Sleep is not a side issue that resolves once the mood improves. It is often the thing holding the mood in place. Treating insomnia directly frequently does more for depression, anxiety and attention than adding another daytime medication.
How care usually works
Evaluation screens for sleep apnea, restless legs, shift-work patterns, substances and medication timing before anything is prescribed. Where medication helps, I favor options with the fewest next-day costs and the clearest exit plan, and I treat trauma-related nightmares as their own target rather than folding them into general insomnia.
What we focus on
- Screening for apnea, substances and medication-timing causes
- Behavioral sleep restructuring alongside medication
- Targeted treatment for trauma nightmares
- Deliberate tapering plans for existing sleep medications
Let's start with a conversation
Virtual appointments, evenings and weekends included. Send a request and you'll hear back with available times.