Insomnia

Insomnia rarely shows up alone — it's usually a symptom that trails behind trauma, chronic pain, or ongoing workplace stress. But it's also disabling on its own, and it's an OWCP-recognized condition that we evaluate and treat, whether it's standing by itself or alongside another diagnosis.

What tends to drive it

• Hypervigilance following a traumatic incident on the job
• Physical pain from a work injury that makes it hard to get comfortable
• Racing thoughts tied to ongoing work stress or an unresolved claim
• A disrupted routine following a route change, reassignment, or leave from work

How it shows up

• Trouble falling asleep, even when you're exhausted
• Waking frequently through the night, or waking early and not being able to fall back asleep
• Daytime fatigue that affects concentration, mood, and safety on the route
• Increased irritability tied directly to how little sleep you got
• Relying more and more on caffeine or other coping habits just to function

Getting it recognized as an OWCP-accepted condition

Insomnia is most often evaluated as part of a broader picture — alongside PTSD, anxiety, depression, or chronic pain — but a clear pattern connecting your sleep disruption to a work incident or ongoing work conditions can support it as part of your claim.

Treatment through our practice

Telehealth counseling addresses both the sleep disruption itself and whatever's underneath it, since treating insomnia in isolation rarely holds if the underlying stress or trauma isn't also addressed. Billed directly through OWCP once accepted.