Referring Professionals

I welcome referrals from healthcare providers, educators, and community partners. I work with clients who are often functioning well but experiencing increasing strain, particularly in the context of caregiving, professional roles, or life transitions.

Clinical Sleep Support (CBT-I)

  • CBT-I is a structured, evidence-based treatment for chronic insomnia and sleep-related difficulties.

  • CBT-I is recognized as the first-line treatment for chronic insomnia in clinical practice guidelines.

  • Patient Sleep Page - A patient-facing overview of CBT-I services, what to expect in treatment, and optional sleep supports.

Clinical Referral Considerations

Appropriate when:

  • Chronic or persistent insomnia (≥ 3 months duration occurring ≥ 3 nights/week)

  • Functional impairment or daytime impact (daytime sleep, mood, cognition, quality of life)

  • Patient willing to engage in behavioural treatment (sleep logs, between-session practice)

  • Sleep medication use present (CBT-I may support reduction when clinically appropriate)

Contraindicated / stabilize first:

  • Bipolar disorder (unstable or untreated)

  • Untreated / sub-optimally managed sleep apnea

  • Unstable seizure disorder

  • Parasomnias requiring diagnostic clarification

  • Active RLS / PLMD requiring management

  • Acute concussion or neurological recovery phase

  • Significant unstable mental health presentation

Patient self-booking option

Patients may self-book directly via secure scheduling through the Jane App.

Options include:

  • self-booking directly through the Contact page or button below

  • reaching out via email for general inquiries

  • referral from a healthcare provider for consultation or ongoing care

A brief 15-minute consultation is available to support fit and appropriateness before beginning ongoing work.

Medication considerations (CBT-I)

CBT-I may support structured sleep medication reduction when clinically appropriate. Where relevant, I am comfortable working alongside the prescribing physician and/or pharmacist in a coordinated deprescribing approach.

After CBT-I Referral

All new CBT-I clients enter a centralized intake and screening process to support appropriate care planning. Clients are then:

  • reviewed and triaged as appropriate

  • scheduled into CBT-I care pathways

  • supported with coordinated clinical communication when indicated (with consent)

Evidence base

Patient Self-Booking

CBT-I Resources and Patient Education Materials

Evidence-based CBT-I resources for healthcare providers, including clinical guidance, care pathways, clinician tools, and patient education materials.

  • Canadian Sleep Research Consortium
    A Canadian resource providing evidence-based information including clinical care pathways, clinician tools and patient education materials.

  • My Sleep Well – Clinicians
    Clinical CBT-I resources and implementation supports for healthcare professionals working with patients to reduce or stop the use of sedatives and/or get started with CBT-I.

  • My Sleep Well – Resource Centre
    A collection of CBT-I tools, patient education materials, and sleep health resources to support clinical practice and patient care.

Psychotherapy Referrals

I provide individual psychotherapy for adults navigating emotional, psychological, and life-stage transition. This includes support for:

Accessing Psychotherapy

Patients may:

  • self-book directly through the Contact page or button below

  • reach out via email for general inquiries

  • be referred by a healthcare provider for consultation or ongoing care

A brief 15-minute consultation is available to support fit and appropriateness before beginning ongoing work.

Patient Self-Booking
Sunset over mountain range with misty valleys and silhouettes of trees in the foreground evoking calm space for therapy.

Collaboration and communication

I value thoughtful, collaborative care and am happy to connect before a referral to discuss fit and suitability.

With client consent, I can provide brief updates or summary communication to referring providers to support continuity of care.

Please feel free to reach out by email at connect@tanyamelykuty.com — I’d be happy to follow up by phone to discuss a potential referral or answer any questions. Please note that email is not a secure form of communication, so confidential or identifying client information should not be included in email correspondence.

Professional background

I bring a combined RN and RSW perspective, with experience across clinical care, public health, and systems-level practice.

  • Registered Nurse (RN), Ontario, in good standing with the College of Nurses of Ontario

  • Registered Social Worker (RSW), Ontario, in good standing with the Ontario College of Social Workers and Social Service Workers

  • 30 years of experience across mental health, public health, infant and child development, parenting support, community-based care, and cross-sector systems work.

  • Master of Social Work (MSW), University of Toronto

  • Bachelor of Nursing Science (BScN), Queen’s University

  • Additional training in CBT-I, perinatal mental health, attachment-informed practice, and evidence-based psychotherapeutic modalities.

Location & format

All services are offered virtually for adults (18+) across Ontario in a secure, confidential online setting.