Sleep is medicine. Let us help you find it.

Chronic insomnia and sleep apnea are highly treatable — most cases respond to evidence-based therapy (CBT-I) without long-term medication. Covered by most NY Medicaid plans.

💤 6-week CBT-I program📋 Home sleep tests🌙 Shift work expertise

Sleep problems aren't a personality flaw

They're treatable medical conditions.

Insomnia, sleep apnea, and circadian rhythm disorders affect 1 in 3 New Yorkers. Most cases are highly treatable — but most people never get evaluated, either powering through with caffeine or self-medicating with alcohol or over-the-counter sleep aids. Our BetterSleep program takes sleep seriously.

What we treat

Chronic insomnia (difficulty falling/staying asleep for 3+ months)
Sleep apnea (evaluation, CPAP support, home sleep test ordering)
Shift work disorder (NYC has a lot of this — nurses, MTA, restaurant workers)
Restless legs syndrome
Delayed sleep phase (you're naturally a night owl in a 9-to-5 world)
Anxiety- or depression-driven sleep problems (coordinated with mental health)

Our approach

CBT-I (Cognitive Behavioral Therapy for Insomnia) — first-line evidence-based treatment for chronic insomnia, often more effective than medication
Home sleep tests when sleep apnea is suspected — covered by most NY Medicaid plans
CPAP support — setup, troubleshooting, mask fit, compliance monitoring
Medications when appropriate — we prefer short-term use and avoid habit-forming options
Sleep environment guidance — NYC-specific (noise, shift work, small bedrooms)

CBT-I program: the gold standard

6 weeks. Strong evidence. Most participants no longer have chronic insomnia.

1️⃣

Week 1: Assessment & Sleep Diary

Detailed sleep history. You start logging sleep with our app. We identify patterns.

2️⃣

Week 2: Stimulus Control

Resetting the brain-bed association. Specific behavioral rules to follow.

3️⃣

Week 3: Sleep Restriction

Counter-intuitive but powerful: limit time in bed to build sleep drive.

4️⃣

Week 4: Cognitive Work

Address racing thoughts and sleep-related anxiety. CBT techniques.

5️⃣

Week 5: Sleep Hygiene Optimization

Personalized environmental tweaks (NYC apartment realities considered).

6️⃣

Week 6: Relapse Prevention

How to handle the inevitable bad nights without spiraling back into chronic insomnia.

FAQ

Common questions.

Why not just take Ambien?

Sleep medications work in the short term but rarely solve the underlying problem. Most aren't recommended for long-term use, can cause rebound insomnia when stopped, and have side effects (especially in older adults). CBT-I has stronger long-term evidence and no side effects. We use medication selectively as a bridge or for specific situations.

Will Medicaid cover a sleep study?

Yes — NY Medicaid Managed Care plans cover home sleep tests for patients with symptoms suggesting sleep apnea (snoring, observed pauses in breathing, daytime fatigue with risk factors). In-lab studies covered when home tests are insufficient. We submit the order and handle authorization.

Will Medicaid cover a CPAP machine?

Yes — for diagnosed sleep apnea, NY Medicaid plans cover CPAP equipment through Durable Medical Equipment (DME) suppliers. We coordinate this and help with mask selection.

I work nights at a hospital / shift work. Can you help?

Yes — this is a specific subset of sleep medicine. NYC has many shift workers (nurses, MTA, hotel, restaurant, security). We work with you on managing circadian disruption, strategic light exposure, melatonin timing, and minimizing health impacts.

My anxiety keeps me up. Should I do sleep care or mental health?

Often both — and we coordinate them. Sleep problems and anxiety reinforce each other. CBT-I addresses the sleep system; mental health care addresses the anxiety. Many of our patients see both clinicians and they communicate.

Real sleep. Without the Ambien hangover.

Enroll in BetterSleep or get evaluated for sleep apnea.