Other Areas of Expertise

Insomnia involves persistent difficulty falling asleep, staying asleep, or waking too early despite adequate opportunity for rest. It can significantly impair daytime functioning and often co-occurs with anxiety, depression, or chronic stress.

Treatment: Cognitive Behavioral Therapy for Insomnia (CBT-I) is the gold standard, helping individuals reestablish healthy sleep patterns through behavioral strategies and cognitive techniques that address the underlying causes of sleep disruption.

Nightmare disorder is characterized by frequent, vivid, and disturbing dreams that cause significant distress or sleep disturbance. These nightmares often involve themes of threat, harm, or trauma and may lead to sleep avoidance or anxiety.

Treatment: Imagery Rehearsal Therapy (IRT), a cognitive-behavioral intervention, helps individuals re-script distressing dreams and reduce nightmare frequency. CBT for underlying anxiety or trauma may also be recommended.

ARFID is an eating or feeding disturbance marked by a restricted range or quantity of food intake, leading to nutritional deficiency, weight loss, or dependence on supplements. Unlike other eating disorders, ARFID is not driven by body image concerns and often begins in childhood.

Treatment: Treatment often involves a combination of cognitive-behavioral therapy (CBT), exposure-based interventions, and collaboration with nutritionists or medical providers to expand dietary variety and reduce anxiety around eating.

BED involves recurrent episodes of eating large quantities of food, often rapidly and to the point of discomfort, accompanied by feelings of loss of control, guilt, or shame. It is the most common eating disorder in the U.S. and is associated with emotional distress and health concerns.

Treatment: CBT is the first-line treatment for BED, targeting unhelpful thought patterns and emotional triggers that contribute to binge eating. Treatment may also include mindfulness-based strategies, emotion regulation skills, and nutritional guidance.