysis of over 31,000 participants confirmed CBT-I as the most effective treatment.
4 in 5
Patients Improve
The majority of people treated with CBT-I experience significant, measurable improvements in their sleep.
51%
Full Remission
Over half of patients no longer meet the clinical criteria for insomnia after treatment.
24+
Months Lasting
Results are maintained long after therapy ends. Unlike medication, CBT-I builds skills that last.
6 to 8
Sessions
That's all it typically takes. A short, structured program with lasting impact.
Getting Started

Three steps to better sleep.

1

Book a free consult

A 15 minute conversation to understand your sleep challenges and see if CBT-I is right for you. No commitment, no pressure.

2

Start your personalized program

We'll track your sleep data and build a treatment plan tailored to you. Weekly sessions, online, on your schedule.

3

Sleep again

Most people see meaningful improvement within 6 to 8 sessions. The skills you learn stay with you. No ongoing medication, no dependency.

You Don't Have to Keep Living Like This

Book a free consultation and let’s talk about how CBT-I can help you sleep again.

Common Questions

Frequently asked questions

About CBT-I and online therapy in Vancouver, British Columbia.

Is CBT-I available online?
Yes. All sessions are delivered via secure video. No travel is required. The practice serves clients throughout British Columbia.
Do I need a referral?
No referral is needed. Book a free consultation directly, or read about what to expect from therapy if this is new to you.
DoI need to come to an office at all?
All sessions are conducted entirely online via a secure, BC-compliant video platform, meaning you don't have to worry about rushing across the Lions Gate Bridge, navigating downtown parking, or pushing through a busy Skytrain. Whether you are living in Kitsilano, working in the tech sector downtown, or commuting from East Van, you can complete the entire 6-to-8 week program from the comfort and privacy of your own home.
Is CBT-I covered by insurance in BC?
Most BC extended health plans cover RCC sessions. If you are working for a major corporation, independent tech sector, or the many public sector jobs, your extended health likely covers treatment. Direct billing is available for Pacific Blue Cross, Sun Life, and many other providers. Read the full guide to counselling insurance in BC.
How long does CBT-I take?
Treatment typically runs six to eight sessions over six to eight weeks. It is short-term and structured, with a clear endpoint and measurable outcomes.
How is CBT-I different from general therapy?
CBT-I is a specialised treatment that targets insomnia directly, not a general approach applied to sleep. It uses specific techniques — sleep restriction, stimulus control, and cognitive restructuring — that address the mechanisms maintaining your insomnia rather than its downstream effects.
Does CBT-I work if I've had insomnia for years?
Yes. Duration of insomnia does not predict treatment response. The patterns that maintain chronic insomnia are consistent regardless of how long they have been present, and CBT-I addresses those patterns directly.

Blog and Resources

Wildfire image, burning in the distance.

Wildfire Smoke and Sleep in BC: When It Becomes Insomnia

An illustration of a man worried about his sleep

Circadian Rhythm Disorder or Insomnia? How to Tell Apart

Can You Recover from Sleep Debt? The Randy Gardner Story

How What You Eat and Drink Affects Your Sleep | BC CBT-I

SAD Lamp for Insomnia: How to Choose the Right One

Autism and Insomnia in Adults: Why Sleep Is So Hard

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