When worry follows you to bed
Care for anxiety that keeps you lying awake or wakes you too early, in Minot and by telehealth in North Dakota and Iowa.
Book a Free 15-Minute ConsultWhat Bedtime Can Sound Like
- The minute my head hits the pillow, my mind starts racing.
- I lie there replaying every conversation from the day.
- I wake up before the alarm, already worrying.
- I'm so tired, and my brain still won't switch off.
If any of these sound like your nights, that is reason enough to talk with someone.
When Sleep and Worry Get Tangled
This page is for anyone whose worry gets louder once the day goes quiet. You may fall into bed tired, then lie awake going over what you said, what you forgot and everything waiting for you tomorrow. Or you may drift off fine and wake far too early, with your mind already running.
A short night can make the following day harder to face, and a hard day can make the night harder still. Worry and sleep can feed each other that way. It is easy to keep telling yourself it will settle on its own, especially when you are still getting through work and home.
I see teens, young adults, adults and seniors for anxiety. Losing sleep to worry is a fair reason to ask for help, and you don't have to hold out until you are running on fumes to reach out.
Looking at Your Nights and Days
Trouble sleeping and worry can have more than one source, so the evaluation looks wider than bedtime.
When the Worry Starts
Whether it arrives as you lie down, when you wake too early, or both, and what your mind keeps circling back to.
How Your Nights Go
How long it takes to fall asleep, how often you wake, and whether you drift off again or lie there waiting for morning.
What It Costs Your Days
Tiredness, a shorter fuse, trouble concentrating, and the plans you have started skipping because there is too little left in the tank.
What Else Is in the Picture
Low mood, trauma, a new baby, shift work or a change in your health can all affect sleep, and each one shapes the plan differently.
Where to Start
The path is the same three steps, shaped around what your nights have been like.
- 1
A Free 15-Minute Consult
A short phone conversation to describe how you have been sleeping, ask your questions and see whether this feels like the right fit.
- 2
Your Initial Evaluation
60 to 90 minutes, at the Minot office or by telehealth, covering your nights, your worry, your history and what you want from care. We make the plan together.
- 3
Follow-Up Sessions
30 to 45 minutes to review how your nights and days are going, check how any medication is working, and adjust the plan.
What We Aim For
I can't promise you a full night of sleep by a certain date, and I won't pretend one plan works the same way for everyone. What we aim for is worry that has less hold on your evenings, a clearer sense of what is keeping you awake, and a plan you understand and agree with.
Sleep is part of your brain health and overall wellness, not a side issue to deal with later. We keep checking in on your nights as we go, and we change the plan when something isn't helping.
Fees in Brief
For worry that is costing you sleep, the first step is a free 15-minute phone consult. An evaluation is $300, and each follow-up costs $125.
- Consult
- $0
- 15 min
- Evaluation
- $300
- 60 to 90 min
- Follow-up
- $125
- 30 to 45 min
Questions About Worry and Sleep
Is lying awake with worry reason enough to reach out?
Yes. Sleep matters to your brain health, and worry that keeps you up is worth looking at before it wears you down further.
Can medication be part of the plan?
It can be. Medication decisions are made together, and a plan can also include supportive interventions such as CBT and DBT skills.
Should I keep track of my sleep before the evaluation?
You don't have to. If it helps, jot down when the worry tends to start and how you slept, and bring those notes with you.
Your sleep is worth a conversation
Book a free 15-minute consult and tell me what your nights have been like.
Book a Free 15-Minute Consult