Therapy | Sleep

Restore your rest and energy

Sleep impacts everything—your mood, patience, focus, and health. We use Cognitive Behavioral Therapy for Insomnia (CBT-I) to help you get back to sleep.

Washington State residents

The cycle of insomnia

Insomnia often starts with a stressor, but it is maintained by habits and worries about sleep. Paradoxically, trying harder to sleep often makes it harder to sleep.

You might be spending long hours in bed awake, looking at the clock, and dreading the next day's fatigue. This creates a conditioned arousal response to your bed.

How we treat it: CBT-I

CBT-I is the first-line treatment for chronic insomnia. It is a structured, short-term approach that changes the behaviors and thoughts that keep you awake.

The Sleep Diary

A key tool we use is the Sleep Diary. Tracking your actual sleep patterns (not just what you recall) gives us the data to make precise adjustments to your sleep schedule.
  • Sleep Restriction: Temporarily matching time in bed to actual sleep time to build "sleep drive."
  • Stimulus Control: Re-associating the bed with sleep, not wakefulness or worry.
  • Sleep Hygiene: Optimizing your environment and routine.
  • Cognitive Restructuring: Addressing anxiety around sleep loss.

Who this is for

CBT-I is highly effective if you:

  • Have trouble falling asleep or staying asleep (3+ nights a week)
  • Dread going to bed
  • Rely on pills or alcohol to sleep
  • Feel tired but "wired" at night
Next step

Stop tossing and turning

Good sleep is a learnable skill. Let's look at your sleep patterns and create a plan to get you resting again.