Struggling with Sleep? You're Not Alone.

  • Do you have trouble falling asleep, staying asleep in the middle of the night, or find that you wake up much earlier than you want to wake up?

  • Have you tried various prescription pills to help you sleep and find that over time they become less effective or stop working all together?

  • Do you have diagnosed insomnia and you are looking for a holistic insomnia treatment that does not include pharmaceutical drugs?

  • Have you heard of multi-component Cognitive Behavioral Therapy for Insomnia? Also known as CBT-I?

This is a drug free insomnia program for people looking to improve the length and quality of their sleep. It is a non-addicting insomnia program where I won’t provide you with a fish- I will teach you how to fish --so that if at any point in the future you start to have acute insomnia again- you will have all the tools you need to solve your insomnia all by yourself, likely without the need for pharmaceuticals. However, if you would like support in the future we are always here for you to reach out to again.

Meet Tierza Clerc: A Therapist Who’s Walked the Same Path to Better Sleep

Tierza Clerc has been in the medical field for 26 years, initially in medical massage for 23 years helping people after they had surgeries, injuries or trauma, and now 3 years in occupational therapy. I was drawn to this form of occupational therapy for my own insomnia and now that I am sleeping much better, I want to share this program with as many people as I can, so they too can have a higher quality of sleep. Occupational therapy as a whole field helps people in all the areas that occupy our time, this includes sleep. Beside working, sleep is the only thing we do that lasts for 6-8 hours a day…and for many sleep is much more elusive. Occupational therapy as a profession is perfectly positioned to help in the occupation of sleep.Some of the components addressed in this method of sleep treatment: stimulus control, sleep hygiene, cognitive therapy, and mindfulness- among other components of this treatment.Before starting this treatment, we will discuss what you and your primary care doctor have looked at as causes of your insomnia. Together we will look at some co-morbid conditions that often accompany chronic insomnia, some of which will need to be addressed before our work together can begin. (such as sleep apnea- if you’re at risk for sleep apnea you should have a sleep study done before we begin- as adequate oxygen levels are critical for a good night’s sleep and our work won’t progress very well until you get diagnosed and prescribed a CPAP machine to ensure adequate oxygen levels.)

Looking for a Proven Insomnia Treatment? Start with CBT-I

Research has found that CBT-I should be the first step or first defense against insomnia no matter the stage. Here is the article if you’d like to read it: Qaseem, A., Kansagara, D., Forciea, M. A., Cooke, M., & Denberg, T. D.; for the Clinical Guidelines Committee of the American College of Physicians. (2016). Management of chronic insomnia disorder in adults: A clinical practice guideline from the American College of Physicians. Annals of Internal Medicine, 165(2), 125–133. https://doi.org/10.7326/M15-2175This article states that “ACP recommends that all adult patients receive cognitive behavioral therapy for insomnia (CBT-I) as the initial treatment for chronic insomnia disorder. (Grade: strong recommendation, moderate-quality evidence)”This same article also states that “ACP recommends that clinicians use a shared decision-making approach, including a discussion of the benefits, harms, and costs of short-term use of medications, to decide whether to add pharmacological therapy in adults with chronic insomnia in whom cognitive behavioral therapy for insomnia (CBT-I) alone was unsuccessful. (Grade: weak recommendations, low-quality evidence)”

Ready to Take the Next Step Toward Better Sleep?

If this information gives you a desire to know more, please contact us for an initial appointment. If we decide now is not the right time for you to start this program, you will only make the one appointment. If we decide this is the right time for you to start this program, the program generally lasts 7-8 sessions with typically 1-2 weeks between sessions, but may vary longer or shorter based on your specific needs and how you do in the program.No insurance is taken; this is a pay as you go program and fee schedules will be discussed at the initial appointment.For this treatment to work to the best of its ability, it does require your willingness to be flexible - for example: are you willing to not watch TV in bed. Together we will also look at your motivation to change and willingness for changes to be made in your life to improve your sleep quality.

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