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 Your Insomnia Patients Aren’t Getting Better (And What You’re Missing)
Psychiatrist and sleep medicine physician Nishi Bhopal, MD explains why chronic insomnia can persist despite sleep hygiene, medications, supplements, melatonin, and even CBT-I, outlining three…
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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 Is Normal but Your Patient Keeps Waking Up — What Are You Missing?
Dr. Nishi Bhopal MD, a psychiatrist and sleep medicine physician, explains how to evaluate patients who wake every few hours despite a “normal” sleep study,…
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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
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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Sleep & Major Depressive Disorder: A Psychiatrist’s Clinical Insights
Dr. Bhopal interviews Dr. Amit Chopra, a psychiatrist and sleep specialist at Massachusetts General Hospital and Harvard Medical School, about the bidirectional relationship between major…
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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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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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