You fall asleep fine. That's not the problem. The problem is 3am — eyes open, mind already running, lying there watching the minutes tick toward your alarm. You've tried everything you can think of: a fan, melatonin, no screens after 10. Maybe it helps a little. Maybe nothing helps at all. This pattern of waking in the early morning hours and being unable to return to sleep is called sleep maintenance insomnia — and it's one of the most common and most undertreated sleep problems out there. The good news is that it's not random, it's not permanent, and there are real treatment options that go well beyond what you can buy at CVS.
Sleep maintenance insomnia isn't just bad luck. Your brain is staying in a lighter stage of sleep than it should — or cycling out of sleep entirely during the second half of the night when the sleep pressure that got you down initially has worn off. That can happen for a lot of reasons: anxiety running in the background, depression affecting your sleep architecture, cortisol patterns that are off, or just a nervous system that never fully downregulates. Understanding what's driving it is the first step toward actually fixing it. A psychiatric evaluation looks at the full picture — not just sleep, but mood, anxiety, stress, and medical history — because all of those affect how your brain handles the night.
Sindhia Shyras, APRN works with sleep maintenance insomnia in a few different ways depending on what's going on for you. If anxiety or depression is part of the picture — and often it is — addressing that directly can dramatically improve sleep without any sleep-specific medication at all. When medication is appropriate, there are options that work specifically on sleep continuity rather than just sleep onset. And if behavioral patterns are reinforcing the insomnia cycle, she'll talk through those too. The goal isn't just getting you through the night — it's fixing the underlying pattern so you're not managing this forever.
You don't have to drive to New Britain for every appointment. Sindhia sees patients across Connecticut via telehealth — phone, tablet, laptop, whatever you have. And because sleep problems often involve other things happening in your life right now, it helps to be in your own space for these conversations. In-person appointments are available at 1 Liberty Sq, Suite 301 in New Britain if you prefer. Either way, she accepts Aetna, Cigna, Husky Health, Medicaid, United Healthcare, Anthem, ConnectiCare, and self-pay.
Serving Shelton, CT and all of Connecticut via telehealth.
Call 860-515-8689 or book online below.
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