New Smyrna Beach · South Daytona · DeLand, FL
Sleep Disorder Treatment in New Smyrna Beach, South Daytona & DeLand, FL
Maybe you're exhausted but can't fall asleep. Maybe you're afraid of what happens once you do. Maybe you sleep a full night and still wake up feeling like you never rested at all. Sleep problems can quietly wear down every other part of your health. We provide compassionate, personalized sleep disorder evaluation and treatment for children, teens, and adults across New Smyrna Beach, South Daytona, and DeLand, Florida.
Sleep Problems Rarely Happen in Isolation
Sleep and mental health are closely connected — anxiety, depression, ADHD, and trauma can all disrupt sleep, and poor sleep can make those same conditions harder to manage. Some people struggle with straightforward insomnia. Others experience somniphobia, an intense fear of sleep itself, or find themselves wide awake with racing thoughts the moment their head hits the pillow.
Signs and Symptoms of Sleep Problems
Everyone has an occasional bad night. It may be time to talk to someone when sleep problems keep happening and start affecting your mood, focus, or daily life.
Trouble falling or staying asleep
Racing thoughts at night
Daytime fatigue and irritability
Waking up unrested
Anxiety or dread around bedtime
Trouble concentrating
An ongoing pattern affecting daily life
Nightmares or night terrors
Read more on our blog: somniphobia, the fear of sleep.
Common Sleep Concerns We See
Sleep problems take different forms, and the right approach depends on what's driving them.
Insomnia
Difficulty falling asleep, staying asleep, or waking too early
An intense fear of sleep itself, or of what might happen during it
Somniphobia
Nightmares & night terrors
Disturbing dreams or episodes that disrupt rest, sometimes linked to trauma or stress
Sleep disrupted by mental health
Sleep problems driven by anxiety, depression, ADHD, or trauma
Some sleep problems have a physical cause, such as sleep apnea, and may need specialized testing. When that's suspected, we can help connect you with a sleep specialist.
Who We Treat
We tailor the evaluation and treatment approach to the age and life stage of the person in front of us.
Including years of running on empty
Adolescents
Adults
Adolescents
School and changing schedules
Including bedtime anxiety, caregivers included
Children 8+
We currently treat individuals age 8 and older, depending on clinical needs and appointment availability.
Which comes first: poor sleep or a mental health condition? Often it goes both ways. Anxiety and depression can show up as sleep problems first, and poor sleep can make them worse. A full evaluation helps untangle what's driving yours. See Anxiety Treatment and Depression Treatment.
How Sleep Problems are Evaluated
Evaluation starts with listening, and with how your sleep connects to the rest of your mental health.
Full sleep history
Bedtime routine, how long problems have lasted, and what's already been tried
Mental health and medical history
How mood, anxiety, trauma, medications, and substances may be affecting sleep
Evaluation for physical causes
Considers whether a condition like sleep apnea may need specialized testing
Clear treatment recommendation
Discussed and decided on together
Our Approach to Sleep Disorder Care
Thorough evaluation
Looks at what's driving sleep issues, since anxiety and depression often show up as sleep problems first
Therapy referrals
We can help connect you with CBT-I, an evidence-based, non-medication approach to chronic sleep problems
Lifestyle & routine guidance
Practical changes to routine and sleep habits that support better rest
Sleep specialist referrals
When symptoms suggest a physical cause, like sleep apnea, that needs further evaluation or a sleep study
Medication management
Considered when appropriate, based on your symptoms and history, with regular follow-up while it's started or adjusted
Sleep problems often occur alongside anxiety, depression, ADHD, or trauma-related symptoms. We currently treat individuals age 8 and older — from children with bedtime anxiety to adults who've been running on empty for years.
Tell us a bit about what you're experiencing
01
Inquire
In-person appointments available, along with virtual options. A $100 deposit is required to book a self-pay/out-of-network initial evaluation, applied toward your total appointment cost.
What to Expect
Intake paperwork
Including insurance info, ahead of your first visit
02
Initial evaluation
Comprehensive in-person psychiatric evaluation
03
Treatment plan
Personalized, with close early follow-up
04
Meet Your Provider
Sandra MacSweeney, MHA, FNP-C, PMHNP-C
Holds a Master's degree in Advanced Practice Nursing with a specialization in psychiatric mental health from Nova Southeastern University. Florida board-certified to treat patients across the lifespan, with a focus on evidence-based, whole-person care.