Sleep & insomnia
Better sleep starts with finding out why.
Lying awake, waking at 3 a.m., or sleeping all night and still feeling exhausted. Poor sleep affects your mood, focus, hormones, weight and immune health. We look beyond just sleep habits to the stress, hormone, nutrient and medical factors that keep you from resting well.
Request an appointmentWhat we help with
- Trouble falling asleep
- Waking during the night or too early
- Unrefreshing sleep and daytime exhaustion
- Racing thoughts and anxiety at bedtime
- Sleep changes in perimenopause and menopause
- Night sweats and hormone-related sleep disruption
- Sleep problems with ADHD, depression or anxiety
- Shift work and disrupted sleep schedules
- Dependence on sleep medications
Test, don't guess
What we may look at
- Cortisol and stress-response patterns
- Hormones, including progesterone, estrogen and testosterone
- Thyroid function
- Iron, ferritin, magnesium, vitamin D and B12
- Blood sugar swings overnight
- Gut health and inflammation
- Medications, caffeine and alcohol
- Screening for sleep apnea and restless legs
- Sleep hygiene, bedtime routine, light and screen exposure, and sleep schedule
Testing is chosen for you based on your symptoms, history and budget.
Your plan
How care works
We work to identify what's disrupting your sleep. While we address those root causes, we help you manage symptoms so you can rest sooner. Plans may combine sleep and nervous system support, blood sugar and nutrition support, targeted supplements, hormone care, cognitive behavioral strategies for insomnia, and medication when appropriate. If you want to reduce or come off a sleep medication, we do it gradually and safely.
Who you'll see
Common questions
Do you prescribe sleep medication?
When it's appropriate. Medication can be one part of your plan, and we also focus on the causes of poor sleep so you rely on it less over time.
Can you help me stop taking sleep medication?
Yes, in a safe and controlled way. We create a gradual, supervised tapering plan and support your sleep along the way. Please don't stop or change a medication on your own.
Do you test for sleep apnea?
We screen for signs of sleep apnea and other sleep disorders, and refer for a sleep study when needed.
Can hormones affect my sleep?
Yes. Shifts in progesterone, estrogen, testosterone, cortisol and thyroid hormones can all disrupt sleep, especially in perimenopause and menopause. Balancing them is often part of the plan.
Can lifestyle and diet changes help my sleep?
Yes. What and when you eat, blood sugar balance, caffeine and alcohol, movement, light exposure and evening routines all affect sleep. Our providers and health and nutrition coach help you make practical changes that fit your life and support better rest.