The majority of patients I see have struggled with insomnia for anywhere from years to decades. Most have tried numerous medications that "worked for a little while," then quit. Cognitive-Behavioral Therapy for Insomnia is a time-limited (6-8 sessions), highly efficacious treatment. Learn more here.
"I can't turn my thoughts off."
"All I think about all day long is my sleep."
Sound familiar? While many of my patients describe themselves as "Type A" and "high strung," most notice that the bulk of their anxiety centers on sleep. A common phrase I hear is, "I feel pretty good during the day, but as bedtime approaches, my anxiety skyrockets."
While generalized anxiety responds well to traditional Cognitive-Behavioral Therapy (CBT), I use a targeted form of CBT to treat anxiety specifically related to sleep disturbance.
Sleep apnea is a serious medical condition that should be diagnosed by a qualified sleep medicine physician. If you have been prescribed a CPAP/BiPAP device and the thought of wearing it at night elicits a gut-level sense of panic, you may be a candidate for something called "CPAP desensitization."
CPAP desensitization consists of a set of behavioral exercises that are initially practiced in the office and are later transferred to the home setting. Treatment course is typically 2-3 sessions.