What should I expect in treatment?

Evaluation

Any person seeking treatment for insomnia needs to be professionally evaluated and receive a diagnosis of chronic insomnia by a trained clinician such as a licensed clinical psychologist. At Go to Sleep San Diego, the evaluation is a 60-90 minute meeting in which I ask you questions about your medical history, lifestyle, as well as any sleep habits such as excessive snoring or sleep walking. This information will become a critical part of designing your treatment plan and later on, your personal sleep plan.

If the information you provide points to insomnia as a symptom of an underlying medical or physical condition, I will let you know and ask for your permission to refer you to an appropriate professional for further evaluation and/or treatment if necessary.  

If your insomnia is a symptom of another psychological problem such as an anxiety disorder, depression or posttraumatic stress disorder (PTSD), I will discuss the pros and cons of treating you for that condition along with insomnia. If your condition is outside the scope of my practice or you may benefit from psychiatric medications, I will refer you to another clinician who can better meet your needs. 

Go to Sleep San Diego by Dr. Nancy Lin offers initial evaluations ($200) and individual psychotherapy of 50-minutes ($175) and 90-minutes ($275) on a weekly or twice weekly basis. Most people will begin to see signs of change within 4 sessions. If you are not seeing any changes by then, we should discuss alternatives.

The length and frequency of psychotherapy sessions will depend on several factors including the type of treatment most suited to the individual as well as the complexity of the existing challenge. Most third-party payors put limits on session length and numbers of sessions authorized.

Time, affordability and finances may be of concern. As a general guideline, please expect to spend 8-10 weeks of dedicated work to treat insomnia, 12-15 weeks for treatment of PTSD, and 25-40 weeks for depression and anxiety. Combinations of these challenges will often make for longer duration and intensity of treatment.