Sleep difficulties can affect your energy, concentration, and daily life. If you regularly struggle to fall asleep, stay asleep, or feel rested, an evaluation can help identify what is contributing.
When to Seek Help
Occasional sleep disruption is common, especially during stressful periods. Consider seeking help when sleep problems persist or interfere with work, relationships, or daily activities.
Loud snoring, gasping during sleep, or significant daytime sleepiness may indicate sleep apnea or another sleep disorder that needs medical evaluation.
Understanding Your Sleep
An assessment considers your sleep schedule, symptoms, medical and psychiatric history, medications, and use of caffeine or alcohol. A sleep diary can help reveal patterns.
Sleep problems may occur alongside anxiety or depression. Some concerns require a sleep study or evaluation by a sleep medicine specialist.
Treatment and Support
Treatment depends on the cause. A consistent sleep schedule and changes to daily habits can support better sleep.
For persistent insomnia, cognitive behavioral therapy for insomnia (CBT-I) is usually recommended as the first treatment. Medication may be appropriate in some cases, with careful consideration of benefits and risks.
Care with Dr. Malkin
Dr. Dmitry Malkin considers sleep as part of a comprehensive psychiatric evaluation, including how it relates to mood, anxiety, and daily functioning. When needed, care may include referral for specialized sleep evaluation or treatment.
To request an evaluation, please visit the Contact page.
