Sleep disorders are rarely just about sleep...
If you’ve tried sleep hygiene, medications, or even CBT-I and are still waking at 3AM, waking in panic, struggling with nightmares, or feeling wired and exhausted, your sleep issue may require a different path.
At Holistic Sleep Care, we are Psychiatric Sleep Medicine Specialists — treating sleep disorders rooted in stress physiology, trauma, mood instability, circadian disruption, and complex medication patterns.
Our approach integrates behavioral science, thoughtful medication management when appropriate, and intelligent nervous system recalibration to restore stable, sustainable sleep.
Why Choose Holistic Sleep Care?
_edited.jpg)
Dr. Renee Parisi
Psychiatric Mental Health Nurse Practitioner
Doctor of Nursing Practice
Dr. Parisi is a board-certified Psychiatric-Mental Health Nurse Practitioner and Doctor of Nursing Practice. After years of working as a psych NP in emergency and consult-liaison psychiatry she is now specializing in complex psychiatric sleep disorders and immunological psychiatric care (immunopsychiatry). With over twenty years of clinical, academic, and leadership experience, Dr. Parisi has focused her career on treating conditions that are often misunderstood, misdiagnosed, or unsuccessfully treated through standard approaches alone. Her work centers on uncovering the medical complications that often mimic psychiatric illnesses while providing evidence based psychiatric care to her patients.
Your nights hold the story of your nervous system, your stress, your trauma history, and your overall health. When your sleep is disrupted, the rest of your life is too—your mood, your concentration, your motivation, your relationships, and your sense of well-being.
Psychiatric Sleep Care
.png)
.png)
Sleep Restorative Psychotherapy
Comprehensive Sleep & Nervous System Evaluation
Medication Optimization & Management
CBT-I is the gold standard for uncomplicated insomnia. However, complex or chronic sleep disorders often require more than a single protocol.
Sleep Restorative Therapies integrate behavioral sleep science, trauma-informed interventions (including nightmare-specific therapies), circadian stabilization, and nervous system regulation to address the deeper drivers of sleep disruption.
This is not generic therapy. It is targeted, mechanism-based treatment designed to restore balance to the sleeping brain.
This in-depth evaluation examines sleep quality, nervous system patterns, mental health factors, medication effects, and medical contributors to identify the true drivers of disruption.
When indicated, we coordinate lab testing and referral for sleep studies to rule out structural concerns.
We collaborate with primary care, structural sleep specialists, and therapists to ensure care is integrated — not fragmented.
Clarity first. Precision next.
For some patients, medication plays an important role in stabilizing sleep. For others, medications may be part of the problem.
We carefully review all prescriptions and supplements, assess how they interact with sleep architecture and nervous system function, and make adjustments only when clinically indicated.
The focus is balance, safety, and long-term sleep stability.
Immunopsychiatry recognizes that the immune system and the brain are in constant communication. For some patients, immune dysregulation, chronic inflammation, autonomic dysfunction, and mast cell activation may contribute to psychiatric symptoms including anxiety, insomnia, depression, cognitive dysfunction, and medication sensitivity. Our role is to evaluate these relationships, provide evidence-informed psychiatric treatment, and collaborate closely with your medical team to ensure comprehensive care.
ImmunoPsychiatric Care
.png)
Immunopsychiatric Assessment
Immunopsychiatric Treatment & Medication Management
Collaborative Care &
Medical Advocacy
Many psychiatric symptoms have biological contributors that deserve thoughtful medical consideration. This comprehensive immunopsychiatric evaluation explores the relationship between the immune system, nervous system, sleep, hormones, and mental health to determine whether immune dysregulation, autonomic dysfunction, inflammation, or other medical conditions may be contributing to your symptoms. Assessments are evidence-informed, individualized, and designed to identify both psychiatric and medical factors that may influence your overall well-being.
Effective psychiatric treatment begins with understanding the whole person. Medication management is individualized to address symptoms such as anxiety, depression, insomnia, OCD, cognitive dysfunction, and emotional dysregulation while considering the potential impact of immune function, autonomic regulation, medication sensitivity, sleep disorders, and coexisting medical conditions. Treatment plans integrate evidence-based psychiatric care with close attention to the complex relationship between physical and mental health.
Immunopsychiatry recognizes that optimal mental health care often requires collaboration across medical specialties. We work closely with primary care providers, allergists, neurologists, cardiologists, rheumatologists, gastroenterologists, sleep medicine physicians, and other healthcare professionals to ensure coordinated, comprehensive care. Through detailed documentation, thoughtful communication, and patient advocacy, we help bridge the gap between psychiatry and medicine so that psychiatric symptoms receive the thorough medical evaluation they deserve.
Your mental health is not separate from your body, your hormones, your life transitions, or your nervous system. For many women, symptoms like anxiety, burnout, intrusive thoughts, or emotional overwhelm are not random—they are patterned, physiological, and deeply influenced by both internal and external demands.
When these patterns are understood and treated at their root, stability, clarity, and a sense of control can return.
Women's Mental Health
.png)
.png)
.png)
Maternal & Reproductive Mental Health
Trauma Recovery & Nervous System Healing
Anxiety, Perfectionism & Burnout Care
Pregnancy, postpartum, and reproductive transitions place significant demands on both the brain and nervous system. These changes can bring vulnerability—but also an opportunity for targeted, effective care.
We provide specialized support for:
-
Postpartum anxiety, depression, and OCD
-
Birth trauma and NICU-related stress
-
Intrusive thoughts and maternal overwhelm
-
Sleep concerns related to circadian rhythm disruption and nervous system changes
Care is individualized and may include psychotherapy, medication management when appropriate, and coordination with OB/GYN or primary care providers.
Trauma is not only something that happened—it is something the nervous system continues to carry. When the nervous system remains in states of hypervigilance, shutdown, or instability, it can show up as anxiety, emotional reactivity, sleep disruption, and difficulty feeling safe—even when life appears stable on the outside.
Our approach integrates:
-
Polyvagal-informed care and nervous system regulation
-
Trauma-focused psychotherapy, including nightmare-specific interventions
-
Gentle reprocessing of stored responses rather than forced exposure
-
Restoration of internal safety, flexibility, and resilience
Many women who seek care are not falling apart—they are holding everything together.
They are successful, capable, and dependable, yet internally exhausted, overwhelmed, and unable to fully rest. Over time, this pattern can lead to chronic anxiety, insomnia, decision fatigue, and emotional depletion.
We work with:
-
Perfectionism and high internal pressure
-
Health anxiety and intrusive thought patterns
-
Chronic stress and burnout
-
Difficulty “turning off” the mind or body
Treatment focuses on helping the nervous system shift out of constant overactivation, while addressing the cognitive and behavioral patterns that sustain it.
The HSC Journal