Common Questions

Does what we talk about remain confidential?

Absolutely. It is important that you feel comfortable in trusting the person you are working with and that what you share in the office stays in the office.
In order to provide you the best care Dr. Rower often collaborates with your other doctors to make sure your entire healthcare team is on the same page. If you would not like for this to happen you can certainly let Dr. Rower know and exceptions can be made.

How do I know if I need a sleep study?

Dr. Rower is not a medical doctor but he can help you determine if you have symptoms that are linked to underlying medical problems (such as sleep apnea) that could be impacting your sleep. He has relationships with the sleep clinics and doctors in the Portland area and can provide you a referral.

Why would I need to see a psychologist for my problems with sleep?

Insomnia is a problem that affects both the body and the mind. It is hard to find anyone that struggles with their health that doesn’t also experience stress and difficult emotions.
Sleep is a unique problem because the emotional stress is causes often makes the problem worse and causes a vicious cycle that causes the problems with sleep to become chronic. Struggles with sleep, illness and pain may also change the way you think about yourself, your life and your relationships. Learning coping strategies can help you to cope, to start to enjoy your life more & to get back to sleeping naturally.

What if I have insomnia AND chronic pain?

Chronic pain and insomnia often go together. Research also indicates that problems with sleep can make pain worse, which then can make the problems with sleep worse. This causes a vicious cycle where people become much more sensitive to the pain that won’t go away and less able to function because they are so tired. Treatment for insomnia can help break up this cycle and improve the quality of your life. In some cases individuals with chronic pain that participated in CBT-I treatment led to improvements in BOTH their sleep and pain levels.

What if I have insomnia AND depression?

Research has shown that people struggling with depression that get treatment for depression and insomnia at the same time are 5 times more likely to eliminate insomnia and twice as likely to eliminate depression.  So, no need to wait until your depression is better in order to start getting your sleep problems addressed.

Do I need to stop my medication before starting behavioral treatment for my sleep problems?

No, you do not have to be off of medication to benefit from CBT-I. Often clients decide to start treatment as a way to learn strategies to become less dependent on medications over time. It is not recommend to stop or make any sudden changes to your medications without first talking to your prescribing provider as you could make your sleeping problems worse. As treatment progresses you may be able to talk to your provider about tapering your dose as you learn CBT-I coping techniques.

How often do I need to come see you?

In the beginning weekly sessions are recommended, and as your symptoms begin to improve we can meet less frequently.

Follow up appointments after the initial consultation range from 30 to 55 minutes depending on how your sleep is going.

How long does treatment last?

Treatment length depends on the how severe & complicated your insomnia is.  Just like seeing a medical doctor.

Brief treatment (5-8 sessions) exist for some problems but longer treatment may be needed for more complicated cases. I will work with you to discuss your personal treatment goals and can give you a better estimation at the initial consultation appointment.

How do I make an appointment?

Please see the contact page for a few options to schedule or ask me a question.

Is insomnia treatment right for me?

CBT-I treatment for your insomnia might be a good fit for you if you…

  • Prefer not to take sleep medication (or less of it)
  • Cannot tolerate the side effects of sleep medication
  • Sleep medication isn’t working for you
  • Are pregnant, plan to become pregnant or are nursing (and would like to sleep without medication)
  • Are experiencing a high degree of stress and would like to learn to use more effective coping skills
  • Have other issues with sleep (like sleep apnea) and are having problems with sleep

 

Do you accept insurance?

I am a preferred provider with Regence/Blue Cross Blue Shield and Pacific Source insurances. If I am out-of-network with your insurance you may be able to use your out-of-network benefits on your insurance plan.

Also, if I am not in-network with your insurance you also may be able to arrange a ‘single case agreement’ exception with your insurance provider since there are not many experts that offer evidenced-based, non-medication treatment of insomnia. In order to see if you can arrange this, you will need to call your insurance company and request their approval.

The only insurance I am not approved to work with is Medicaid/Oregon Health Plan.

I am happy to provide all the billing services for you for all other insurance plans.