Treatment for severe insomnia typically involves a combination of nonpharmacologic and pharmacologic therapies. Nonpharmacologic approaches include sleep hygiene practices, cognitive behavioral therapy for insomnia (CBT-I), relaxation techniques, and stimulus control therapy.

Acupuncture has been found to be effective in treating insomnia and accompanying anxiety. It is suggested that acupuncture can improve sleep quality, efficiency, and latency in patients with chronic insomnia, and it can alleviate anxiety and depression in such patients. The treatment is associated with a significant nocturnal increase in endogenous melatonin secretion, which is a hormone that regulates sleep, and significant reductions in anxiety scores.

If you're having trouble falling asleep, there are several strategies you can try: Establish a bedtime routine: Create a relaxing routine before bed to signal to your body that it's time to sleep. This can include activities like reading a book, taking a warm bath, or practicing relaxation techniques. Create a sleep-friendly environment: Make sure your bedroom is cool, dark, and quiet. Use earplugs, an eye mask, or white noise machines if necessary.