Welcome to SHIELD Psychiatry

Protecting Young Minds, Empowering Futures

What is Insomnia?

Insomnia is more than a few bad nights β€” it’s a persistent pattern of trouble falling asleep, staying asleep, or waking too early with daytime effects. At SHIELD Psychiatry, we treat pediatric, adolescent, and young adult insomnia with evidence-based care that blends CBT-I, routine design, and family coaching.

Common Signs by Age

  • Ages 5–12: Bedtime resistance, prolonged sleep onset, nighttime fears, co-sleeping, early waking
  • Ages 13–18: Delayed sleep schedule, long sleep latency, frequent awakenings, school-day fatigue
  • Ages 19–25: Irregular sleep/wake timing, difficulty initiating/maintaining sleep, cognitive fog, academic/occupational impact

Our Insomnia Treatment Approach

  • Comprehensive sleep evaluation (sleep diary baseline, environment review, red-flag medical screen)
  • CBT-I protocols: stimulus control, sleep-restriction titration, circadian anchoring, relapse-prevention
  • Behavioral skills: wind-down routines, screen curfew, caffeine/nicotine timing, morning light activation
  • Mind-body tools: breathing, PMR, guided imagery; anxiety management when present
  • Caregiver/young-adult coaching and school/college collaboration as needed

At-a-Glance: Sleep Metrics We Track

Sleep Efficiency Target β‰₯ 85%

Ratio of time asleep to time in bed β€” higher is better.

Sleep Onset Latency Target < 20 min

How long it takes to fall asleep after lights out.

WASO Target < 30–40 min

Wake After Sleep Onset β€” time spent awake overnight.

Regularity Β±30–45 min

Consistency of sleep/wake times β€” anchors circadian rhythm.

We tailor care to neurotype and context (ADHD, anxiety, autism, college transitions), balancing structure with compassion.

Insomnia FAQ

Sleep-problems-insomnia treatment

Insomnia Resources & Support

Evidence-informed links to organizations, apps, and books that actually help.

πŸ†˜ Quick Help

πŸ”Ή Trusted Sleep Health Organizations & Websites

πŸ“± Apps for Sleep & Relaxation

  • CBT-I Coach

    Sleep diary, stimulus control, sleep restriction tools.

    CBT-IAdult
  • Calm

    Meditations, sleep stories, and relaxation soundscapes.

    AllRelaxation
  • Sleep Cycle

    Smart alarm & sleep tracking with trend reports.

    TrackingAdult
  • Pzizz

    Adaptive soundscapes and guided relaxation.

    AudioAll

πŸ“š Books on Sleep & Insomnia Recovery

Resources are educational and not a substitute for medical care. If insomnia persists, consider a formal CBT-I evaluation.