Insomnia
Difficulty falling asleep, staying asleep, or waking too early — particularly when driven by anxiety, depression, burnout, or medication effects. Evaluated as part of the full psychiatric assessment.
Sleep Disorders
Persistent Sleep Problems That Affect Daily Functioning Are Often a Psychiatric Symptom — Not Just a Sleep Problem.
D&Y evaluates and treats insomnia and sleep disruption in the context of the anxiety, depression, PTSD, burnout, and mood conditions that most commonly drive them.
Chronic insomnia and disrupted sleep rarely exist in isolation — they are among the most common symptoms of untreated or undertreated psychiatric conditions, and they are among the most impairing. D&Y evaluates sleep problems as part of the full psychiatric picture rather than treating sleep in isolation.
Telehealth Statewide in California
Most Insurance Accepted
Now Accepting New Patients
The Connection
Why Treating the Sleep Problem Without Evaluating What Is Causing It Usually Does Not Work.
Sleep disruption is one of the most universal symptoms in psychiatry. Anxiety produces hyperarousal that makes falling asleep or staying asleep impossible. Depression produces early morning waking and non-restorative sleep regardless of how many hours are logged. PTSD produces nightmares, hypervigilance at night, and a nervous system that cannot downregulate enough to sleep soundly. ADHD dysregulates the circadian rhythm and produces a racing mind at bedtime. Burnout depletes the capacity to recover even through sleep.
When sleep disruption is treated with sleep aids or sleep hygiene protocols in the absence of a psychiatric evaluation, the underlying condition goes unaddressed. The sleep may improve somewhat, or temporarily. But the condition driving the disruption continues — and the functional cost continues with it. D&Y evaluates sleep as a symptom before treating it as a target.
When the underlying psychiatric condition is properly identified and treated, sleep disruption frequently improves significantly as part of the broader treatment response — without requiring a separate sleep medicine intervention.
What We Evaluate
Sleep Problems D&Y Addresses in the Psychiatric Context.
Each of the following sleep presentations is evaluated and addressed within a full psychiatric assessment — not as a standalone complaint, but as a symptom that tells us something important about what is happening underneath.
PTSD-Related Sleep Disruption
Nightmares, hypervigilance at sleep onset, and fragmented sleep in the context of PTSD or trauma history. Addressed within the PTSD treatment plan — not isolated from it.
Learn about PTSD treatmentADHD and Sleep
Difficulty winding down, delayed sleep onset, and disrupted sleep architecture commonly associated with ADHD — particularly in adults who have not been evaluated or treated for it.
Learn about ADHD treatmentDepression-Related Sleep Disruption
Early morning waking, hypersomnia, and non-restorative sleep in the context of a depressive episode. Addressed within the depression treatment plan as a core symptom — not a side issue.
Learn about depression treatmentAnxiety-Related Insomnia
Hyperarousal, racing thoughts, and an inability to disengage from worry at bedtime — driven by GAD, panic disorder, or generalized anxiety. The sleep problem follows the anxiety; both are addressed.
Learn about anxiety treatmentMood Disorder Sleep Disruption
Decreased need for sleep in hypomanic or manic phases; hypersomnia in depressive phases. Sleep changes can be a signal of mood episode onset — evaluated as part of the mood spectrum assessment.
Learn about mood disorder treatmentD&Y evaluates sleep disorders in the psychiatric context. For primary sleep disorders requiring polysomnography or sleep medicine evaluation — including sleep apnea — We will refer to appropriate sleep medicine resources. This practice does not conduct sleep studies.
If Your Sleep Has Not Improved With the Standard Advice, the Problem May Be Psychiatric — and Treatable.
Book an Appointment to find out whether an underlying psychiatric condition is driving your sleep disruption.
Book an AppointmentNow accepting new patients · Most insurance accepted · Telehealth statewide in California
Mental Health Resources
Crisis Support & Mental Health Resources.
D&Y Integrated Psychiatry provides outpatient psychiatric care — not crisis services. If you need immediate support, the organizations below provide free, confidential help 24 hours a day. You do not need to be a D&Y patient to use any of these resources.
National Crisis Lines — Available 24/7
National Mental Health Organizations
California Mental Health Resources
D&Y Integrated Psychiatry does not endorse or have a formal affiliation with the external organizations listed above. These resources are provided for informational purposes only. Listing does not constitute a referral or clinical recommendation.