Expert Sleep Disorder Treatment: Restore Your Sleep, Reclaim Your Life
Specialized, evidence-based care for insomnia, sleep apnea, restless legs syndrome, and circadian rhythm disorders. Telehealth appointments available across Washington, New York, Oregon, Nevada & Arizona.
Comprehensive Care for All Sleep Disorders
Sleep disorders are medical conditions that require precise diagnosis and tailored treatment. Our specialists are trained in the full spectrum of sleep medicine.
Chronic & Acute Insomnia
Difficulty initiating or maintaining sleep. We offer gold-standard CBT-I (Cognitive Behavioral Therapy for Insomnia) alongside careful medication management when appropriate.
Obstructive Sleep Apnea
Repeated breathing pauses during sleep. Our approach includes home sleep testing, CPAP optimization, oral appliance therapy, and lifestyle interventions.
Restless Legs Syndrome / PLMD
Uncontrollable urge to move legs, especially at night. We provide advanced iron management, medication strategies, and behavioral interventions.
Circadian Rhythm Disorders
Delayed sleep phase, advanced sleep phase, shift work disorder. Treatment includes chronotherapy, light exposure management, and melatonin timing.
Hypersomnia & Narcolepsy
Excessive daytime sleepiness despite adequate sleep. We offer comprehensive evaluation and advanced wake-promoting therapies.
Parasomnias & REM Behavior Disorder
Sleepwalking, night terrors, REM sleep behavior disorder. Safety planning and targeted medical management for restorative sleep.
Common Warning Signs of Sleep Disorders
Many sleep disorders go undiagnosed for years. Early recognition leads to faster recovery and prevents associated health complications.
Daytime Indicators
- Persistent fatigue despite 7+ hours in bed
- Brain fog, poor concentration, memory lapses
- Morning headaches or dry mouth
- Irritability, anxiety, or low mood
- Dependence on caffeine to function
Nighttime Signs
- Taking >30 minutes to fall asleep regularly
- Loud, disruptive snoring with breathing pauses
- Uncomfortable leg sensations at rest
- Waking up multiple times and unable to return to sleep
- Extreme difficulty waking at desired time
Clinical Insight: Untreated sleep disorders increase risk of hypertension, heart disease, stroke, diabetes, and cognitive decline. Timely intervention by a sleep specialist is essential for long-term health.
Integrated, Evidence-Based Sleep Treatments
We combine behavioral, medical, and technological interventions to create a personalized roadmap to better sleep.
Cognitive Behavioral Therapy for Insomnia (CBT-I)
CBT-I is the first-line, non-medication treatment endorsed by the American Academy of Sleep Medicine. It achieves lasting results by restructuring sleep-related thoughts and behaviors.
Core components: Sleep consolidation, stimulus control, cognitive restructuring, and relapse prevention. Typically 6-8 sessions yield measurable improvement.
Why Patients Choose CBT-I
- 70-80% success rate for chronic insomnia
- No medication side effects or dependency
- Long-term sleep improvement after treatment ends
- Reduces anxiety about sleep
Precision Medication Management
When medication is indicated, we use the latest pharmacologic options with careful monitoring. Our goal is minimal effective dose for the shortest necessary duration.
Options include: dual orexin receptor antagonists (DORAs), melatonin agonists, low-dose antidepressants for sleep, and targeted RLS medications. We also provide safe tapering plans for long-term users.
Our Medication Philosophy
- Thorough risk-benefit discussion before prescribing
- Non-benzodiazepine and novel agents prioritized
- Coordinated care with other providers
- Regular monitoring for efficacy and side effects
Comprehensive Sleep Apnea Care
We offer streamlined diagnosis and treatment for obstructive sleep apnea. Our process includes: at-home sleep testing, detailed interpretation, and personalized therapy selection.
Beyond CPAP, we provide oral appliance therapy (mandibular advancement devices), positional therapy, Inspire hypoglossal nerve stimulation referrals, and weight management support. We also specialize in CPAP desensitization for patients who struggle with adherence.
Sleep Apnea Treatment Outcomes
- Improved daytime alertness within weeks
- Reduced cardiovascular strain
- Better blood pressure control
- Enhanced cognitive function
Advanced Diagnostic & Therapeutic Tools
For complex sleep disorders, we utilize actigraphy monitoring, advanced polysomnography interpretation, and chronobiological interventions. We also treat comorbid conditions such as PTSD-related nightmares and sleep-related movement disorders.
Our practice stays current with emerging therapies, including bright light therapy for circadian disorders and cognitive-behavioral therapy for nightmares (CBT-N).
Specialized Services
- Circadian rhythm phase assessments
- Light therapy protocols
- Pediatric sleep consultation
- Co-management with cardiology, neurology, and psychiatry
Science-Based Sleep Habits That Work
While sleep hygiene alone rarely resolves clinical sleep disorders, it creates a strong foundation for treatment success.
Sleep Window Consistency
Wake at the same time daily — even after poor sleep — to stabilize your circadian rhythm.
Bed = Sleep Only
Use bed only for sleep and intimacy. If awake >20 minutes, leave the bedroom until sleepy.
Morning Light Exposure
Get 15-30 minutes of natural light within an hour of waking to reinforce your circadian clock.
Wind-Down Buffer
Create a 60-minute pre-sleep routine without screens, work, or stressful content.
Our Streamlined Sleep Care Pathway
From first contact to follow-up, we make sleep care accessible, clear, and effective.
Telehealth Intake
Comprehensive 60-75 minute video consultation reviewing sleep history, medical factors, and lifestyle patterns. We gather your sleep diary and identify potential underlying causes.
Targeted Diagnostics
If needed, we order home sleep apnea testing, actigraphy, or refer for in-lab studies. We coordinate with your insurance to maximize coverage.
Personalized Treatment Plan
We co-create a plan combining CBT-I, medication strategies, PAP therapy setup, or advanced interventions — tailored to your preferences and clinical needs.
Ongoing Support & Optimization
Regular follow-ups to monitor progress, adjust therapies, and ensure sustained improvement. We celebrate milestones and refine strategies as you progress.
Sleep Treatment: What You Need to Know
Telehealth sleep medicine is highly effective for most sleep disorders. We conduct thorough interviews, review sleep studies remotely, prescribe medications when appropriate, and deliver CBT-I via video. For sleep apnea, we arrange home sleep testing and remote CPAP monitoring. In-lab studies are arranged locally when needed.
Most insurance plans allow direct self-referral to our practice. We also accept referrals from primary care physicians, psychiatrists, and other specialists. Our team can verify your coverage before your first appointment.
Yes. For mild to moderate sleep apnea, oral appliances, positional therapy, and lifestyle changes can be highly effective. For moderate to severe cases, we offer advanced CPAP support and alternatives like Inspire therapy. We help you find the solution that fits your lifestyle.
Most major insurance plans cover CBT-I when delivered by a qualified sleep specialist. We verify benefits upfront and provide transparent cost estimates. Many patients find CBT-I eliminates long-term medication expenses.
Complex or treatment-resistant sleep disorders require a specialized approach. We conduct a thorough re-evaluation, consider underlying comorbidities, and often combine multiple modalities. Many patients who felt "untreatable" achieve significant improvement with our integrative model.
Ready to Transform Your Sleep?
You don't have to accept poor sleep as normal. Our expert team is here to help you achieve the deep, restorative sleep you deserve.
Diplomate, American Board of Sleep Medicine | CBT-I Certified | Home Sleep Testing | Telehealth Across WA, NY, OR, NV, AZ