Sleep Medicine

A circle with the words good sleep written in it.

Why Does Good Sleep Matter?

Good sleep is essential for overall health and well-being. During sleep, our bodies perform critical restorative functions, such as repairing tissues, consolidating memories, and regulating hormones. Conversely, poor sleep can lead to a host of health issues. Common diseases associated with inadequate sleep include cardiovascular diseases, diabetes, obesity, and depression. Furthermore, chronic sleep deprivation can weaken the immune system, making individuals more susceptible to infections and illnesses. Therefore, prioritizing good sleep is vital for maintaining physical and mental health.

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Be Prepared for Your First Visit.

During your first visit, we will collect a comprehensive sleep-related history. To save time, please scroll down to the “Self-Assessment” section, complete the self-assessment questions based on your present symptoms, and submit them to us.

Self assessment

Am I Too Sleepy?

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Feeling sleepy when you need to stay awake is the most common symptom of sleep disorders like insomnia and sleep apnea. Score your sleepiness now!

Do I Have Insomnia?

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Do you have frequent trouble falling asleep or maintaining your sleep, as a result feeling poor in the morning?

Do I Have Sleep Apnea?

A girl is laying in bed with her head on pillows.

Sleep apnea means pauses in breathing during sleep, and if you have a loud snore, it is a strong predictor of this common sleep breathing disorder. 

Do I Have Narcolepsy?

A woman sleeping on top of a desk.

Narcolepsy is a sudden attack of sleepiness despite the best effort to stay awake, it can be associated with Cataplexy, a sudden loss of muscle strength.

Rest Less Leg Syndrome

A person sleeping in bed with their feet up.

Do you have uncomfortable feelings in your legs at the beginning or the middle of your sleep that interrupts your sleep?

Do I Have a Healthy Sleep Habits?

A woman laying in bed looking at her phone.

Do you watch TV in the bedroom, or enjoy screen time entertainment in the bed? Poor sleep habits can set up a stage for chronic insomnia and its serious complications...

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Sleep Apnea

Sleep apnea is a serious sleep disorder characterized by repeated pauses in breathing during sleep, which can occur up to 100 times per hour in severe cases. This condition disrupts restful sleep and poses significant health risks if left untreated. Undiagnosed sleep apnea can lead to a host of serious complications, including high blood pressure, heart disease, stroke, diabetes, depression, and cognitive impairment. Additionally, the chronic sleep deprivation caused by sleep apnea can result in excessive daytime sleepiness, increasing the risk of motor vehicle accidents and workplace errors. Prompt diagnosis and treatment of sleep apnea are crucial, as effective management can dramatically improve quality of life, reduce associated health risks, and potentially prevent life-threatening complications. Treatment options such as continuous positive airway pressure (CPAP) therapy have shown to be highly effective in managing symptoms and reducing long-term health risks associated with this condition. 

To learn more, download the patient education handout.

A person is sleeping in bed with an alarm clock.

Insomnia

Insomnia is a common sleep disorder characterized by difficulty falling asleep, staying asleep, or both, despite having the opportunity for adequate sleep. This condition can have significant consequences on both physical and mental health. Chronic insomnia may lead to daytime fatigue, irritability, difficulty concentrating, and decreased productivity. It can also increase the risk of developing serious health problems such as hypertension, diabetes, obesity, depression, anxiety, and cardiovascular disease. Additionally, insomnia can impair cognitive function, weaken the immune system, and even shorten life expectancy. The effects of sleep deprivation can be hazardous when it comes to activities like driving, as it can significantly increase the risk of accidents. Given these potential consequences, it's crucial for individuals experiencing persistent sleep difficulties to seek medical attention and explore treatment options, which may include lifestyle changes, cognitive behavioral therapy, or medication under the guidance of a healthcare professional.

To learn more, download the patient education handout.

Go to your cell phone app store and download “CBTi Coach” to learn how to improve your sleep habits and record a sleep diary.

A man laying on the ground with his hands in his pockets.

Restless Legs Syndrome

Restless Legs Syndrome (RLS) is a neurological condition characterized by an irresistible urge to move the legs, often accompanied by uncomfortable sensations like tingling, crawling, or aching. These symptoms typically worsen in the evening or at night, especially when resting or trying to sleep, and are temporarily relieved by movement. While the exact cause is unknown, RLS may be linked to issues with dopamine levels in the brain or iron deficiency. The condition can significantly impact sleep quality and daily life. Treatment options include lifestyle changes such as regular exercise, avoiding caffeine and alcohol, and establishing good sleep habits. In more severe cases, medications like dopamine agonists, anticonvulsants, or opioids may be prescribed. If you experience persistent leg discomfort and an urge to move, especially at night, consult your healthcare provider for proper diagnosis and treatment options.

To learn more, download the patient education handout.

A person sitting at a desk with their head down.

Narcolepsy

Narcolepsy is a chronic neurological disorder that affects the brain's ability to control sleep-wake cycles. People with narcolepsy experience excessive daytime sleepiness and may have sudden, uncontrollable sleep attacks even after getting adequate nighttime sleep. Other common symptoms include cataplexy (sudden loss of muscle control), sleep paralysis, and vivid hallucinations when falling asleep or waking up. While there is no cure for narcolepsy, various treatment options can help manage symptoms effectively. These include medications to improve alertness and reduce cataplexy and lifestyle changes such as maintaining a regular sleep schedule, taking short, planned naps during the day, and practicing good sleep hygiene. If you suspect you may have narcolepsy, it's crucial to consult with a healthcare provider for proper diagnosis and personalized treatment, as the condition can significantly impact daily life and safety if left unmanaged.

To learn more, download the patient education handout.

A person is sleeping in bed with many items around him.

Do You Practice Good Sleep Hygiene?

Good sleep hygiene is essential for maintaining overall health and well-being. Here's a comprehensive list of practices to help improve your sleep quality:

Establish a Consistent Sleep Schedule

  • Go to bed and wake up at the same time every day, even on weekends.
  • Aim for 7-8 hours of sleep per night.

Create a Relaxing Bedtime Routine

  • Set aside 30-60 minutes before bed to wind down.
  • Engage in calming activities like reading, light stretching, or meditation.
  • Take a warm bath or shower to promote sleepiness.

Optimize Your Sleep Environment

  • Keep your bedroom dark, quiet, and cool (around 65°F or 18°C).
  • Use comfortable bedding and pillows.
  • Reserve your bed for sleep and intimacy only.

Manage Light Exposure

  • Dim lights in the evening to promote melatonin production.
  • Get exposure to natural daylight during the day.
  • Avoid blue light from electronic devices 1-2 hours before bed.

Be Mindful of Food and Drink

  • Avoid caffeine after noon.
  • Limit alcohol consumption, especially close to bedtime.
  • Don't eat heavy meals within 2-3 hours of bedtime.
  • If hungry, opt for a light snack like milk or cereal.

Exercise Regularly

  • Engage in regular physical activity but avoid vigorous exercise close to bedtime.
  • Aim to finish exercising at least 2-4 hours before sleep.

Manage Stress and Anxiety

  • Practice relaxation techniques like deep breathing or progressive muscle relaxation.
  • Write down worries or to-do lists before bed to clear your mind.

Handle Sleep Difficulties

  • If you can't fall asleep after 20 minutes, get up and do a calming activity until you feel sleepy.
  • Avoid watching the clock, as it can increase anxiety.
  • Limit Daytime Napping
  • If you must nap, keep it short (20-30 minutes) and avoid napping late in the day.

Avoid Harmful Substances

  • Don't smoke, especially before bedtime, as nicotine is a stimulant.
  • Be cautious with sleeping pills and use them only as directed by a healthcare professional. Incorporating these sleep hygiene practices into your daily routine can significantly improve your sleep quality and overall health.

To learn more, download the patient education handout

Go to your cell phone app store and download “CBTi Coach” to learn how to improve your sleep habits and record a sleep diary.