David Slier, Ph.D., Fellow American Academy of Experts in Traumatic Stress, Board Certified in Behavioral Sleep Medicine has provided individual and group therapy in San Diego for nearly thirty years. He maintains a private practice in La Mesa and focuses on helping patients develop personal resources to bring about successful cognitive, affective and behavioral change in response to stressful life circumstances or unexpected crises. Dr. Slier developed the PTSD and Sleep Treatment Programs at the Naval Medical Center San Diego through the Deployment Health Center. His extensive experience includes all evidenced based treatments for PTSD, associated disorders, and sleep conditions involving Insomnia, Restless Leg Syndrome, and Periodic Limb Movement Disorder in Sleep.
Dr. Slier recognizes the value of building a collaborative relationship with co-treating health care professionals toward the mutual goal of enhancing the health, while respecting the unique needs, of each patient who is seen.
Did you know that Cognitive Behavioral Treatment for Insomnia could double the effectiveness of depression treatment? Four rigorous studies have verified that Board Certified Behavioral Sleep Medicine providers can cure insomnia forty to fifty percent of the time, and powerfully complements antidepressant medications, and treatment of other medical conditions, according to a New York Times Article. Three elements: Stimulus Control, Sleep Restriction, and Sleep Hygiene help many patients in four to eight sessions. In addition, challenging self-defeating assumptions, using evidence from one’s own experience can drive this successful endeavor. Interested in learning more? The CBT-i Coach application was developed at Stanford University and the Department of Defense, is available on-line, and will provide you with a free and extensive introduction. Reoccurring Nightmares can plaque patients for years. Imagery Rehearsal Therapy for Nightmares has proven to be an effective remedy for many individuals. Whereas, stopping nightmare medication often results in the reemergence of nightmares.
Is moving one’s extremities usually associated with discomfort or disagreeable sensations? Does moving or rubbing ones legs relieve the discomfort? Are these symptoms worse when resting, and relieved by activity? Are they worse later in the day and night? If so, the Restless Leg Syndrome Rating Scale can identify this tormenting disorder. Many medical conditions and medications can contribute to RLS. A panel that includes Ferritin, B12, B6, Folate, Magnesium RBC, and Phosphate helps to identify frequent co-factors in this puzzling disease. When an individual has RLS, there is an eighty percent chance they will also have Periodic Limb Movement Disorder in Sleep. PLMS can only be evaluated through a sleep-centered study. RLS is treated through medication, nutriceuticals, meditation, and lifestyle changes.
David Slier, Ph.D., FAAETS, CBSM
Fellow American Academy of Experts in Traumatic Stress
Board Certified in Behavioral Sleep Medicine
4700 Spring Street, Suite 306
La Mesa, CA 91942