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 […]

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 […]

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 […]

Insomnia and CBT: Simple Techniques for Therapists (No Sleep Training Required)

Smiling woman stretching in bed after a restful night’s sleep, illustrating benefits of cognitive behavioral therapy (CBT) for insomnia.

“I’m not a sleep specialist. How much can I actually do?” If you’ve ever thought this when a client brings up insomnia, you’re not alone. Many skilled therapists feel unsure about where their role ends and where a referral should begin. You want to help — but you also don’t want to overstep your scope […]

Tired vs. Sleepy: Why the Difference Matters for Your Sleep Treatment

A woman lying in bed in daylight, looking tired but unable to sleep—illustrating insomnia, junk sleep, and the need for CBT-i or nervous system-based sleep treatment.

It’s 11 PM. You’ve been dragging yourself through the day, completely drained, dreaming of the moment you can finally crawl into bed. Your body feels exhausted—every muscle aches, your brain feels foggy, and you can barely keep your eyes open during your evening routine. But then something strange happens. The moment your head hits the […]

4 Sleep Mistakes That Are Keeping You Awake (And How to Sleep Better)

Woman lying awake in bed with legs on headboard, wearing pajamas—illustrating common sleep mistakes and nighttime restlessness.

You’ve tried everything to sleep better—new mattresses, melatonin, cutting caffeine, even counting sheep. Yet somehow, you’re still lying awake, staring at the ceiling, wondering what else you could possibly do. The truth is, most people aren’t doing anything wrong. But even with the best intentions, it’s easy to fall into sleep habits that quietly sabotage […]