Sleep problems can show up as trouble falling asleep, staying asleep, waking too early, or feeling unrefreshed—even after a full night in bed. Over time, poor sleep can worsen anxiety, depression, focus, and physical health.

What sleep issues can look like

Common patterns include:

• Lying awake for long stretches, mind racing

• Waking up frequently during the night

• Waking earlier than planned and not falling back asleep

• Relying heavily on substances (caffeine, alcohol, cannabis) to manage sleep/wake

• Feeling foggy, irritable, or unfocused during the day

• Sleep problems tied to mood, trauma, shift work, or medical conditions

Sleep disorders can be stand-alone or closely linked with anxiety, depression, bipolar disorder, PTSD, and ADHD.

How treatment can help

Treatment may involve:

• Identifying the type of sleep disturbance (insomnia, circadian rhythm issue, etc.)

• Reviewing current medications, substances, and routines

• Using evidence-based sleep strategies and, in some cases, targeted medications

• Addressing underlying mood or anxiety conditions

We aim to improve both the quality and consistency of your sleep.

How BLT Tele Psychiatry approaches sleep

At BLT Tele Psychiatry:

• We look at the whole picture—sleep, mood, medical history, lifestyle, and stressors

• We consider medication when appropriate but avoid “quick fixes” that create long-term problems

• We adjust psychiatric medications that may be affecting sleep (timing, dose, specific agents)

• We can coordinate with therapists or sleep specialists if needed

• Sleep-focused lifestyle prescribing — like circadian-rhythm alignment, screen use adjustments, and evening routines — is central to treatment.

Visits are virtual and available to adults located in New York State.

If sleep has started to feel like a nightly battle, treatment can help restore rest as a reliable part of your life.