One bad night you can shake off. A week of bad sleep is rough but survivable. But months of it? That's a different thing entirely. By that point, the sleep deprivation has worked its way into everything — your mood, your memory, your patience, your ability to get through a normal day without feeling like you're running on fumes. You're probably not sleeping well, not feeling well, and not entirely sure which one is causing the other. That's what chronic insomnia does. It accumulates. And for Manchester residents who've been dealing with this for a while — whether it started out of nowhere or crept up gradually — there's real, evidence-based treatment available. Sindhia Shyras, APRN is a board-certified Psychiatric Nurse Practitioner with over nine years of experience helping people get their sleep back on track. She sees Manchester residents by telehealth from anywhere in Connecticut and in person at our New Britain office, just fifteen minutes west on I-84.
Sleep is when your brain does its maintenance work — consolidating memory, regulating emotion, processing the day. When you consistently miss it, the effects are predictable and cumulative. Your working memory gets slower. You're more reactive to stress — small things set you off more than they used to. Your mood flattens, or swings, or both at different points in the day. Focus is harder to sustain. And the cruel part is that the worse the sleep debt gets, the harder it becomes to fall asleep — your body is exhausted but your brain has gotten locked into a pattern of hyperarousal at night. You lie there tired but wired, and morning comes before you've gotten real rest. Manchester is a working community — people here don't have the luxury of functioning at half capacity. Getting sleep sorted out isn't indulgent. It's how you function properly.
If sleep hygiene advice could fix chronic insomnia, you'd have fixed it by now. You've probably already tried the obvious things — cutting caffeine, putting the phone away, keeping a consistent schedule. And they might have helped a little, or not at all, and here you are. Chronic insomnia isn't a discipline problem. It's a clinical one. The brain has learned a pattern that keeps overriding your body's natural sleep drive, and that pattern needs direct intervention — either through targeted medication, behavioral therapy designed specifically for insomnia, or both. Sindhia figures out which approach makes sense for you based on your history, not a generic protocol.
Your first appointment with Sindhia is a real conversation — about your sleep pattern, how long this has been going on, what the nights look like, what the days feel like, your mental health history, any medications you're on. She looks at the full picture before recommending anything. If medication makes sense, she'll explain what, why, and what to expect — including the follow-up schedule, because getting the first few weeks right matters. If behavioral strategies are part of the plan, she explains those too. You leave with a clear picture of what's happening and a plan to address it.
Serving Manchester, CT and all of Connecticut via telehealth.
Call 860-515-8689 or book online below.
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