Sleep Difficulties

Sleep difficulties can take many forms, but one thing is clear – sleep has a significant impact on quality of life. Here are common sleep difficulties that  I treat:


One in ten individuals struggles with insomnia. If you’ve had insomnia for a long time, you may wonder how treatment can change your longstanding sleep difficulties. You may have tried various treatments before and found them ineffective.  Your insomnia may come and go, or it may be constant. However it manifests, you are not alone.  Many of the individuals with whom I work are exasperated by their sleeping difficulties and feel hopeless at the outset. Cognitive Behavioral Therapy for Insomnia (CBT-I) is the recommended first-line treatment by the National Institute of Health and the American Academy of Sleep Medicine. Supported by decades of research, CBT-I focuses on the factors that exacerbate and maintain your insomnia. Many people start to notice improvements in just a few sessions.  Once you have learned how to improve your sleep, we focus on methods for preventing the return of your insomnia and on anticipating setbacks. I can also work with your medical provider to help you taper off sleep medications if desired. My goal is for you to leave feeling well-rested and confident in your sleep habits. 


Hypersomnia or hyHypersomnia2persomnolence is characterized by long sleep at night, frequent sleep during the daytime, and/or difficulty waking up in the morning or following naps.  Using techniques from CBTI and chronobiological therapies, we can work to improve sleep quality, reduce total sleep time, feel more energized during the daytime and take smarter (and fewer) naps.

Circadian Rhythm Difficulties. 

DelayeCircadian_rhythm_labeledd or Advanced Sleep Phase Disorder occurs when our internal biological clock is out of sync with the demands of school, work or social schedules.  Individuals with a delayed sleep phase, for example, may find themselves alert in the evening, very sleepy in the morning, and have difficulty falling asleep at their desired time.  Using strategic exposure to light and melatonin, we can work to shift your internal clock to your desired schedule.


Chronic ornature-night-dark-tree frequent nightmares can be extremely frightening, and individuals may avoid going to sleep or sleeping in their beds for fear of having nightmares return.  Nightmares may arise following a traumatic event or may occur in the absence of trauma.  Regardless of the origin, we can use Imagery Rehearsal Therapy to help reduce the frequency and severity of nightmares to help you sleep peacefully again.

We can work to reduce your sleep difficulties using brief, empirically-validated techniques. I have spent 13 years treating sleep problems and nearly 20 years researching sleep disorders. I am board certified in Behavioral Sleep Medicine and have written scientific papers, book chapters and therapist guides on how to treat insomnia, hypersomnia and other sleep difficulties.  I look forward to helping you get your sleep back on track.