Study of Cognitive Behavioral Therapy for Insomnia (CBT-I) and Acupuncture for Insomnia and Related Distress Among Cancer Caregivers

Inclusion Criteria: * As per self report, age 18 and older * As per self report, identifying as an informal caregiver to MSKCC patients of any site or stage of cancer * Score greater than 7 on the Insomnia Severity Index and meet the criteria for Insomnia Disorder as defined by the Diagnostic and Statistical Manual of Mental disorders, 5th Edition (DSM-5) (56) as assessed by the Insomnia Interview Schedule * In the judgment of the investigators and/or consenting professional, able to read and comprehend English * In the judgment of the consenting professional cognitively able to provide informed consent Exclusion Criteria: * As per self report, participant has another sleep disorder provided that it is not adequately treated (e.g., sleep apnea without CPAP treatment) * As per self report, participant has major depressive disorder, alcohol or drug dependence and * As per self report, heavy drinker (regularly having more than 14 alcoholic beverages per week) * As per self report, engaging in night shift work * To not obscure cortisol assessment, regular smokers per self report (daily use) will be excluded. * As per self report significant needle phobia as to prevent participation in acupuncture