Chronic Insomnia
Chronic Insomnia Treatment in Greenwich Village, NYC
Chronic insomnia is more than an occasional sleepless night—it’s a persistent difficulty falling or staying asleep that lasts for months or longer. Over time, it can impact focus, productivity, mood, and overall health.
At Greenwich Village Psychiatry, we understand how exhausting and discouraging it can be to struggle with sleep. Our psychiatrists specialize in identifying the underlying causes of chronic insomnia and designing a personalized treatment plan to help restore natural, consistent rest.
Insomnia rarely has a single cause. It often develops from a combination of biological, psychological, and behavioral influences. Common contributing factors include:
- Anxiety or stress
- Depression or low mood
- ADHD or stimulant medications
- Irregular sleep schedules or poor sleep hygiene
- Medical or hormonal factors
- Substance or caffeine use
Our psychiatrists take time to assess all potential contributors so we can treat insomnia at its source—not just its symptoms.
Every person’s experience with insomnia is unique. We use a combination of evidence-based therapies and thoughtful medication management tailored to each patient’s needs.
Cognitive Behavioral Therapy for Insomnia (CBT-I)
CBT-I is a structured, research-supported approach that helps retrain the mind and body for sleep. It focuses on changing thoughts, behaviors, and routines that perpetuate sleeplessness, leading to lasting improvement.
Medication Management
When clinically indicated, we may prescribe low-dose, non-habit-forming medications such as doxepin, trazodone, or mirtazapine. These can help reestablish healthy sleep patterns while we address any underlying anxiety, mood, or medical issues contributing to insomnia.
Lifestyle and Behavioral Guidance
We incorporate practical strategies—such as optimizing bedtime routines, reducing caffeine or screen exposure, and establishing consistent sleep schedules—to complement therapy and medication support.
Why Work With a Psychiatrist?
Our psychiatrists understand that sleep disturbance rarely exists in isolation. We evaluate how mood, anxiety, attention, and physical health interact to affect rest and design treatment that addresses these factors together.
Care in Greenwich Village and Beyond
Located in the heart of Greenwich Village, our practice offers both in-person and virtual consultations for patients throughout New York City. Many individuals find telepsychiatry especially convenient for ongoing care and follow-up visits related to sleep.
Take the First Step
You don’t have to live with sleepless nights and fatigue. Our psychiatrists can help uncover what’s keeping you awake and design a treatment plan that supports true rest and recovery.
Schedule a consultation in our Greenwich Village office or online to begin your personalized treatment for chronic insomnia.
At a Glance
Dr. Paul Poulakos
- Attending Psychiatrist at Mount Sinai Beth Israel Medical Center
- Assistant Professor of Psychiatry at the Icahn School of Medicine at Mount Sinai
- Past Clinical Assistant Professor of NYU Langone Medical Center
- Learn more