Insomnia & Sleep Disorders
Comprehensive Psychiatric Care for Sleep Issues in Greenwich Village, NYC
Quality sleep is essential for mental health, focus, and emotional balance. Yet for many, falling asleep and staying asleep can become a nightly struggle. When sleep problems persist, they often point to an underlying psychiatric or behavioral cause that deserves careful evaluation.
There is really no aspect of our lives that isn’t influenced by our sleep. It affects how we think, feel, perform, and connect with others—making restorative sleep one of the most powerful foundations of overall well-being.
At Greenwich Village Psychiatry, our psychiatrists specialize in the diagnosis and treatment of insomnia and sleep disorders, integrating behavioral therapy, medication management, and lifestyle strategies to restore healthy, consistent sleep.
Occasional poor sleep is normal. But if you experience difficulty falling asleep, staying asleep, or waking too early three or more nights a week for several months, you may be experiencing chronic insomnia or another sleep disorder.
Common symptoms include:
- Lying awake for long periods before falling asleep
- Waking up frequently or too early
- Feeling unrefreshed even after a full night in bed
- Daytime fatigue, irritability, or difficulty concentrating
Left untreated, insomnia can worsen anxiety, depression, and overall functioning.
We view sleep disturbance as part of a larger clinical picture—often interconnected with stress, anxiety, depression, or medication effects. Our approach begins with a detailed assessment to uncover what’s driving your symptoms and to tailor an individualized plan that may include:
- Cognitive Behavioral Therapy for Insomnia (CBT-I): Evidence-based therapy to retrain sleep habits and reduce nighttime anxiety.
- Medication management: When appropriate, we prescribe low-dose, non-habit-forming medications such as doxepin, trazodone, or mirtazapine to support restorative rest.
- Lifestyle and behavioral interventions: Adjustments to sleep hygiene, schedule consistency, and daily routines to reinforce healthy sleep.
- Treatment of coexisting conditions: Addressing anxiety, mood disorders, or circadian rhythm disturbances that contribute to insomnia.
Our goal is to help patients achieve lasting, restorative sleep by treating the underlying causes—not just the symptoms.
Our psychiatrists treat a wide range of sleep disturbances, including:
- Chronic Insomnia
- Sleep and Anxiety
- Sleep and Depression
- Medication-Related Sleep Problems
- Circadian Rhythm Disorders
- Lifestyle & Sleep Hygiene
- Parasomnias
Each condition requires a tailored approach, which you can explore in more detail on the linked pages above.
Located in the heart of Greenwich Village, we provide both in-person and telepsychiatry consultations for patients across New York City—including the West Village, Chelsea, SoHo, Tribeca, the Upper East Side, and Brooklyn. Our clinicians are psychiatrists with extensive experience in sleep medicine, psychopharmacology, and behavioral therapy.
We offer a personalized and compassionate environment where each patient receives a treatment plan that fits their lifestyle and clinical needs.
Take the First Step
If you’ve been struggling with insomnia or other sleep disturbances, you don’t have to face them alone. Our psychiatrists can help identify the underlying causes and design a plan for consistent, restorative sleep.
Schedule a consultation in our Greenwich Village office or online to begin your path toward better rest and mental well-being.
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