Our Blog: Upward Alabama

Up Close with Upward: Running on Empty

By Courtney Worley, Ph.D., ABPP, DBSM, M.P.H.

Advice

Sleep Insomnia

Posted: October 16, 2025

Dear Upward, My days are crammed with work, kids, and responsibilities. By the time I fall into bed it's late, and I'm up again before sunrise. On rare weekends when I could sleep in, my body refuses. I see two options: (1) wake up naturally and hope to drift back to sleep a few times, or (2) knock myself out with sleep meds or herbal remedies. Which path actually helps my body recover? What's worse for my health: too little sleep or too much medication? —Running on Empty

The Importance of Integrated Treatment for Co-occurring OCD and PTSD

By Courtney Worley, Ph.D., ABPP, DBSM, M.P.H.

PTSD

OCD

Posted: June 29, 2025

Individuals dealing with both Obsessive-Compulsive Disorder (OCD) and Post-Traumatic Stress Disorder (PTSD) often face unique challenges. These two conditions, while distinct, can intertwine in ways that exacerbate symptoms, making effective treatment more intricate. While both have effective treatments, the treatments are not interchangeable between disorders. Misdiagnosis is common. OCD can be mistaken for a number of conditions, including Generalized Anxiety Disorder, depression, and PTSD. This is why it’s crucial to seek a therapist trained in both OCD and PTSD to ensure an integrated, comprehensive approach to recovery.

Embracing the Shortest Night: June 20th as World Insomnia Day

By Courtney Worley, Ph.D., ABPP, DBSM, M.P.H.

Insomnia Sleep Nightmares

Posted: June 20, 2025

While many celebrate the extended daylight hours, for those grappling with insomnia, even the briefest night can feel endless. Insomnia affects millions globally, manifesting as difficulty falling asleep, staying asleep, or waking up too early without being able to return to rest. This condition not only impacts physical health but also mental well-being, leading to fatigue, mood disturbances, and decreased performance in daily activities.

How Does Evidence-Based Therapy Help You to Tell Your Story?

By Courtney Worley, Ph.D., ABPP, DBSM, M.P.H.

PTSD

Posted: May 6, 2025

Sharing your story in a private, controlled therapeutic setting with guidance from a therapist who is an expert in trauma can be a transformative experience. It allows individuals to externalize their trauma, gaining perspective and understanding. As you articulate your emotions and thoughts, you may discover new insights that contribute to your healing process. The act of storytelling not only provides relief but also fosters resilience and hope.