Will you prescribe a sleep medication?

Sometimes. We look at root causes first (anxiety, PTSD, hormones, medication side effects, undiagnosed sleep disorders) and prescribe when it fits.

Do you do sleep studies?

We don't, but we refer to sleep medicine when a sleep study is warranted (suspected sleep apnea, restless legs, parasomnias).

Can hormone changes affect my sleep?

Yes. HRT initiation and dose changes commonly shift sleep architecture. We coordinate with your hormone provider.

Are non-benzodiazepine options available?

Yes. Trazodone, doxepin, ramelteon, and others are commonly used and we discuss what fits.

Treatment areas · 07 of 09

Insomnia

Comprehensive insomnia care that looks at sleep in the context of everything else. Sleep is rarely just sleep. We look at the whole picture, including any other diagnoses, medications, and lifestyle factors, and we treat insomnia as part of overall mental-health care.

Schedule a consultation ← All treatment areas

Who this is for

Common reasons patients come in.

01
Patients with chronic insomnia (three or more nights a week for three or more months)
02
PTSD-related insomnia and nightmares
03
Sleep disruption during HRT initiation or major hormone changes
04
Anxiety-driven sleep onset issues
05
Patients whose primary-care prescriptions for sleep aren't working anymore

In practice

What treatment actually looks like.

No mystery, no choreography. Here’s the structure.

01
Thorough sleep history: when did it start, what shifted, what have you tried
02
Coordination with sleep medicine if a sleep study is warranted
03
Pharmacology where it fits, including non-benzodiazepine options where possible
04
Sleep hygiene basics, but only after we've ruled out underlying drivers
05
Honest about the limits of what medication does for sleep

For LGBTQIA+ patients

Specifically, what affirming care looks like for insomnia.

Insomnia in queer patients often traces back to safety stress: a hypervigilance that was learned somewhere real and now operates at the wrong volume. PTSD-related insomnia from coming-out trauma, family rejection, conversion-therapy survivorship, or intimate-partner violence in queer relationships is common and treatable. For trans patients, hormone changes (especially during HRT initiation, dose adjustments, or surgical recovery) can disrupt sleep architecture in real ways, and we plan around that rather than just prescribing through it. Partnered sleep stress in non-traditional relationship structures is also worth naming directly when it's part of the picture.

Common questions