You cannot settle into sleep.
You feel tired, but thoughts, tension, or restlessness keep you awake after you get into bed.
You are tired, but bedtime brings another stretch of lying awake. Or you fall asleep, wake in the night, and start the next day already worn out.
Dr. Kayla provides psychiatric evaluations and medication management for insomnia and sleep concerns by telehealth across Colorado, with attention to your sleep patterns, mental health, and current medications.
When sleep stops feeling restful
Sleep difficulties can show up in different ways. What matters is how often they happen, how long they have been going on, and how you feel and function afterward.
You feel tired, but thoughts, tension, or restlessness keep you awake after you get into bed.
You wake repeatedly or spend long stretches trying to fall back asleep.
You wake before you need to and cannot get back to sleep, even though you still need rest.
You feel drained, foggy, or more irritable, and concentration or everyday tasks become harder.
These experiences do not all have the same cause. An evaluation helps clarify whether insomnia, mental health symptoms, medications, or another health concern may be involved.
Sleep & mental health
Stress, anxiety, and depression can affect sleep. Poor sleep can also make mood and concentration harder to manage. Sometimes worrying about another sleepless night adds to the difficulty settling down.
Dr. Kayla considers what has changed in your life, your sleep schedule, and your medications. The plan may involve treating a related mental health concern, reviewing medication effects, or discussing additional sleep care.
Your psychiatric evaluation
Your first appointment is a one-hour evaluation with Dr. Kayla. You can begin with what has been difficult, when it started, and what you have already tried.
If possible, keep a simple sleep diary for one to two weeks: bedtime, waking times, naps, and how you feel during the day. It can help show patterns, but you do not need a completed diary to request an appointment.
Depending on the findings, the next step may include medication management, a CBT-I referral, primary care follow-up, or assessment by a sleep specialist.
Time to fall asleep, nighttime awakenings, waking time, naps, and differences between workdays and days off.
Energy, sleepiness, concentration, mood, and the effect on school, work, or relationships.
Prescriptions, supplements, sleep aids, caffeine, alcohol, and your usual schedule.
Mental health symptoms, medical history, previous treatment, and signs that another evaluation may be useful.
Treatment & medication review
Medication may be part of sleep care when appropriate. Dr. Kayla reviews what is contributing to the problem, what you already take, and the benefits and risks of the options being considered.
Some medications or substances can disrupt sleep or leave you groggy. Bring a complete list, including over-the-counter products and supplements.
Discuss the purpose of a medication, possible side effects, interactions, and whether it is intended for shorter or longer use.
Follow-ups review sleep, daytime alertness, mood, and tolerability so the plan can be adjusted when needed.
CBT-I is usually the first treatment for chronic insomnia. Cognitive behavioral therapy for insomnia addresses sleep patterns and thoughts or behaviors that keep insomnia going. It goes beyond general sleep tips. Honeybee does not provide a full CBT-I program; Dr. Kayla can discuss referral options.
A small practice. A personal connection.
Kayla Day Krug, DNP, PMHNP-BC
Dr. Kayla is a board-certified psychiatric mental health nurse practitioner and the founder of Honeybee Psychiatry, a woman-owned practice.
Her approach is direct and compassionate, with time to explain treatment decisions and hear your questions. She has a particular focus on women's mental health and generally works with patients ages 8 through 40.
Getting started
Tell us about your sleep concerns, any current treatment, and whether you plan to use insurance or self-pay.
Meet with Dr. Kayla by telehealth to review your sleep, daytime symptoms, health history, and current medications.
Review whether medication management, a therapy referral, or another type of evaluation fits your needs. If medication is part of the plan, follow-ups track its effects.
Appointments & costs
Initial evaluations and most follow-up visits happen online. Join from a private, suitable space without making a regular trip to Denver.
You must be physically in Colorado during your appointment. Limited in-person visits are available at our Denver office by arrangement.
If in-person care is important to you, ask about scheduling before booking so we can discuss whether our availability will work for you.
We can help review your specific insurance coverage and estimated patient responsibility. Costs depend on your plan and benefits.
Insurance estimates are not a guarantee of your final cost. Self-pay is due at the time of service.
Questions about sleep care
No. Trouble falling or staying asleep may involve insomnia, but sleep schedules, mental health symptoms, medications, or medical sleep disorders can also contribute. Sleeping a long time without feeling rested is worth discussing, too.
No. Chronic insomnia generally involves difficulty sleeping at least three nights a week for at least three months, along with daytime effects despite an opportunity to sleep. You can seek help sooner if sleep problems are affecting your life.
Honeybee provides psychiatric evaluation and medication management. We do not perform overnight sleep studies or provide sleep apnea treatment. Dr. Kayla can discuss when primary care or a sleep medicine referral may be appropriate.
Medication is not automatic. The recommendation depends on your age, health, current medications, symptoms, and previous treatment. CBT-I, treatment of a related mental health concern, or further medical evaluation may be more appropriate.
Include it on your medication list, with the amount and how often you take it. Nonprescription products can cause side effects or interact with other medications. Dr. Kayla can review what you use and discuss whether it fits your treatment plan.
Yes. Some medications can affect sleep or daytime alertness. Tell Dr. Kayla when the change started and whether it followed a new medication or dose change. Discuss changes with your prescriber before stopping or adjusting a prescription.
Honeybee focuses on psychiatric evaluation and medication management. A clinician trained in CBT-I can provide that structured treatment. Dr. Kayla can discuss referrals and coordinate with your therapist with your permission.
Dr. Kayla generally sees patients ages 8 through 40, depending on their needs. For younger patients, caregiver input helps describe routines and the effect on home and school. Recommendations are based on age and the evaluation; some concerns need pediatric or sleep specialist care.
If restless nights or tired mornings are becoming your routine, let's talk about what has been happening. Dr. Kayla can help you understand your options and where to begin.