Conditions We Treat
Sleep Difficulties
Trouble falling asleep, staying asleep, or waking rested.
Sleep difficulties — trouble falling asleep, staying asleep, or waking unrefreshed — can affect every part of your health, from mood and focus to physical well-being. They often go hand in hand with other psychiatric concerns.
Dr. Egenburg evaluates the underlying factors contributing to your sleep and builds a personalized plan to address them, coordinating care and adjusting treatment over time to help you rest and recover.
The short answer
Momentum Modern Psychiatry helps adults with sleep difficulties by identifying what's driving the problem — often anxiety, depression, stress, or other factors — and building an individualized plan with Dr. Egenburg. Care is available in person in Marlboro, NJ, and by telehealth in New Jersey and New York when clinically appropriate.
Common sleep problems in adults
Sleep and mental health are closely linked: poor sleep can worsen mood and anxiety, and psychiatric conditions often disrupt sleep. Addressing both together tends to work better than treating either alone.
Common concerns include:
- Trouble falling asleep because your mind won't slow down
- Waking during the night or too early and not getting back to sleep
- Waking unrefreshed even after enough hours in bed
- Daytime fatigue, irritability, or trouble concentrating
- Sleep patterns that shift with mood or stress
- Relying on alcohol or over-the-counter aids to sleep
How Dr. Egenburg evaluates sleep difficulties
During the 60-minute comprehensive evaluation, Dr. Egenburg reviews your sleep patterns, routines, mood, stress, medications, substance use, and medical history. Sleep problems can be a symptom of depression, anxiety, trauma, bipolar disorder, or ADHD — or a separate issue.
If there are signs of a medical sleep disorder such as sleep apnea, Dr. Egenburg may recommend follow-up with your primary care physician or a sleep specialist.
Treatment options for sleep difficulties
Treatment depends on the cause. When an underlying condition like depression or anxiety is driving poor sleep, treating that condition is often the most important step.
Behavioral approaches — consistent sleep and wake times, wind-down routines, and cognitive behavioral therapy for insomnia (CBT-I) — are foundational. Dr. Egenburg can coordinate with a therapist when helpful.
Medication may be considered in some cases. Some sleep medications are controlled substances; prescribing follows federal and state rules and may require in-person visits. Dr. Egenburg will talk through benefits, risks, and alternatives.
When to see a psychiatrist about sleep
Consider an evaluation if sleep problems have lasted several weeks or more, are affecting your mood or daytime functioning, or seem tied to anxiety, depression, or stress — or if you've come to depend on alcohol or sleep aids.
In-person and telehealth care
Dr. Egenburg sees patients in person at the Marlboro, NJ office and by secure telehealth for adults located in New Jersey or New York, when clinically appropriate. Your first comprehensive evaluation is preferably done in person, so there's time to understand the full picture; many follow-up visits can then happen by video.
Frequently asked questions
Should I see a psychiatrist or a sleep doctor for insomnia?
It depends on the cause. If sleep problems are tied to mood, anxiety, or stress, a psychiatrist is a good starting point. If there are signs of a medical sleep disorder like sleep apnea, a sleep specialist may also be involved.
Can anxiety or depression cause insomnia?
Yes. Sleep problems are common with both, and improving the underlying condition often improves sleep.
Can I be treated for sleep problems by telehealth in NJ or NY?
Yes, when clinically appropriate, for adults located in New Jersey or New York. Some medications may require in-person visits under federal and state rules.
Will I be prescribed sleeping pills?
Not necessarily. Many sleep problems improve with behavioral approaches and by treating underlying conditions. Medication is considered case by case.
Start with a free consultation
A no-cost, no-obligation conversation to talk through sleep difficulties and whether Momentum is the right fit. In person in Marlboro, NJ, or by telehealth in New Jersey and New York.
From Momentum Modern Psychiatry, the practice of Deanna Egenburg, MD. Updated September 2026. For general information only — not medical advice.
This page is for informational purposes only and does not constitute medical advice or a diagnosis.