A few bad nights happen to everyone. When you can't fall asleep, wake up at 3 am and can't get back to sleep, or wake up exhausted night after night, it affects your mood, focus, and health. Poor sleep and mental health feed each other, so fixing one often helps the other.
Our board-certified psychiatric providers help teens and adults across Washington State figure out what's behind their sleep problems and treat it.
Signs it's time to get help
- Trouble falling or staying asleep at least three nights a week
- Waking too early and not being able to fall back asleep
- Feeling tired, irritable, or foggy during the day
- Relying on alcohol or over-the-counter sleep aids to get to sleep
- Sleep problems that started with stress, depression, or anxiety
Finding the cause
Insomnia is often a symptom of something else, like anxiety, depression, PTSD, ADHD, or bipolar disorder. Medications, caffeine, shift work, and conditions like sleep apnea can also play a role. We look at the full picture and, if a medical sleep issue is likely, we'll recommend a sleep study through your primary care provider.
Treatment options
Treating the underlying condition often improves sleep on its own. When medication for sleep makes sense, we'll choose options carefully and explain the pros and cons. Practical sleep strategies and therapy for insomnia (CBT-I) are also very effective, and we can point you to resources.
How care works with us
- Start with an evaluation. Your first visit is a full psychiatric evaluation, about an hour, by secure video or in person in Lakewood when available.
- Build a plan together. You'll hear what we think is going on, your options, and the reasoning behind any recommendation.
- Ongoing follow up. If medication is part of your plan, we monitor and adjust it through regular medication management visits.
- Work with your therapist. We don't provide therapy, but many of our patients see a therapist, and we're glad to coordinate with yours.
If you are in crisis or thinking about harming yourself, call or text 988 (Suicide and Crisis Lifeline) or call 911. We are an outpatient practice and can't provide emergency care.
Frequently asked questions
Will you prescribe sleeping pills?
Sometimes medication helps, but we focus first on what's causing the problem. When we do prescribe, we explain the options, risks, and how long to use them.
Can stress or anxiety cause insomnia?
Yes, very often. Treating anxiety, depression, or trauma symptoms frequently improves sleep.
Do I need a sleep study?
Not always. If your symptoms suggest sleep apnea or another medical sleep disorder, we'll recommend one through your primary care provider.
Is this covered by insurance?
Psychiatric evaluation and medication management are covered by most plans. See our accepted insurance.
Ready to get started?
Book online in a few minutes, call us, or leave your details below and our team will call you to schedule. Telehealth anywhere in Washington State. Most major insurance accepted.
Request received.
Our team will reach out within one business day to get you scheduled.