Understand the tests available and when a clinical evaluation may be enough.
Book An AppointmentA home sleep apnea test records breathing during sleep, usually with sensors for airflow, oxygen levels and breathing effort. Equipment and instructions vary. A clinician reviews the results to assess for sleep apnea.
A laboratory sleep study records more information, including sleep stages and leg movements, while a technologist monitors you overnight. It may be recommended when a home test is unsuitable or inconclusive, or when another sleep disorder is suspected.
A laboratory study can measure sleep and wakefulness, but the recording alone cannot explain every reason for difficulty sleeping. Your symptoms and sleep history remain important parts of the evaluation.
Tell your clinician about both nighttime symptoms and how you feel during the day.
Loud snoring, gasping or pauses in breathing noticed by a partner may suggest sleep apnea. Significant daytime sleepiness also deserves attention, especially if you struggle to stay awake while driving.
Mention morning headaches, dry mouth and high blood pressure as well. Your clinician considers these symptoms together with your medical history when deciding whether testing is needed.
Difficulty falling asleep, long periods awake at night and worry about sleep may suggest insomnia. These symptoms do not rule out sleep apnea or another condition.
Insomnia and sleep apnea can occur together. An evaluation helps determine which problems need treatment and whether a sleep study would add useful information.
Higher altitude can affect breathing during sleep, especially after moving or traveling from a lower elevation.
Tell your clinician if symptoms began after a move or change when you sleep at a higher altitude. This helps them decide what evaluation is appropriate.
Colorado Sleep Center & Counseling treats chronic insomnia with CBT-I. Most patients see Colorado-licensed clinicians by video. Limited in-person appointments are available; confirm availability when booking. Our insomnia treatment page explains the program.
We treat insomnia and work with partners who treat sleep apnea. Your clinician coordinates referrals when needed. Sleep studies are performed by outside testing providers.
If testing is recommended, your clinician can share the findings with your primary care doctor to help arrange it. Referral and insurance requirements depend on the testing provider and your plan.
A normal result does not mean your symptoms should be dismissed or that every possible cause has been ruled out. Ask the ordering clinician what the test shows and what follow-up is appropriate.
Bring your report to your evaluation. We can consider it alongside your sleep history and discuss whether CBT-I may help with ongoing insomnia.
These are three of the Colorado clinicians who run the evaluations. The full roster lists everyone currently taking new patients.
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, Trauma and PTSD, Women's issues, Grief
Approaches: Cognitive Behavioral Therapy, Mindfulness, Life Transitions
Angie Fouts-Hyatt understands that beginning therapy takes courage, and she offers a warm, compassionate space for individuals to explore their unique stories. Trained in Cognitive Behavioral Therapy for Insomnia (CBT-I), she especially enjoys helping clients address sleep challenges and find practical, sustainable relief from insomnia. Angie believes meaningful growth often comes not from dramatic change, but from thoughtful shifts in perspective and patterns of thinking that lead to powerful results over time. With deep respect for each person’s goals and experiences, she collaborates to create practical, personalized plans that support both emotional well-being and everyday life. She holds every client’s hopes and dreams as valid, and is committed to walking alongside them with dignity, encouragement, and clarity. Knowing that the first step is often the hardest, Angie invites people to try a session, see how it feels, and trust themselves in the process.
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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.
Book An AppointmentThe evaluation is billed as an outpatient behavioral health visit, and we currently bill Aetna, Anthem Blue Cross Blue Shield, Cigna / Evernorth, Medicare, UnitedHealthcare / Optum and UnitedHealthcare Medicare Advantage.
Usually not. Insomnia is generally diagnosed through a sleep history and clinical evaluation. If symptoms suggest sleep apnea or another disorder, your clinician can help coordinate a referral for testing and discuss when to begin insomnia treatment.
A negative home test does not always rule out sleep apnea, and it does not explain every cause of poor sleep. Review the result and any ongoing symptoms with the ordering clinician. Further testing or an evaluation for insomnia or another condition may be needed.
In some cases, insomnia treatment can begin during an apnea evaluation. Your clinician will help decide on the timing. We treat insomnia and coordinate referrals to partners who treat apnea, since the two often occur together.
These conditions need assessment by an appropriate medical or sleep specialist. Testing requirements vary. We can help coordinate a referral and treat coexisting insomnia when appropriate.
Book an evaluation with a Colorado-licensed clinician to discuss your sleep. No referral is needed to book with us. If worry keeps you awake, learn about anxiety therapy in Colorado.
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