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Pacific Integrative Psychiatry

@pacificintegrativepsych

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🌊 Insomnia & Mental Health for adults
👉Online appointments in California
💤 Sleep coaching for insomnia in multiple states
➡️ Founder of @intrabalance

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Looking for a mental health practitioner in California? We can help.

➡️ We offer therapy, integrative psychiatry, and nutrition services virtually throughout the state.

Our specialties:
✔️Anxiety
✔️Depression
✔️ Burnout
✔️ Gut health
✔️ Sleep

🔗 Check out our website to learn more or schedule a free 20-minute call. Link in bio.

#mentalhealth #anxietyrelief #depressionhelp #integrativepsychiatry #functionalmedicine #sleepsupport #guthealth #functionalnutrition #therapistsofinstagram #californiapsychiatrist #bayareapsychologists by @pacificintegrativepsych

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3 years ago

We help adults optimize their mental health, gut health, and sleep.

Schedule a free call to learn more. Link in bio
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#anxiety #stress #sleep #insomnia #chronicstress #emotionalhealth #integrativepsychiatry #mentalhealth #mentalwellbeing #depression #health #wellness #sleephealth #selfcare #healthcare #psychiatry #integrativemedicine #holisticmedicine #mentalwellness #pacificintegrativepsych #nutritionalpsychiatry by @pacificintegrativepsych

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4 years ago

The secret to precise treatment plans and improving outcomes: bring the spirit of curiosity into your clinical visits.

#sleepmedicine #medicaleducation #integrativemedicine #integrativepsychiatry by @pacificintegrativepsych

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8 days ago

Sleep Jeopardy! 💤
Do you know it? Drop your answer below 👇
And remember: your answer must be in the form of a question: ("What is X?")

——

Hi! I'm Nishi Bhopal MD, The Sleep Psychiatrist™
🇨🇦🇺🇸Canadian expat. Dog lover. Psychiatrist & Harvard-trained Sleep Doc.
✅ I teach physicians & therapists about clinical sleep medicine @intrabalance
🩺 Founder of a private practice called Pacific Integrative Psychiatry
✓ Information only, not medical advice

#sleepmedicine #sleepeducation #integrativemedicine #integrativepsychiatry by @pacificintegrativepsych

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16 days ago

Sleep Jeopardy! 💤
Do you know it? Drop your answer below 👇
And remember: your answer must be in the form of a question.

——

Hi! I'm Nishi Bhopal MD, The Sleep Psychiatrist™
🇨🇦🇺🇸Canadian expat. Dog lover. Psychiatrist & Harvard-trained Sleep Doc.
✅ I teach physicians & therapists about clinical sleep medicine @intrabalance
🩺 Founder of a private practice called Pacific Integrative Psychiatry
✓ Information only, not medical advice

#sleepmedicine #sleepeducation #integrativemedicine #integrativepsychiatry by @pacificintegrativepsych

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21 days ago

Sleep Jeopardy! 💤
Do you know it? Drop your answer below 👇
And remember: your answer must be in the form of a question.

——

Hi! I'm Nishi Bhopal MD, The Sleep Psychiatrist™
🇨🇦🇺🇸Canadian expat. Dog lover. Psychiatrist & Harvard-trained Sleep Doc.
✅ I teach physicians & therapists about clinical sleep medicine @intrabalance
🩺 Founder of a private practice called Pacific Integrative Psychiatry
✓ Information only, not medical advice

#sleepmedicine #sleepeducation #integrativemedicine #integrativepsychiatry by @pacificintegrativepsych

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22 days ago

Wow, this somehow snuck past me last month...we have officially crossed 1 million views on YouTube!

When I started making videos, I really just wanted to make sleep medicine education more accessible and practical for my colleagues and patients.

Not to mention, I was terrified of being on camera!

It’s pretty wild to know those videos have now been watched more than a million times.

Thank you to everyone who has watched, shared, subscribed, or sent a video to a colleague.

Here’s to the next million!
——
I'm Nishi Bhopal MD, The Sleep Psychiatrist™
🇨🇦🇺🇸Canadian expat. Dog lover. Psychiatrist & Harvard-trained Sleep Doc.
✓ I teach physicians & therapists about clinical sleep medicine @intrabalance
🩺 Founder of a private practice called Pacific Integrative Psychiatry
✓ Information only, not medical advice
#SleepMedicineSpecialist #continuingmedicaleducation #integrativesleepmedicine #integrativepsychiatry #IntegrativeMedicine by @pacificintegrativepsych

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24 days ago

It was my first time attending the @californiasleepsociety conference but certainly not the last!

Congratulations to the organizers for a fantastic event, and a huge thanks to my friends and colleagues Dr. Rafael Sepulveda @sleepfitmedical and Dr. Sam Kashani @samkashanimd for the invitation to speak on behavioral treatment of insomnia.

I learned so much from all of the speakers, attendees, and exhibitors. In this digital world, there’s no replacement for analog, authentic connection.

Looking forward to the next one!

In these photos:
@sleepfitmedical
@dr.elie.gottlieb
@intrabalance
@samkashanimd
Dr. Nnamdi Orakpo, sleep psychiatrist
Dr. Radhika Breaden, sleep physician
@sleepdrpm @pegahmash
Dr. Andrew Binder, sleep medicine
@doctor.insomniac
Jasbir Kimball
@theflamingoresort

#sleepmedicine #integrativemedicine #integrativepsychiatry #sleepeducation by @pacificintegrativepsych

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25 days ago

I had so much fun meeting @sleepdrpm Dr. Pegah Mashayekhi DO, and appreciate her for sharing her wisdom at this year’s @californiasleepsociety conference in Sonoma!

If you’re a PCP or psychiatrist whose patients are afraid of getting a sleep study because “I don’t want to wear that mask” - remind them that there are lots of options and sleep specialists will help them personalize the treatment plan.

@pegahmash

#medicaleducation #sleepmedicine #continuingmedicaleducation #integrativepsychiatry by @pacificintegrativepsych

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25 days ago

I loved this sleep quote from Theo of Golden by Allen Levi:

“And he was pleased, in these unsought moments of sleeplessness, to sit and surrender to the silence, his mind free to take him wherever it wished. He found in such moments the chance to draw upon memory and recall scenes from his long, storied life.”

What are you reading right now?

#medicaleducation #sleepmedicine #insomia #integrativemedicine #integrativepsychiatry by @pacificintegrativepsych

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3 months ago

A trap that clinicians often fall into unwittingly is this:

Feeding into your patient’s anxiety.

This is especially true when it comes to insomnia.   When your patient can’t sleep, they’re desperate for relief and are coming to you for help.  So you reach for the tools in your toolbox: sleep hygiene, prescriptions, magnesium, CBT-i, relaxation practices, and so on.   The patient gives it a go, and then comes back still struggling.   So you adjust the plan. You try something else, search OpenEvidence, or maybe ask your colleagues in a Facebook group for recommendations.

Then the patient tries that and it’s still not helping.   And now you’re in what I call the “Dance of Sleep Effort”.   The patient is trying really hard to overcome insomnia, and you’re trying really hard to help them (and maybe even getting frustrated yourself).   All the while, the effort you’re putting into the plan is actually fueling the patient’s anxiety, desperation, and fear that nothing will “work”.   I see this pattern come up all the time when I teach clinicians about sleep. 
The paradox of insomnia is that it actually needs less effort, not more - both on the part of the patient and clinician.   Pic: Speaking at Club Rewire’s @clubrewire recent Sleep event in San Francisco
——

I’m Nishi Bhopal MD, The Sleep Psychiatrist™
🇨🇦🇺🇸Canadian expat. Dog lover. Psychiatrist & Harvard-trained Sleep Doc.
✓ I teach physicians & therapists about clinical sleep medicine @intrabalance
🩺 Founder of a private practice called Pacific Integrative Psychiatry
✓ Information only, not medical advice

#sleepmedicine #continuingmedicaleducation #integrativesleepmedicine #integrativepsychiatry integrativemedicin by @pacificintegrativepsych

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3 months ago

❗️Hot take: Only psychiatrists and psychologists should be allowed to do CBT-I, cognitive behavioral therapy for insomnia.   I heard this from a sleep medicine physician colleague.   They told me that some people think sleep medicine doctors, like pulmonologists, neurologists, and non-psychiatry trained sleep medicine doctors should not be doing CBT-I because this is in the domain of therapy.   Those of us in psychiatry know there are nuances to therapy that most docs aren’t taught.   Thus, some think that only psychiatrists and psychologists should provide CBT-i.   Kind of a hot take.   I have my own thoughts on this which I’ll share later.   ❓ What do you think? Should psychologists and psychiatrists be the only ones allowed to do CBT-I? 👇

 Pic: Behind the scenes at the Psychiatric Times studio, recording a CME training on sleep for psychiatrists
——

Hi! I’m Nishi Bhopal MD, The Sleep Psychiatrist™
🇨🇦🇺🇸Canadian expat. Dog lover. Psychiatrist & Harvard-trained Sleep Doc.
✅ I teach physicians & therapists about clinical sleep medicine @intrabalance
🩺 Founder of a private practice called Pacific Integrative Psychiatry
✓ Information only, not medical advice

#sleepmedicine #sleepeducation #integrativepsychiatry by @pacificintegrativepsych

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3 months ago