Cognitive Behavioral Therapy for worry, dread and the mind that plans at midnight, from Colorado-licensed clinicians who also treat sleep.
Book An AppointmentFor a lot of the people who find us, anxiety has a timetable. It arrives on Sunday evening with the week laid out in front of it: the meeting that could go wrong, the message that has not been answered, the mortgage, the kid's school, the thing you said on Thursday. The mind starts planning and cannot be talked out of it, and planning at 9:40 becomes rehearsing at 11:15 becomes a decision, made at 1 a.m., that you will handle everything differently from now on. It is the most common shape of anxiety in the working adults we see across the Front Range, and it is the one that most reliably steals sleep.
It has other shapes. Anxiety lives in the body as a jaw that aches by lunchtime, a stomach that lurches before the phone rings, a heart that thumps on the stairs for no reason. It lives in behavior as the emails re-read six times, the invitations declined, the drive taken the long way to avoid the interstate. And it lives in the night: not only the trouble falling asleep, but the 3 a.m. wake-up where the worry is already running before you are fully conscious, and the certainty, each evening, that tonight will go badly again. That last piece is the reason a sleep clinic treats anxiety at all. Worry and insomnia teach each other, and after a while it is impossible to say which one is in charge.
Every practising clinician on the Colorado roster is trained in CBT. The work is concrete: identifying the forecasts your mind makes, checking them against what happened, and gradually doing the things anxiety has been steering you around, in an order you agree to.
Several of our clinicians list mindfulness training. It targets the physical side of anxiety, the body that has forgotten how to idle, and gives you a practice for the gap between noticing a worry and acting on it.
When the anxiety has a real problem underneath it, solution-focused sessions build the next step rather than analyzing the last one. Motivational interviewing is used when you are of two minds about changing anything at all.
Because this is a sleep clinic, anxiety work and insomnia treatment are not two referrals; they are one plan with one clinician. When nights are the worst part, the CBT-I schedule usually goes in first, since a body that is sleeping is far easier to reason with, and the worry work follows over the same weeks. Work and career stress in particular is a listed focus for Tristen Vieaux and Lindsay Fahey, which is where the Sunday-night pattern most often gets treated.
The GAD-7 is the seven-question screen clinicians use to gauge how much anxiety has been present over the past two weeks (Spitzer, Kroenke, Williams & Löwe, 2006). Answer the questions below and your total is worked out on this page; nothing you enter is sent anywhere. One thing before you start: a score is a screening aid, not a diagnosis. It cannot tell an anxiety disorder from a hard fortnight, and the right next step at any score is to talk it over with a clinician, for example one of ours.
Talk to a Colorado clinician about your score
Whatever the number, it is a screening aid and not a diagnosis. A clinician looks at the whole picture, including sleep, health and what the last two weeks have held, before drawing any conclusion.
Each answer scores 0 (not at all), 1 (several days), 2 (more than half the days) or 3 (nearly every day), for a total of 0 to 21. Totals of 0–4 are read as minimal anxiety, 5–9 as mild, 10–14 as moderate and 15–21 as severe. A score of 10 or more is the usual threshold at which clinicians look more closely.
Three of the clinicians who list anxiety among their specialties, from three parts of the state. The full Colorado roster shows everyone taking new patients, with credentials and a booking link for each.
LPC, CBT-I, Insomnia Specialist
Specialties: Insomnia, Anxiety, Career and work stress, Life Transitions
Approaches: Cognitive Behavioral Therapy, Mindfulness, Coping Skills
Tristen Vieaux is a Licensed Professional Counselor (LPC) and Nationally Certified Counselor (NCC) with a Master's degree in Community Counseling from Northern Arizona University and nearly two decades of clinical experience. She has completed specialized training in Cognitive Behavioral Therapy for Insomnia (CBT-I) and is a Level II EMDR therapist. Tristen takes a trauma-informed, integrative approach — working with the whole person, mind, body, and spirit — to help clients find their voice, heal old wounds, and build new patterns of relating. She works with individuals, couples, and families navigating anxiety, life transitions, and emotional exhaustion, guiding clients through difficult terrain with empathy, structure, and clarity.
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LPC, CBT-I, Insomnia Specialist
Specialties: Insomnia, Anxiety, Life Transitions, Career and work stress
Approaches: Cognitive Behavioral Therapy, Motivational interviewing, Dialectical Behavior Therapy (DBT)
Lindsay Fahey is a Licensed Professional Counselor in Colorado (LPC) and New York (LMHC) with over a decade of experience across all levels of care, including crisis, inpatient, residential, outpatient, and private practice. She has worked with a wide range of clients, from children and adolescents to adults and those facing end-of-life concerns. Lindsay draws on a variety of evidence-based approaches, including CBT, DBT, EMDR, Emotional Freedom Technique, Motivational Interviewing, and Solution-Focused therapy, and has completed specialized training in Cognitive Behavioral Therapy for Insomnia (CBT-I). She believes her clients are the experts in their own lives, and approaches each session with curiosity, empathy, and patience.
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LPC, CBT-I, Insomnia Specialist
Specialties: Insomnia, Anxiety, Depression, Trauma and PTSD, Veterans
Approaches: Cognitive Behavioral Therapy, Motivational interviewing, Solution-focused
Cyndy Rehberg is a cognitive-behavioral therapist who brings deep curiosity about the mind and a collaborative, strengths-based approach to her work with clients. She specializes in supporting individuals navigating anxiety, depression, trauma, life transitions, and adjustment concerns, and has a particular passion for working with military and veteran populations, injured athletes, and women in perimenopause. Cyndy has completed specialized training in Cognitive Behavioral Therapy for Insomnia (CBT-I), equipping her with evidence-based tools to address the thoughts, behaviors, and patterns that interfere with restorative sleep. Grounded in the belief that clients possess a profound capacity for growth and healing, she works collaboratively to uncover strengths, identify actionable strategies, and create lasting, meaningful change — helping clients move from simply receiving life to actively shaping it.
Book An AppointmentAnxiety therapy is an outpatient behavioral health service, which is the part of a Colorado health plan that covers counseling. We currently bill Aetna, Anthem Blue Cross Blue Shield, Cigna / Evernorth, Medicare, UnitedHealthcare / Optum and UnitedHealthcare Medicare Advantage. Tell us your plan when you book and we will confirm your copay or deductible position before the first session; if your plan is not listed, out-of-network benefits often still apply.
Yes, with the same clinician. Most people who come to us with both do not get two separate programs; they get one plan in which the sleep-schedule work of CBT-I and the cognitive work on worry are sequenced by the clinician, usually sleep first because steadier nights make the daytime work easier. You do not have to decide which problem is the "real" one before booking.
You may not be able to tell from the inside, and you do not need to. A panic attack has a sharp edge: a surge of fear with a pounding heart, breathlessness or a sense of doom that peaks within minutes, sometimes waking you from sleep. Sleep-deprivation anxiety is flatter and more constant, a low hum of dread that lifts after a good night. The evaluation sorts this out in the first session, and both respond to the approaches we use.
No. We see most patients via telehealth with Colorado-licensed clinicians, and a limited number of clinicians also see patients in person, so a home in Salida, Steamboat or Pagosa Springs is served the same way as one in Cherry Creek. Ask at booking if in-person matters to you and we will tell you what is available.
Structured anxiety work is typically measured in months rather than years. Many Colorado patients see real change inside eight to twelve weekly sessions, and where insomnia is part of the picture the CBT-I portion tends to run six to eight of those. Your clinician will set a review point with you early on rather than leave the end open.
No. Cognitive Behavioral Therapy for anxiety stands on its own, and for many people it is the whole treatment. If you already take something, you can start therapy on it, and any change is a decision for you and whoever prescribes it. If your clinician thinks a medication conversation would help, they will say so and can coordinate with your doctor.
Book an evaluation with a Colorado-licensed clinician. If you are not sure whether the sleep or the worry came first, that is a fine place to start the conversation; see also whether you need a sleep study.
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