The Loneliness Of Chronic Pain: Breaking The Cycle Of Isolation

A woman sitting alone on a couch, reflecting quietly while living with chronic pain and social isolation.

You can be surrounded by people and still feel completely alone when you live with chronic pain. You might be sitting at a family dinner, responding to messages from friends, or showing up to work every day, yet inside there is a quiet sense of separation that is hard to explain. This experience is extremely […]

Why Therapists Should Ask About Sleep And What You Should Share

Therapist completing a sleep assessment form during a session as a client rests on a couch, illustrating why therapists ask about sleep patterns.

When you’re struggling with anxiety, depression, or trauma, sleep problems often come with the territory. But here’s what many people don’t realize: poor sleep doesn’t just accompany mental health challenges, it can actually make them worse. Your therapist routinely asks about mood, relationships, stress levels, and coping strategies. These are essential areas to explore. But […]

Sleep After the Holidays: How to Reset Your Circadian Rhythm (Without the Pressure)

Frosted holiday tree in a quiet living room, symbolizing post-holiday sleep problems and circadian rhythm disruption after December routines.

If you’re lying awake at 2 a.m., exhausted but wired, wondering why can’t I sleep after the holidays, you’re not alone. Every January, we hear the same concern in therapy sessions at DC Metro Therapy:“I was sleeping fine before December, and now my body feels completely off.” Between family stress, travel, late nights, and disrupted […]

DC Metro Therapy’s Favorite Resources for Sleep & Chronic Pain (End-of-Year Guide)

Bookshelves filled with colorful titles representing chronic pain resources, sleep resources, mind-body pain books, and insomnia treatment books, with a blurred stack of books in the foreground.

As the year winds down, many of us start reflecting on what we’ve been carrying, both physically and emotionally. Maybe it’s the shoulder tension that never quite goes away. Maybe it’s the sleep you keep meaning to fix. Or maybe it’s the fatigue that always seems to show up during stressful seasons. When you’re dealing […]

Living With Chronic Pain? How to Survive Holidays When Your Family Doesn’t Understand

A woman sitting at a holiday dinner table looking away thoughtfully, with a Christmas tree in the background — representing the emotional strain and pain flares often experienced when living with chronic pain during the holidays.

The holidays are supposed to be about connection. But when you’re living with chronic pain, they become a masterclass in pretending you’re okay when really, you’re struggling.  Chances are you know this script by heart: the dismissive comments (‘you look fine!’), the pressure to participate fully, the guilt when you need to leave early.  Again. […]

How Sleep Restriction Therapy Can Help Treat Depression

Person reading quietly under a warm lamp before bed, illustrating sleep restriction therapy and sleep consolidation for depression treatment.

What if your therapist told you that spending less time in bed could help your depression? It might sound counterintuitive, especially when exhaustion already feels crushing. But for many people struggling with both insomnia and depression, it’s true. When depression and insomnia coexist, long nights of lying awake become fertile ground for rumination. You replay […]

Why ‘Just Relax’ Is the Worst Advice for Holiday Anxiety (Try This Instead)

holiday anxiety 3

Do family gatherings make you feel anxious? You’re at a get-together, heart racing, palms sweating. A well-meaning family member notices and says, “Just relax! It’s Thanksgiving!” Instantly, you feel worse. Now you’re anxious and ashamed that you can’t just “snap out of it.” “Just relax” might be the most common (and most harmful) advice given […]

Here’s Why Your Sleep Gets Worse in Fall (And What to Do About It)

Person reading in bed with cozy fall blankets and pumpkins, symbolizing seasonal changes that affect sleep

It’s 5 PM on a Tuesday in October and you can barely keep your eyes open. By 10 PM, when you finally crawl into bed, you’re wide awake. If that sounds familiar, you’re not alone. Many people struggle with sleep when the seasons shift. As a therapist who specializes in sleep, I see this happen […]