
San Diego, CA | Online across California
Insomnia Treatment and Sleep Optimization
When nighttime stress and fertility worries keep you tossing and turning, specialized sleep treatment can help you get the deep, restorative rest your body needs.
The Intersection of Sleep & Infertility
Sleep quality directly influences physiological health, hormonal regulation, and stress recovery. Chronic stress associated with fertility treatment often triggers clinical insomnia, severely impacting quality of life.
I am Dr. Karen Hall, a clinical psychologist specializing in reproductive psychology and Cognitive Behavioral Therapy for Insomnia (CBT-I). I offer targeted, drug-free sleep interventions designed to break the cycle of sleep disruption.


My Approach to Sleep Optimization
Rather than relying on quick fixes or temporary prescriptions, we tackle the underlying thoughts and habits that disrupt sleep.
Targeted CBT-I Protocols:
A structured, short-term treatment that yields long-term sleep improvements without reliance on sleep aids.
Informed by Reproductive Psychology:
Tailored to account for hormone fluctuations, medical treatment schedules, and fertility-related anxiety.
Actionable Night-by-Night Tools:
Practical behavioral changes that calm your nervous system and restore healthy sleep patterns.

Is Insomnia Keeping You Awake?
Your mind starts racing as soon as your head hits the pillow:
Intrusive worries about schedules, test results, or upcoming cycles peak at bedtime.
You struggle with falling or staying asleep:
You wake up during the night unable to drift off again, leaving you exhausted before the day starts.
Exhaustion is spilling into your days:
Fatigue compromises your focus, mood, patience, and ability to handle stress.
You want a drug-free, lasting solution:
You prefer a natural, behavioral approach over sleep medications.
How to Get Started
Initial Consultation
We will complete a brief phone consultation to discuss your specific goals and confirm CBT-I is right for you.
Begin Therapy
We start regular therapy sessions, in-person or telehealth, focused on grounding your nervous system and rebuilding peace of mind.

What You Will Gain in Therapy
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Core mindfulness skills to ground your mind during stressful moments
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Practical methods to stop runaway worry before it spirals out of hand
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Clear frameworks to reframe negative self-talk and distressing thoughts
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Soothing nervous-system techniques to induce physical relaxation
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Renewed emotional strength to keep moving forward toward your family goals
Frequently Asked Questions

About Dr. Karen Hall
Dr. Karen Hall is a licensed clinical psychologist and the founder of The Center for Infertility Counseling and Support in San Diego, CA. Specializing exclusively in reproductive mental health, she provides compassionate, evidence-based therapy to help clients heal from the grief, anxiety, and trauma tied to fertility challenges. She offers both in-person care in San Diego and virtual sessions across California.

“Hi Dr. Hall! I meant to message you sooner after the birth of our baby boy, but was just thinking about you and some of the key points we talked about in therapy. I’ve taken much of that into my first months of parenthood and returned to it time and time again… just wanted you to know our time together has been invaluable to ushering me into parenthood after infertility.” Fertility Client 2023
