Sleep and insomnia treatment in Scottsdale, Arizona, through physician-led evaluation, medication management, and root-cause diagnosis at NuGen Medicine.
Poor sleep changes everything. It affects your concentration, your mood, your energy, and your ability to manage chronic health conditions. If you have been lying awake night after night, relying on over-the-counter sleep aids, or waking up exhausted no matter how many hours you spent in bed, it is time for a medical evaluation that looks beyond surface-level symptoms. At NuGen Medicine, Dr. Nima Ghadimi provides thorough, personalized sleep and insomnia treatment for adults in Scottsdale and across Arizona, California, Florida, and Colorado.
Schedule Your Sleep Consultation | Call 480-716-5998
No referral needed. Same-week appointments available.
How We Treat Sleep Problems at NuGen Medicine
Insomnia and sleep disturbances are not a single diagnosis with a single fix. Difficulty falling asleep, staying asleep, waking too early, and non-restorative sleep each point to different underlying causes. Some patients have a primary sleep disorder. Others have sleep disruption driven by anxiety, hormonal changes, thyroid dysfunction, chronic pain, or medication side effects. Treatment that works starts with identifying what is actually happening.
Dr. Ghadimi takes a comprehensive, physician-led approach to sleep problems. Every patient receives a detailed clinical evaluation before any treatment recommendation. Our sleep and insomnia services include:
- Thorough medical history review and sleep pattern assessment
- Laboratory testing to identify contributing conditions such as hormonal imbalances, thyroid disorders, and nutrient deficiencies
- Evaluation of medications that may be disrupting sleep
- Evidence-based medication management when appropriate
- Sleep hygiene counseling and behavioral strategies
- Coordination with sleep specialists for sleep studies when indicated
- Ongoing follow-up to monitor treatment response and adjust care
- Telemedicine appointments for eligible patients in Arizona, California, Florida, and Colorado
Every treatment plan is individualized. We do not hand out sleeping pills and send patients on their way. Your care is shaped by your symptoms, your health history, and what testing reveals about the root cause of your sleep problems.
Common Sleep Disorders We Evaluate and Treat
Sleep problems fall into several categories, and many adults live with more than one. During your evaluation, Dr. Ghadimi works to identify exactly which conditions are affecting your rest.
Acute and Chronic Insomnia
Insomnia is the most common sleep complaint. Acute insomnia lasts days to weeks and is often triggered by stress, illness, travel, or life changes. Chronic insomnia persists for three or more months, occurring at least three nights per week. According to the American Academy of Sleep Medicine, approximately 30% of adults report symptoms of insomnia, and roughly 10% meet criteria for chronic insomnia disorder.
Chronic insomnia rarely exists in isolation. It frequently co-occurs with anxiety, depression, chronic pain, and metabolic conditions. Effective treatment requires addressing both the sleep disruption and its contributing factors.
Sleep Maintenance Insomnia
Some patients fall asleep without difficulty but wake repeatedly during the night or too early in the morning. Sleep maintenance insomnia is common in adults over 40 and is frequently linked to hormonal shifts, particularly in perimenopausal and menopausal women and in men with declining testosterone levels. Dr. Ghadimi evaluates hormonal contributions to sleep disruption and can integrate hormone replacement therapy into the treatment plan when lab results support it.
Sleep Problems Related to Other Medical Conditions
Sleep disturbance is a symptom of many conditions that NuGen Medicine manages directly:
- Anxiety and depression: Racing thoughts at bedtime, early morning waking, and non-restorative sleep are hallmark features. Our anxiety treatment program addresses both the mental health condition and its sleep impact.
- Thyroid disorders: Both hypothyroidism and hyperthyroidism disrupt sleep architecture. Thyroid panel testing is part of our standard sleep evaluation.
- Chronic pain: Pain interferes with sleep onset and sleep continuity. Ketamine infusion therapy may be appropriate for patients with treatment-resistant pain affecting sleep.
- Hormonal imbalances: Estrogen, progesterone, testosterone, and cortisol all influence sleep quality. Comprehensive hormone testing helps determine whether hormonal optimization could improve your rest.
- ADHD: Adults with ADHD frequently experience delayed sleep onset and restless sleep, often worsened by stimulant medications that require careful timing adjustments.
Medication Management for Insomnia
When behavioral strategies alone are not enough, medication can be an effective part of insomnia treatment when prescribed carefully and monitored closely. Dr. Ghadimi evaluates each patient individually before recommending medication, considering the full clinical picture rather than relying on a symptom checklist alone.
Commonly prescribed and evaluated options include:
- Melatonin receptor agonists (ramelteon): Target the body’s natural sleep-wake cycle without the dependency risk of older sleep medications
- Orexin receptor antagonists (suvorexant, lemborexant): A newer class of sleep medications that work by blocking wakefulness signals in the brain
- Low-dose trazodone: An antidepressant frequently used off-label for insomnia, particularly in patients with co-occurring mood symptoms
- Gabapentin: May be appropriate when insomnia co-occurs with anxiety, restless legs, or neuropathic pain
- Short-term sedative-hypnotics: Used selectively for acute insomnia with clear time-limited goals and close monitoring
Dr. Ghadimi does not prescribe sleep medications without a thorough evaluation and a plan for ongoing monitoring. Each medication comes with its own timeline for effectiveness, potential side effects, and follow-up requirements. We discuss all of this with you before starting any treatment.
Discuss Your Sleep Treatment Options | Call 480-716-5998
Our Approach to Sleep Care
Most sleep problems do not require a sleep lab as a first step. They require a physician who will listen carefully, order the right tests, and build a treatment plan that accounts for your full health picture. That is how we practice at NuGen Medicine.
Here is what you can expect:
- Initial consultation: A detailed discussion of your sleep patterns, symptoms, medical history, current medications, and lifestyle factors. This appointment typically takes 30 to 45 minutes.
- Diagnostic testing: Based on your evaluation, Dr. Ghadimi may order blood work to check thyroid function, hormone levels, iron studies, vitamin D, and other markers that influence sleep. If a sleep disorder such as obstructive sleep apnea is suspected, we coordinate a referral for a sleep study.
- Treatment plan: You receive a personalized plan that may include sleep hygiene modifications, medication management, treatment of underlying conditions, or a combination. We explain the reasoning behind each recommendation.
- Follow-up monitoring: Regular check-ins to assess how you are responding, adjust medications if needed, and address any new concerns. We do not set a treatment and walk away.
Telemedicine Sleep Consultations
Many aspects of sleep evaluation and treatment can be managed through telemedicine. If you live in Arizona, California, Florida, or Colorado, you can schedule a virtual visit with Dr. Ghadimi from your home.
Telemedicine sleep consultations are appropriate for:
- Initial sleep evaluations and history-taking
- Review of lab results and treatment planning
- Medication management and dosage adjustments
- Follow-up visits to monitor treatment progress
- Sleep hygiene counseling and behavioral strategy coaching
Some services, including physical examinations and certain in-office procedures, require an in-person visit at our Scottsdale clinic. Dr. Ghadimi will let you know during your consultation if an office visit is recommended.
Why Patients Choose NuGen Medicine for Sleep Treatment
Sleep problems are personal and complex. Choosing the right physician matters. Here is why patients trust NuGen Medicine with their sleep care:
- Physician-led care: Every appointment is with Dr. Ghadimi, a board-certified internal medicine physician with over 20 years of clinical experience and training from Mayo Clinic. You see the same doctor at every visit.
- Root-cause investigation: We test for hormonal, thyroid, nutritional, and metabolic factors that other providers may overlook. Treating insomnia without understanding why it is happening leads to incomplete results.
- Integrated treatment: Because NuGen Medicine offers primary care, mental health services, hormone therapy, and specialty treatments under one practice, your sleep care connects to your overall health management.
- Flexible access: In-person visits in Scottsdale and telemedicine across four states. Same-week appointments. Concierge medicine options for patients who want 24/7 physician access.
- Transparent approach: We explain what we are testing for, why, and what the treatment options are. No rushed visits, no unexplained prescriptions.
Visit Our Scottsdale Clinic
NuGen Medicine is located in Scottsdale, Arizona, serving patients from across the Phoenix metropolitan area including Tempe, Mesa, Chandler, Gilbert, Glendale, and Paradise Valley. Our clinic offers in-person sleep evaluations and follow-up appointments.
For patients outside the Phoenix area, telemedicine sleep consultations are available throughout Arizona, California, Florida, and Colorado.
Schedule Your Appointment | Call 480-716-5998
Insurance accepted for eligible services. Cash-pay options available.
Frequently Asked Questions
What types of sleep disorders does NuGen Medicine treat?
We evaluate and treat acute insomnia, chronic insomnia, sleep maintenance insomnia, and sleep disturbances caused by anxiety, depression, hormonal imbalances, thyroid disorders, chronic pain, and medication side effects. If a specialized sleep disorder such as obstructive sleep apnea is suspected, we coordinate referral for a sleep study and work with sleep specialists on your care.
Do I need a sleep study before my first appointment?
No. Most patients do not need a sleep study as a first step. Dr. Ghadimi begins with a thorough clinical evaluation and targeted lab testing to identify treatable causes of your sleep problems. If a sleep study is warranted based on your symptoms, we will coordinate one and review the results with you.
Can insomnia be treated through telemedicine?
Yes. Many aspects of insomnia evaluation and treatment can be managed through virtual visits. Initial consultations, lab result reviews, medication management, and follow-up monitoring are all available via telemedicine for patients in Arizona, California, Florida, and Colorado.
What causes chronic insomnia?
Chronic insomnia often results from a combination of factors. Common contributors include anxiety and mood disorders, hormonal changes (particularly during perimenopause or with low testosterone), thyroid dysfunction, chronic pain, certain medications, and poor sleep habits that have developed over time. Our evaluation process is designed to identify which factors are at play in your specific situation.
How much does a sleep consultation cost at NuGen Medicine?
Consultation costs vary depending on the type of visit and your insurance coverage. Virtual visits typically range from $40 to $90, and in-person visits are approximately $160. Some insurance plans are accepted for eligible services, and self-pay options are available. Contact our office at 480-716-5998 for specific pricing information.
Will I be prescribed sleeping pills at my first visit?
Not necessarily. Dr. Ghadimi does not prescribe sleep medications without first understanding the cause of your insomnia. Your initial visit focuses on evaluation and testing. If medication is appropriate, it will be prescribed as part of a comprehensive treatment plan with clear monitoring and follow-up built in.