Sleep & Insomnia Treatment in Idaho

Insomnia and sleep disorder treatment in Boise and across Idaho

Boise Psychiatry · Jake McKee, PMHNP-BC
In-person · Downtown Boise Telehealth · Anywhere in Idaho

Sleep problems wear down everything else, including mood, focus, and physical health, and poor sleep and psychiatric symptoms tend to feed each other. The good news is that insomnia is one of the most treatable problems in all of medicine.

At Boise Psychiatry, I evaluate and treat insomnia and sleep difficulties in adults and adolescents, in person at my downtown Boise office or by secure telehealth anywhere in Idaho, with particular attention to how sleep interacts with anxiety, depression, and ADHD.

Understanding sleep problems

How sleep problems show up

Sleep difficulties take several forms, and the right treatment depends on which pattern you are dealing with and what is driving it.

Insomnia

Trouble falling asleep, staying asleep, or waking too early, along with non-restorative sleep and daytime fatigue, even when there is time to rest.

Tied to mood and anxiety

A racing mind at bedtime, early-morning waking with depression, or sleep that collapses during stressful periods. Sleep and mental health drive each other.

Schedule and rhythm

A body clock that runs late or shifts with work and screens, leaving you wired at night and exhausted in the morning.

Some sleep complaints point to conditions that need different care, such as obstructive sleep apnea or restless legs. Part of a good evaluation is recognizing when that is the case and guiding you toward the right testing.

Getting it right

How evaluation works here

Lasting improvement starts with understanding why your sleep is disrupted, not just reaching for a pill.

1

A full sleep history

We look at your sleep patterns, bedtime habits, schedule, stress, substances, and how daytime functioning is affected.

2

Screening for contributors

We screen for the anxiety, depression, or ADHD that so often disrupt sleep, since treating those can resolve the sleep problem itself.

3

Flagging medical sleep disorders

If signs point to sleep apnea, restless legs, or another medical sleep disorder, I help you get the right testing and referral rather than masking it.

4

A clear plan

We review findings together and build a plan aimed at durable, healthy sleep rather than short-term sedation.

Treatment

Your treatment options

Effective sleep treatment usually combines behavioral change with targeted medical care, tailored to what is driving your insomnia.

CBT-I and sleep skills

Cognitive behavioral therapy for insomnia is the recommended first-line treatment and is highly effective. I use its principles and practical sleep strategies to rebuild healthy, reliable sleep.

Treating the root cause

When anxiety, depression, or ADHD is fueling the sleep problem, treating that condition often restores sleep more effectively than targeting sleep alone.

Medication when appropriate

When medication is warranted, I choose it thoughtfully and for a defined purpose, watching for benefit, side effects, and dependence.

A note on sleeping pills: many common sleep medications work in the short term but lose effectiveness or create dependence over time. I use them judiciously and rarely as a stand-alone, long-term answer, because the most durable fix for insomnia is behavioral, supported by medication only where it genuinely helps.

My approach

Sleep that holds up over time

One experienced clinicianYou work with me throughout, with nearly two decades of psychiatric experience behind every decision.
Behavioral-firstLeading with the treatments proven to work long-term, not just prescriptions that fade or create new problems.
Connected to the whole pictureBecause sleep and mental health are linked, I treat them together rather than in isolation.
Built around your lifeCare that fits real schedules through telehealth or in person, for adults and adolescents alike.

Common questions

Sleep treatment FAQ

Will you just prescribe me a sleeping pill?
Not as a first move. Sleep medications have a role, but the most effective long-term treatment for insomnia is behavioral. I use medication thoughtfully and for a clear purpose, alongside approaches that fix the underlying problem.
What is CBT-I?
Cognitive behavioral therapy for insomnia is a structured, evidence-based approach that retrains your sleep system. It is the recommended first-line treatment for chronic insomnia and works for most people who stick with it.
Could my sleep problem be sleep apnea?
Possibly. Loud snoring, gasping, or waking unrefreshed despite enough hours can point to sleep apnea, which needs specific testing. Part of my evaluation is recognizing this and guiding you to the right testing and care.
Can sleep problems be treated by telehealth?
Yes. Insomnia care, including the behavioral approaches that work best, translates well to secure telehealth across Idaho, with in-person visits available at my downtown Boise office.
Do you accept insurance?
Boise Psychiatry works with several insurance plans, along with self-pay options. Current details are on the insurance and payment options page.

Ready to take the next step?

Getting started is simple, all from your phone or computer.

1Create a secure patient portal with just your name and email.
2Complete a paperless intake online, at your own pace.
3Choose in-person visits in downtown Boise or telehealth anywhere in Idaho.

This page offers general information about sleep disorders and their treatment and is not medical advice, a diagnosis, or a guarantee of any particular outcome. A diagnosis and treatment plan can only be established through an individual evaluation. If you are experiencing a mental health emergency, call or text 988 or call 911.