I cannot fall asleep, or I keep waking up
Classic insomnia, often with hyperarousal, medication effects, circadian disruption or another sleep disorder hiding underneath.
From chronic insomnia and sleep apnea to hypersomnia, parasomnias, movement disorders, pediatric sleep concerns and sleep medication dependence, I treat the messy cases that do not fit into a five-minute template.

Patients usually arrive with a vague label like bad sleep. The real diagnosis is often more interesting, and more fixable, than that.

Tired all the time is a symptom, not a personality. We find out what is fragmenting your sleep.
Find the cause
CBT-I is the recommended first-line treatment for chronic insomnia. Medication plans are built around it, not instead of it.
How CBT-I works
Obstructive, central and complex sleep apnea need different answers. CPAP is not always the whole story.
Get evaluatedClassic insomnia, often with hyperarousal, medication effects, circadian disruption or another sleep disorder hiding underneath.
Obstructive sleep apnea is common, but central apnea, upper-airway resistance and complex sleep apnea all deserve proper attention.
Fragmented sleep, hypersomnia, circadian misalignment or sleep-disordered breathing can hide behind a normal-looking sleep diary.
Anxiety, conditioned arousal, trauma-related nightmares, pain and medication effects love to masquerade as just stress.
Restless legs, periodic limb movements and parasomnias can sabotage sleep and leave people inexplicably exhausted.
Delayed sleep phase, shift work and irregular sleep-wake patterns need more than a generic sleep hygiene pamphlet.
Sleep medicine gets sloppy when everything is forced into a snoring-or-sleeping-pill binary. This practice is built for the cases that need actual thinking.
A detailed first consultation that maps symptoms, timing, history, medications, psychiatric factors and prior testing, including the patterns other clinics tend to miss.
Behavioral work, home testing, medication simplification, device therapy, circadian interventions or referral when it is actually needed.
Complex sleep problems rarely resolve in one visit. We iterate and adjust until the plan works in real life, not just in a note template.

I am triple board-certified in sleep medicine (ABIM and ABA), anesthesiology (ABA) and addiction medicine (ABPM). That combination matters when insomnia, medication dependence, breathing disorders, pain, anxiety and fragmented sleep all pile together in the same patient.
Many people come to me after years of partial answers or a diagnosis that never really fit. Those are exactly the cases I built EusomniaMD to treat.
A few of the conditions and problem clusters evaluated and treated through EusomniaMD.

Sleep-onset and maintenance insomnia tangled up with tolerance, rebound, anxiety or failed prior treatment.
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Evaluated by phenotype and symptom burden, with a plan for when CPAP is not the whole answer.
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Excessive sleepiness, sleep inertia, nightmares, REM behavior concerns, restless legs and pediatric sleep.
Read moreReady to get your sleep sorted out? Call (650) 308-4845 or email office@eusomniamd.com to schedule an initial consultation or ask whether your situation is a good fit.EusomniaMD · San Francisco Bay Area and telehealth across California