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Sleep & Wellness Blog

In our blog we break down the science of integrative psychiatry, sleep, and wellbeing into simple, bite-sized articles you can use everyday.

  • All Articles
  • Breathing
  • Diet & Digestion
  • Meditation
  • Productivity
  • Psychiatry
  • Sleep Health
  • Supplements
  • Yoga

How to Treat Insomnia in Clinical Practice (When Medications and CBT-I Aren’t Enough)

The truth is, many clinicians were never taught a clear framework for managing insomnia in clinical practice. And without that framework, it’s easy to get ...
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How to Evaluate Insomnia: A Clinical Workflow for Clinicians

Patients often present after trying multiple medications or referrals without much improvement. But in clinical practice, most insomnia cases come down to a handful of ...
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Why Insomnia Treatment Isn't Working: 3 Things Clinicians Often Miss

Why Insomnia Treatment Isn’t Working: 3 Things Clinicians Often Miss

If your insomnia patients aren't getting better, the problem may not be the treatment — it's the framework. Dr. Nishi Bhopal MD explains the 3 ...
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Sleep study normal, now what?

Normal sleep study. Now what?

You ordered the sleep study. You were pretty sure it was going to show sleep apnea. Then the results came back showing… “No significant sleep ...
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Med adjustments for DST

Med adjustments for DST

I'm writing this from Vancouver, BC, where I'm visiting family, and where the clocks just sprung forward for the last time!
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I'd come off a weekend call, and between the sound of the water hitting the tiles and the thought of 6am rounds, I found myself sobbing.

Depression and Sleep

It’s pitch black outside, and I’m standing in the shower trying to find the energy to face the day. I’d come off a weekend call, ...
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Does Clinical Hypnosis Work For Insomnia?

Hypnosis for Insomnia

There is some evidence of therapeutic uses of hypnosis for insomnia. A few studies suggest it may increase slow-wave sleep, though more research is needed.
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Are you treating patients with sleep complaints but lacking a dedicated insomnia measure? Join Dr. Nishi Bhopal MD to discover the Insomnia Severity Index (ISI), a well-validated tool designed to assess insomnia severity, distress, and daytime impact.

One of the first things I do with an insomnia patient

One of the first things I do with an insomnia patient, whether it’s in a 1:1 session or in my group program, is show them ...
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Are you treating patients with sleep complaints but lacking a dedicated insomnia measure? Join Dr. Nishi Bhopal MD to discover the Insomnia Severity Index (ISI), a well-validated tool designed to assess insomnia severity, distress, and daytime impact.

How to use the ISI in clinical practice

Last year, I worked with a patient whose ISI score was 24 at the start of treatment, which indicates severe clinical insomnia. He’s now back ...
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