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    Ask the Community - Cassia Appel

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    Symbio

    Symbio

    4.3(24 reviews)
    2.2 kmInner Richmond

    It's 8:30pm, and I'm able to write this review because my son is ASLEEP! My husband and I had a 50…read moreminute sleep consultation with Noelle Cochran, PsyD at Symbio over the phone last week. Our 3-year-old son's bedtime drama was causing us to be very overtired (ever since he graduated from a crib to a bed around age 2), and we got practical, insightful, and compassionate advice that so far is working well for him and for us. We were referred to Symbio by my sister-in-law and a pediatrician / mom at my son's preschool, both who've had success with the sleep consultations for their own kids. I'd recommend this to any parent who is struggling with sleep issues for their kids - and do it sooner than we did. Symbio offers counseling and classes by two specialists in infant and toddler mental health with backgrounds in child development and family psychology.

    I had read all the sleep books, trust me, and I was at my wits end about how to help my son, who…read morewas 18 months at the time, to sleep through the night. The books made it sound so easy and I felt foolish for not being able to coax him into a full nights sleep. At the time we contacted Noelle, my son was waking in the night at 3 am, and staying up sometimes as long as 3 hours before going back to sleep. It seemed like no matter what we did, at 3 am, he was up and ready to play. \I met Noelle in her office and my husband called us and she interviewed us on what the current situation was and what we wanted to achieve. I really appreciated how well she was really listening to me. I told her I wasn't comfortable with the "Cry it Out" philosophy and was hoping she'd have some ideas. She took everything we said into account and came up with a plan, well more specifically for us what our next step would be. We implemented that step and then called her for the next step and so on until we got the final result. I'll add that our son was climbing out of his crib at 16 months so we had to figure out a plan with him not being in a crib, but rather just being in his room for bedtime. I imagine she might work differently with each family, but for me, I needed the step at a time approach. It was so valuable to me to have someone to speak to about each step and to have her support throughout the process. Our son is pretty strong willed, and me, not so much, but sure enough, with her guidance and some patience we have gotten to the point where James is sleeping through the night on his own. So in summary - if the books aren't working and you're at your wits end, consider getting some help. Noelle was so caring and compassionate and helped us get to where we are today, with full nights of sleep, glorious sleep!

    Margo Yudanova - Overnight In-home baby sleep training consult. I offer reassurance, emotional and educational support throughout the sleep training process.

    Margo Yudanova

    5.0(21 reviews)
    0.4 kmThe Haight

    I can't thank Margo enough for her help as a night doula and sleep trainer. My son had very…read moredysregulated sleep at 6 months old, often waking up every 20-30 minutes after 2 am. She rescued us from several months of severe sleep deprivation. I was hesitant to do sleep training, but she created an approach that worked for us. She has an extremely intuitive sense of what different babies need and she tweaked our approach (how we went in to soothe, and how often) as we went, based on my baby's reaction. She also gave us a very clear plan and next steps to take on our own. By the second night, my baby slept soundly and only woke up once. Also: Before we did the sleep training, she supported us as a night doula while my son was going through some GI challenges. I thought he would react negatively to a night doula at his age and with his tummy issues, but he was completely calm and soothed by Margo's presence. She also helped me up my milk supply. She is amazing!

    Margo was our night doula and lactation consultant, and we came back to her for sleep training too!…read moreTLDR - she's great! She was with our newborn right after we were discharged from the hospital, extremely caring and tender, super helpful to me as a first-time mom, and taught us everything about the baby, so we were confident that we had it covered. Her help was integral in upping my milk supply; she would help me with breast massages at night pumps, create schedules and suggestions on how to further increase it, and, needless to say, I developed an incredible milk supply that could feed two (!) babies (no joke, as my milk stash is huge). When we hit the four-month regression, we came back to her for advice on sleep training. She guided us through daytime schedule changes, and our baby started sleeping and increasing sleep time right away. She definitely knows what she is doing, and I highly recommend her services to all, especially first-time parents. Thank you, Margo, for your care with our baby, Winston!

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    Margo Yudanova
    Margo Yudanova - I help families to establish independent sleep/self-soothing, practices that help babies learn to fall asleep on their own.

    I help families to establish independent sleep/self-soothing, practices that help babies learn to fall asleep on their own.

    Margo Yudanova - I understand the challenges of nighttime parenting, and I'm  dedicated to ensuring you get the rest you need.

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    I understand the challenges of nighttime parenting, and I'm dedicated to ensuring you get the rest you need.

    Carly Schneider Orofacial Myology - cute wall of thank-you notes from her younger patients

    Carly Schneider Orofacial Myology

    4.3(21 reviews)
    1.9 kmPresidio Heights

    I am so grateful that my Osteopath recommended me to go to Carly and Orafacial Myology! Carly has…read morebeen very helpful in getting me to stop grinding my teeth at night. Thanks to her special techniques and exercises I was able to permanently stop wearing my night guard. Since I no longer grind my teeth at night, I don't wake up with a sore jaw anymore. Carly is a pleasure to work with as she is very patient, positive, and dedicated to finding the correct techniques to help her patients resolve their problems. Carly's extensive knowledge and passion for her craft is remarkable. Thank you Carly!

    Beware of online myofunctional therapy info - as it isn't individualized!…read more I am so happy to know about Myofunctional Therapy with Carly. I have sleep apnea and I have learned how important it is to have an actual skilled therapist, with many years of experience, in this fairly new and upcoming therapy. Before seeing Carly, I had diligently been doing exercises with a snoring app. As I was doing them I was constantly wondering if I was doing them correctly. I decided to try a myofascial therapist and found Carly and I am so glad that I did. I have learned that some exercises on the app that I was doing actually were not appropriate for my level and others I was just not doing correctly. She does a complete initial face, mouth, tongue and throat assessment to figure out what muscles are not working and then customizes the exercises accordingly. There is time in each session with her to see my progress, to make sure I am performing the exercises correctly and then to add in new ones as I progress. I feel I have a mapped out plan now with an expert guiding my way and that gives me peace of mind and hope that I will be able to not only improve my sleep apnea but likely my health in general. She has a special ability to give you verbal cues to help you understand the goal of the exercise as well as a warm nurturing way to get you to relax while trying it. Along with being a delight to work with, Carly is considered a "Master" in her field and sees patients virtually and in-person with grand results. She gives individualized homework and personalized therapy exercises - something you will never get from an online search. Her experience and education sets her way ahead of many other practitioners, that seem to have only taken a weekend course. Apparently, she holds a 2-year Board Certification and had an additional 2-year course study in the Cranial Nerves. She is the only OMT I could find that has worked in a sleep apnea clinic and she was there for over five years.

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    Carly Schneider Orofacial Myology - One exercise: the tongue cave

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    One exercise: the tongue cave

    Bay Sleep Clinic - Cpap medical devices available through insurance to help you sleep better. Sleep masks and other medical supplies to help, fax prescription.

    Bay Sleep Clinic

    2.9(23 reviews)
    2.5 kmLower Pacific Heights

    OMG...this is like the nightmare that never ends! WTH...I just received a letter from Kaiser today…read moreinforming me that Bay Sleep Clinic - SF billed them $4,300.00 for the sleep test that never occurred. This is insurance fraud!!!! Fortunately, everything is well documented as well as my email exchange with our Kaiser doctor at that time informing them of my dissatisfaction and what transpired that evening. I will be calling Kaiser to inform them of this on Monday. If I don't get immediate satisfaction, I have friends at Channel 4 and Channel 7 News for Consumer Reporter and 7 On Your Side. My good friend Linda just happens to work at the Better Business Bureau too. This is unreal.

    I checked all the reviews and the bad reviews does not make any sense at all. I called Bay Sleep…read moreClinic to schedule my husband and my father for consultation and Sleep Study. They both got their appointment within a week. All the staff I talked to were nice and answered all my questions. After the Sleep Study were done, we received a call that the reports are ready and to consult with our doctor. We were referred back to Bay Sleep Clinic for the CPAP device. The Tech contacted me right away and got the information we need to proceed with the CPAP. I highly recommend Bay Sleep Clinic for Sleep Apnea Treatment.

    Photos
    Bay Sleep Clinic - Accessories for Apnea treatment - Sleep Better with Latest CPAP/BiPAP Machines. 
 Covered By All Insurances

    Accessories for Apnea treatment - Sleep Better with Latest CPAP/BiPAP Machines. Covered By All Insurances

    Bay Sleep Clinic - Accessories for Apnea treatment - Sleep Better with Latest CPAP/BiPAP Machines. 
 Covered By All Insurances

    Accessories for Apnea treatment - Sleep Better with Latest CPAP/BiPAP Machines. Covered By All Insurances

    Bay Sleep Clinic - Accessories for Apnea treatment - Sleep Better with Latest CPAP/BiPAP Machines. 
 Covered By All Insurances

    See all

    Accessories for Apnea treatment - Sleep Better with Latest CPAP/BiPAP Machines. Covered By All Insurances

    DOULAS by the BAY

    DOULAS by the BAY

    4.9(350 reviews)
    3.5 kmUnion Square
    Family-owned & operated
    Women-owned & operated

    I cannot recommend Marilou at Doulas by the Bay highly enough. She was our postpartum night doula…read morefor the first few weeks after our son was born, and she was incredible. As new parents, the sleep deprivation is real, but knowing she was there allowed us to finally get the much-needed rest we required to function. Beyond just being a set of expert hands, she became a trusted guide for us and taught us invaluable newborn care tips that we still use daily. We trusted her implicitly with our baby from night one which was critical for us as anxious new parents. Marilou's calm, professional, and warm presence made us feel so at ease during a very vulnerable time. We truly loved our time with her and are so grateful for the care she provided. If you are looking for a doula who is knowledgeable, nurturing, and completely trustworthy, Marilou is amazing!

    We had an incredible experience with Sally for our son from when he was 1-3 months. She was…read moreconsistently punctual, professional, and incredibly kind. Beyond just helping with night feeds, she took the initiative with bottles and laundry, which was a huge help to our family. We felt completely at ease knowing our little one was in such caring hands. In addition, she helped with sleep training. Additionally, the office staff was a pleasure to work with. They were extremely professional and maintained a quick turnaround time on all our requests and paperwork. We highly recommend this team for anyone looking for top-tier newborn care!

    Photos
    DOULAS by the BAY - Loving family I was working with...miss them

    Loving family I was working with...miss them

    DOULAS by the BAY - Very lovely family I was helping caring for their son in Albany..

    Very lovely family I was helping caring for their son in Albany..

    DOULAS by the BAY - Double cuteness:)

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    Double cuteness:)

    Cassia Appel - doulas - Updated May 2026

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