Behavioral Sleep Medicine Program
Treatments For Improving Sleep
Improving Sleep with Cognitive-Behavioral Therapy for Insomnia
Improving Sleep for People Suffering from Anxiety
One of the most common causes of sleep problems is anxiety. Some people can’t sleep because they have difficulty “shutting their minds off” at night. Often they report feeling very worried or anxious about what might happen in the future, while others just feel wide awake and start thinking about anything that comes to mind. If your brain seems to kick into high gear at night, your sleep is likely to suffer. We can help you develop skills to cope with these issues in new ways.
Improving Sleep for People Suffering from Depression
Depression involves feeling down and/or losing interest or pleasure in things you used to enjoy. Sleep problems are very common in those suffering from depression, which can make it harder to recover. We provide integrated treatments to improve sleep and treat depression at the same time to help you recover as quickly as possible and stay well longer. Typically, this includes Cognitive behavioral therapy (CBT) for depression in combination with Cognitive behavioral therapy for insomnia (CBT-I). If you take medication for depression, we can help.
Improving Sleep for People who have Experienced Trauma
People who experience a traumatic event such as a serious accident, natural disaster, physical violence, or sexual assault often develop problems sleeping. It is also common to experience depression, anxiety or post-traumatic stress disorder (PTSD) following a traumatic event. You may feel “on guard” and have difficulty relaxing. Bad dreams are also common.
Our specialists can help relieve these symptoms and get you sleeping better. After a thorough assessment, we will work with you to develop personalized treatment, which may include trauma-focused treatment such as cognitive processing therapy for PTSD, prolonged exposure for PTSD, imagery rehearsal therapy for chronic nightmares, and/or Cognitive behavioral therapy for insomnia (CBT-I). Each of these treatments has a strong evidence base showing that they are safe and effective.
Improving Sleep with Help Tolerating CPAP and BiPAP Devices
Millions of people in the United States have been diagnosed with sleep apnea, a medical condition in which breathing is impaired during sleep, often causing fatigue and low motivation during the day. CPAP (continuous positive airway pressure) or BiPAP (bilevel positive airway pressure) machines are an excellent treatment, but many people have difficulty tolerating these devices while they sleep.
If you find that you feel claustrophobic or anxious while wearing the device, we can help. Treatment typically involves gradually getting used to the device. Relaxation exercises may be used until wearing the mask becomes second nature.
Improving Sleep with Help Reducing or Eliminating Use of Sleep Medications
Many people use sleep medications longer than desirable. If you have been taking a medicine to help you sleep for a long time, it can be difficult to stop. Our specialists can help you slowly reduce your use of a sleep medication, while helping you develop skills to improve the quality of your sleep. We will work with you and your doctor to develop a plan that is safe and manageable.