Behavioral sleep medicine (BSM) refers to a collection of evidence-based approaches for assessing and treating sleep-wake disorders. Assessment involves a sleep specialist using a range of methods to understand your sleep problems in the context of your physical/mental health, physical/social environment, and other factors. Treatment involves you collaborating with your provider on non-medication approaches to improving sleep, such as changing your nighttime and daytime behaviors, customizing your daily schedule, reframing the way you think about sleep, and refining your living environment and coping skills.

For example, cognitive-behavioral therapy for insomnia (CBT-I) is a BSM treatment, and it is highly effective for adults with insomnia. Most people with sleep problems can benefit from BSM approaches, especially if they are interested in decreasing their use of sleep medications.

Cognitive-behavioral therapy for insomnia (CBT-I) is one treatment under the BSM umbrella and the gold standard treatment for adult insomnia. American Academy of Sleep Medicine recommends it more strongly than it recommends all sleep medications (including over-the-counter ones) because it has consistently demonstrated high efficacy and low risk in over 200 high-quality clinical trials. In practice, it involves:

-Tracking your sleep and learning to understand factors that contribute to your insomnia

-Learning the science of sleep to let go of misconceptions that have kept you stuck in unhelpful patterns

-Changing daytime and nighttime behaviors to increase sleepiness and decrease arousal (e.g., racing mind)

-Practicing skills and gaining knowledge for sustaining sleep health in the long term, including during stressful times

-Decreasing use of sleep medications, if this is your goal

We use evidence-based behavioral sleep medicine approaches to help patients improve their sleep and daytime functioning. To increase access to this type of specialist care, we offer telehealth. Here’s how it usually works:

-Start with a detailed questionnaire packet and keeping sleep logs for 1-2 weeks before the initial assessment + feedback session.

- During the initial assessment + feedback session (60 min), you meet with Dr. Miller or Dr. Wu to discuss your sleep and contextual factors in detail. Your provider will interpret the assessment data with you, provide feedback about the causes of your sleep problems, and offer a treatment plan.

-After this, if you would like to work with us, you would meet one-on-one with your provider about once every two weeks for several follow up sessions (45-min) to learn new skills, assess progress, and solve problems.

-You are welcome to ask questions between sessions and we will respond within 48 business hours.

-For insomnia, a full course of treatment usually lasts 4-6 sessions. People often experience significant benefit after 1-3 sessions.

-For other sleep problems, we may only do 1-2 consultation sessions, or engage in ongoing therapy, depending on your symptoms and preferences.

No. We will review your sleep medication history and current medications during the initial assessment. We will discuss your goals regarding sleep medications and propose a treatment plan towards those goals.

*Important: Do not make any changes to how you take your sleep medications (including over-the-counter medications) without supervision from your prescribing healthcare provider. With some sleep medications, stopping too quickly can be dangerous or can increase sleep problems.

Currently, we are only working with adult patients and clients (18+).

We recommend these resources for adults with trouble falling or staying asleep:

Books:

“Hello Sleep: The Science and Art of Overcoming Insomnia Without Medications” - Dr. Jade Wu

“Quiet Your Mind and Get to Sleep” - Dr. Colleen Carney and Dr. Rachel Manber

Apps and online programs:

Sleepio (available through some employers; www.sleepio.com)

Insomnia Coach App (designed for veterans but free for everyone)

Directories for other CBT-I providers:

https://behavioralsleep.org/index.php/directory

https://cbti.directory/index.php/patient-information

Thank you for considering referring one of your patients to Thrive. You can send referral information to our secure email:

info@thrivesleepclinic.com

…or fax number:

917-818-4626

To learn more about the clinical services we offer, please contact us and Dr. Jade Wu will be happy to talk with you.

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who do not have insurance or who are not using insurance an estimate of the bill for medical items and services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

Your health care provider must give you a Good Faith Estimate in writing for scheduled services within designated timeframes. You can also ask your health care provider for a Good Faith Estimate before you schedule an item or service.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call HHS at (800) 368-1019.