Insomnia
I cannot fall asleep, or I keep waking up.
Classic insomnia can be real, but so can conditioned arousal, medication effects, circadian disruption, hidden apnea, pain, trauma, or a taper that never had a real plan.
Diplomate, ABA (Anesthesiology, Sleep Medicine) | Diplomate, ABPM (Addiction Medicine)
When sleep problems get complicated, the workup should get smarter.
EusomniaMD is a physician-led sleep practice for patients who are done being told their problem is just stress, just sleep hygiene, or just another CPAP adjustment. Chronic insomnia, hypersomnia, sleep inertia, nightmares, parasomnias, circadian disorders, complex sleep apnea, and sleep problems tangled up with medications or recovery all belong here.
Complex insomnia
CBT-I-forward care for refractory insomnia, bedtime dread, and sleep medication dependence.
Breathing disorders
OSA, central apnea, mixed or residual symptoms, UARS, and treatment failures that need better thinking.
Full-spectrum sleep medicine
Hypersomnia, narcolepsy, parasomnias, nightmares, pediatric sleep, circadian disorders, and performance-focused sleep care.
Common Entry Points
What brings people here most often
You do not need the perfect diagnosis before reaching out. Most people arrive with a broad complaint like “my sleep is a mess.” The job is to narrow that into something useful and treatable.
Breathing
I snore, gasp, stop breathing, or still feel awful on CPAP.
Obstructive apnea is common, but it is not the whole story. Central apnea, mixed apnea, UARS, and persistent symptoms after treatment all need a more careful read.
Sleepiness
I sleep but still feel wrecked.
Excessive daytime sleepiness, narcolepsy, idiopathic hypersomnia, sleep inertia, circadian mismatch, and fragmented sleep can all look like “fatigue” from the outside.
Nighttime Events
Nightmares, dream enactment, or odd behaviors are wrecking my nights.
Fear of sleep, recurring nightmares, REM behavior disorder, confusional arousals, sleepwalking, and unclear nocturnal events deserve proper sorting, not guesswork.
Circadian
My timing is completely off.
Delayed sleep phase, advanced phase, shift-work problems, irregular schedules, and biologic mistiming need more than generic sleep advice.
Movement and Recovery
My body or nervous system will not settle down at night.
Restless legs, nighttime motor symptoms, sedative-hypnotic dependence, and insomnia during recovery can keep sleep unstable long after the original trigger is gone.
We Treat This
Full-spectrum sleep medicine, including the hard cases.
The public-facing story should be simple: if the sleep problem is real, complicated, unresolved, embarrassing, medication-related, or overlapping with addiction or recovery, it still counts as a sleep medicine problem. People should know within seconds that they are in the right place.
Insomnia
Refractory insomnia
Sleep inertia
Hypersomnia
Narcolepsy
Nightmares
Behavioral insomnia of childhood
Circadian disorders
OSA
Central apnea
Complex sleep apnea
UARS
REM behavior disorder
Parasomnias
Restless legs
Sleep and performance
Sleep medication dependence
Recovery-related insomnia
What Makes This Different
Complex sleep problems deserve more than a standard script.
- Intractable insomnia is approached diagnostically, not just pharmacologically.
- Complex sleep apnea cases are evaluated with attention to phenotype, failed treatments, and whether the original study actually answered the question.
- Sedative-hypnotic dependence, benzodiazepine or Z-drug tapers, fear of sleep, and insomnia during recovery are treated as legitimate overlap problems.
- CBT-I can be delivered directly when appropriate, or coordinated with PhD-level CBT-I therapists when that is the better fit.
How It Works
A cleaner path from confusion to a real plan
The site should lower friction quickly, then guide people toward the right next step without forcing every visitor to be equally ready on day one.
1
Pick the easiest first contact
Start with an optional discovery call, request a callback or email response, or move straight into a full clinical evaluation if you already know the case is complex.
2
Deep assessment
The initial evaluation maps symptoms, timing, medications, psychiatric and medical contributors, prior testing, and the places earlier treatment plans stopped making sense.
3
Targeted testing only when it helps
Home testing, in-lab polysomnography, MSLT, review of prior studies, or no testing at all, depending on what will actually clarify the diagnosis.
4
Treatment with follow-through
CBT-I, circadian treatment, PAP troubleshooting, taper support, medication cleanup, nightmare work, or referral coordination, then adjustment over time until the plan works in real life.
Knowledge to Care
Learn first, then move forward with confidence.
Use the knowledge base to understand your pattern, then move into a service pathway and choose your next step.
CBT-I First
CBT-I is foundational here, not an afterthought.
For chronic insomnia, Cognitive Behavioral Therapy for Insomnia is the backbone of good care because it treats the pattern that keeps recreating the problem. Sleep hygiene alone is not the treatment. Endless sedative stacking is not the treatment either.
That matters especially in the cases most likely to search for specialty care: refractory insomnia, dependence on benzodiazepines or Z-drugs, fear of bedtime, hyperarousal, and insomnia complicated by apnea, pain, anxiety, trauma, or recovery.
Treatment Options
How CBT-I shows up in care
- Direct physician-delivered CBT-I when the problem needs integrated medical and behavioral work.
- Referral or co-management with PhD-level CBT-I therapists when focused behavioral treatment is the better lane.
- Use of sleep logs, stimulus control, sleep scheduling, and cognitive work as part of tapering or medication simplification.
- Positioning CBT-I alongside apnea, circadian, and psychiatric overlap work instead of pretending insomnia exists in isolation.
For Clinicians
A referral partner for unresolved sleep cases
Referring clinicians should quickly understand that EusomniaMD is built for the patients who do not fit cleanly into ordinary insomnia, snoring, or med-refill workflows.
- Intractable insomnia, failed CBT-I attempts, or sleep medication dependence.
- Complex apnea, central or mixed patterns, UARS, and persistent symptoms after prior testing or PAP treatment.
- Parasomnias, nightmares, and unclear nocturnal behaviors where sleep, neurology, and psychiatry overlap.
- Insomnia during recovery, PAWS-type presentations, and relapse risk driven by unstable sleep.
Knowledge Base
50+ physician-authored articles that build trust before and after referral
The site includes a structured knowledge base for patients and clinicians: flagship pieces on insomnia and CBT-I, hypersomnia, apnea, circadian disorders, parasomnias, movement disorders, and medication-related sleep problems.
Next Step
Pick the lowest-friction way to move forward.
Some people need education first. Some want a quick fit check. Some already know they need a long, serious evaluation. The site should support all three without making anyone feel trapped.