Insomnia Treatment That Helps You Actually Sleep
Can't fall asleep. Can't stay asleep. Wake up at 3 AM and can't get back to sleep. If insomnia is ruining your life, we can help—by treating what's actually causing it.
Does This Sound Like You?
Insomnia isn't just "trouble sleeping." Here's what it actually looks like:
Nothing Seems to Work
You've tried melatonin, magnesium, sleep hygiene, white noise—nothing works
Racing Thoughts at Bedtime
You lie in bed for hours, mind racing, unable to fall asleep
3 AM Wake-Ups
You fall asleep fine but wake up at 3 AM (the witching hour) and can't get back to sleep
Frequent Night Wakings
You wake up multiple times throughout the night
Early Morning Insomnia
You wake up too early and can't fall back asleep
Tired but Wired
You're exhausted but wired your body is tired but your brain won't shut off
Bedtime Anxiety
You dread bedtime because you know you won't sleep
Daytime Brain Fog
The next day you're foggy, irritable, can't concentrate
Caffeine Dependence Cycle
You rely on caffeine to function, which makes sleep worse
Lonely at Night
You feel like you're the only one awake at night while everyone else sleeps
What's Really Causing Your Insomnia?
Most providers prescribe sleeping pills and send you on your way. But sleeping pills don't fix the underlying problem—they just mask it. When we treat insomnia at Maison Cura, we investigate why you're not sleeping, then treat the root cause.
Hormone Changes (Perimenopause / Menopause)
Insomnia is often an early sign of perimenopause or menopause. As estrogen and progesterone drop, sleep cycles get disrupted—leading to 3 AM wake-ups, sweating, and a racing heart. Low testosterone in men can cause similar issues.
We test and optimize hormone levels. When hormones are balanced, long-standing insomnia often improves.
Anxiety & Racing Thoughts
A busy mind keeps your nervous system on high alert—replaying conversations, planning, worrying. That state makes deep sleep hard to reach. We treat the anxiety behind the insomnia. As anxiety improves, sleep usually does too.
Medication Side Effects
Some medications can interfere with sleep, including stimulants, certain antidepressants, steroids, decongestants, beta blockers, and thyroid meds. We review your medications and timing. Small adjustments can sometimes resolve insomnia.
Blood Sugar Dysregulation
Nighttime drops in blood sugar can trigger cortisol release, waking you up with a racing heart—often around 3 AM. We check metabolic health and blood sugar patterns. Stabilizing them can reduce night wakings.
Sleep Apnea
Sleep apnea disrupts breathing and sleep cycles. Signs include snoring, gasping, or waking up tired despite enough hours in bed. We screen and refer for sleep studies when needed. Treatment can greatly improve sleep and energy.
Caffeine & Stimulant Use
Caffeine can stay in your system for 5–6 hours or more. Even afternoon intake can affect sleep. We review your stimulant use and help adjust timing and amounts.
Trauma & Hypervigilance
Trauma can keep your nervous system in fight-or-flight mode, making it hard to fully relax at night. We use trauma-informed care to calm the nervous system. Addressing trauma often improves long-term sleep.
Sleep Disorders We Specialize In
Sleep-Onset Insomnia
Can't fall asleep. You lie in bed for hours, mind racing, unable to drift off. Often linked to anxiety or racing thoughts.
Sleep-Maintenance Insomnia
Fall asleep fine but wake up multiple times throughout the night. Can't stay asleep. Often hormone-related or caused by sleep apnea.
Early Morning Awakening
Wake up too early (often 3-4 AM) and can't fall back asleep. Common in depression and hormonal changes.
Chronic Insomnia
Insomnia lasting more than 3 months. Becomes a pattern where you dread bedtime because you know you won't sleep.
Hormone-Related Insomnia
Insomnia caused by perimenopause, menopause, low testosterone, thyroid issues. Night sweats, hot flashes, waking up drenched.
Anxiety-Induced Insomnia
Your mind won't shut off. Racing thoughts, worry, rumination. Even when you're exhausted, your brain won't let you sleep.
Medication-Induced Insomnia
Insomnia caused by medications (stimulants, antidepressants, steroids, etc.). Resolves when medication is adjusted or switched.
How We Treat Insomnia
Book Your Appointment
Your 60+ minute first visit includes a detailed sleep evaluation covering when insomnia started, your sleep patterns, prior treatments, medical conditions, medications, stimulant use, stress, and possible sleep apnea symptoms.
When needed, we order labs to assess hormones, thyroid, blood sugar, and vitamin levels. If insomnia is hormone- or health-related, sleeping pills alone won’t fix the root cause.
Identify Root Causes
We find what’s truly causing your insomnia like hormones, anxiety, meds, blood sugar, sleep apnea, or trauma and treat the root issue. Many providers skip this and just prescribe sleep pills. We don’t.
Personalized Treatment Plan
We build a personalized plan. If medication is needed, it’s used thoughtfully and often short-term while we address root causes like hormones or anxiety. We also support a realistic sleep routine and use tools like CBT-I, light therapy, or melatonin timing to help you achieve lasting, natural sleep.
Ongoing Support
We see you regularly—usually every 2-4 weeks—to monitor progress and adjust treatment. Sleep improvement takes time, but we stay with you until you're sleeping well consistently.
What Treatment Looks Like
First Appointment
- Detailed sleep history and pattern analysis
- Review of all medications and supplements
- Physical health assessment
- Screening for sleep apnea
- Lab work ordered if needed
- Initial treatment plan created
Follow-Up Visit
- Review lab results
- Assess sleep improvements
- Adjust medications or supplements
- Address any side effects
- Refine sleep hygiene strategies
Ongoing Care
- Regular check-ins to monitor progress
- Medication adjustments as needed
- Root cause management (hormones, anxiety, etc.)
- Tapering off sleep medications once root causes are addressed
- Long-term support for sustained sleep improvement
Common Questions About Insomnia Treatment
Will I have to take sleeping pills forever?
No. We use sleep medications as a short-term tool while we address the underlying cause. Once we treat what's actually causing your insomnia (hormones, anxiety, etc.), most people can taper off sleep medications.
Are sleeping pills addictive?
Some are (like Ambien and benzodiazepines). We avoid those when possible and use safer alternatives (like low-dose trazodone or mirtazapine) that are less likely to cause dependence.
How long does it take to fix insomnia?
It depends on the cause. Medication-induced insomnia might resolve within days of switching medications. Hormone-related insomnia might take a few weeks to improve with hormone optimization. Chronic insomnia patterns can take 1-3 months to fully resolve with CBT-I and treatment.
What if I've tried "sleep hygiene" and it didn't work?
Sleep hygiene alone rarely fixes insomnia—because it doesn't address root causes. But when combined with treating the underlying issue (hormones, anxiety, etc.), it becomes much more effective.
Can anxiety medications help with sleep?
Sometimes. If anxiety is keeping you awake, treating the anxiety often improves sleep. But we're careful—some anxiety medications (like SSRIs) can actually worsen insomnia in some people.
What about melatonin? Does it work?
Melatonin works for some people—especially for circadian rhythm issues (like jet lag or shift work). But it doesn't work for everyone, and most people take too much. We help you optimize dosing and timing if melatonin is appropriate for you.
Could my insomnia be sleep apnea?
Possibly. We screen for sleep apnea symptoms (snoring, gasping, waking up feeling unrested despite "sleeping"). If we suspect sleep apnea, we refer for a sleep study.
Why do I wake up at 3 AM every night?
The 3 AM wake-up is common and usually caused by: (1) blood sugar dropping, (2) cortisol spike, (3) hormone fluctuations, or (4) anxiety. We test to find out which one applies to you.
Do you accept insurance for insomnia treatment?
Yes, we accept most major insurance plans. We verify your coverage before your first appointment.
How quickly can I get an appointment?
Most appointments are available within days. We don't make you wait months when you're exhausted now.
Ready to Sleep Through the Night Again?
Insomnia doesn't have to be permanent. Let's find out what's causing it—and fix it.