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Last reviewed: 03/09/2026 Reviewed by: Dr. Kiesa Kelly If you’ve been Googling “treatment for insomnia” at 2:00 a.m., you’ve probably seen the same advice: cut caffeine, get off screens, keep your bedroom cool. Those are useful sleep hygiene habits. But for many people, insomnia is not a “bad routine” problem. It’s a stuck pattern in the brain and body that often needs an evidence-based plan like cognitive behavioral therapy for insomnia (CBT-I). [1][2] In this article, you’l

Last reviewed: 03/09/2026 Reviewed by: Dr. Kiesa Kelly Searching “type of therapy” can feel like walking into a hardware store without a project. The problem is not you. The word therapy  covers very different tools, and the best fit depends on the pattern underneath your symptoms: obsessive doubt, executive-function overload, trauma-driven threat responses, or a sleep system that’s learned the wrong rhythm. In this article, you’ll learn: How to match symptoms to an evidence-

Last reviewed: 03/03/2026 Reviewed by: Dr. Kiesa Kelly If you’re exhausted but can’t sleep , it can feel like your body and brain are arguing: you’re drained, but your mind won’t slow down. This “tired and wired” experience is common in anxiety, stress, and burnout. In this article, you’ll learn: Why fatigue doesn’t guarantee sleep How nervous system arousal blocks sleep How insomnia becomes a learned pattern Habits that accidentally reinforce insomnia How CBT-I rebuilds slee

Last reviewed: 03/02/2026 Reviewed by: Dr. Kiesa Kelly If your brain won’t turn off at night , it can feel infuriating and confusing. You’re exhausted. Your body wants rest. And yet your mind is replaying conversations, scanning tomorrow’s to-do list, or doing that “just one more problem to solve” thing that seems harmless at 9 p.m. but becomes a full-blown spiral at 2 a.m. 😮‍💨 Key takeaway: Feeling “wired but tired” is often a nervous system pattern, not a character flaw.

Last reviewed: 02/23/2026 Reviewed by: Dr. Kiesa Kelly If you’ve ever Googled circadian rhythm disorder vs insomnia  at 3 a.m., you’re not alone. The confusing part is that both can involve “I can’t fall asleep,” both can wreck your mornings, and both can feed sleep anxiety. In this article, you’ll learn: The key difference between a timing problem and a sleep ability problem What delayed sleep phase often looks like (and why weekends can be a clue) What classic insomnia patt

Last reviewed: 02/23/2026 Reviewed by: Dr. Kiesa Kelly Chronic insomnia is brutal because it isn’t just “not sleeping.” It becomes a whole system: you start planning your life around exhaustion, dreading bedtime, and bargaining with yourself at 2:00 a.m. If you’ve searched cbti near me Nashville  or wondered whether cognitive behavioral therapy for insomnia Nashville  is actually different from generic sleep advice, it is. CBT-I (cognitive behavioral therapy for insomnia) is

Perimenopause ADHD can make focus, sleep, and emotional regulation feel shakier, even if your prescription hasn’t changed. Here’s what to track and ask at your next visit.

Perimenopause sensory overload can turn everyday input—noise, heat, seams, and touch - into “too much.” Learn why thresholds shift, how autism/ADHD can intersect, and practical ways to prevent shutdowns and recover faster.

Last reviewed: 02/12/2026 Reviewed by: Dr. Kiesa Kelly If you are in perimenopause and dealing with adhd insomnia , you may recognize the same nightly script: you are exhausted at 9PM, wide awake at 11PM, and then your brain turns on like a searchlight at 3AM. This “wired but tired” pattern is not a character flaw. It is often a predictable interaction between hormonal transition, stress physiology, and an ADHD brain that has a harder time downshifting. 💡 Key takeaway: When

ADHD insomnia is not just willpower. Learn why ADHD and sleep problems feed each other, how delayed sleep-wake phase and racing thoughts keep you up, what to rule out, what to track, and which supports can help.

If your brain won’t turn off at night perimenopause, you are not imagining it. Sleep fragmentation can create ADHD-like symptoms (focus, memory, mood), and ADHD can also make “winding down” harder. This guide helps you sort sleep-only vs ADHD + sleep patterns and know what to track before an assessment.

Choosing between niche and generalist work can feel risky. This guide on how to choose a therapy niche shows when specialization builds momentum, when generalist work is strategic, and how to position your practice so the right-fit clients and referrers can find you.

Perimenopause insomnia and ADHD can look nearly identical. Learn how sleep disruption drives brain fog and focus problems, what to track, and how a quality adult ADHD assessment separates sleep effects from ADHD.

High masking ADHD women can look organized on the outside while feeling overwhelmed, scattered, and exhausted on the inside. In perimenopause and menopause, sleep disruption and shifting hormones can make long-held coping strategies stop working. Here’s how masking shows up in midlife, what a quality assessment looks like, and gentle next steps.

CBT-I helps retrain the mind–body system so insomnia isn’t “stuck on.” In this post, you’ll learn how stress and conditioned arousal sustain sleeplessness—and how practical breath, light, movement, and cognitive tools (plus when to add CBT-I with ScienceWorks) can help you unlearn insomnia.