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Accurate Diagnosis & Optimal Sleep Disorder Treatment
Confidential Sleep Disorder Treatment
Be assured that no one is able to identify that you are receiving personalized Sleep Disorder Treatment Care; no employer, no insurance, no neighbors, friends, or family.
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The very best customer service without a subscription fee. We give you 24/7 access to care, flexible scheduling, and unparalleled privacy! In addition, employers and insurance companies are not involved in your care. Only you and your doctor will make decisions about your treatment.
Physicians represent the gold standard of patient care. While the use of physician extenders (NPs and PAs) has become prevalent in healthcare, we utilize only highly trained physicians for your care. Using high quality physicians is key to ensuring accurate diagnosis personalized treatment.
Translation: Better diagnosis & treatment = Better outcomes
This is about You being who you were designed to be.
Living a full and rich life, filled with settings goals and achieving them by treating your ADHD / ADD disorders.
Insomnia & Sleep Disorder Treatment
Insomnia is difficulty getting enough sleep or trouble sleeping without interruption. You may have difficulty falling asleep, may wake up too early, or may wake up periodically during the night. Insomnia of any kind can keep you from feeling rested and refreshed during the day.
Almost all of us have episodes of insomnia at some time, but insomnia is not a short-term problem for everyone. Insomnia is classified as chronic when it happens almost every night for at least one month. Insomnia can be related to a medical or psychiatric illness, can be caused by mental stress or excitement, or can be caused by your daytime and bedtime habits.
Your habits and surroundings are the usual causes of short-term insomnia problems. Factors that contribute to insomnia can include:
- Stress or anxiety
- A change in sleeping environment (being a guest at a hotel or a relative’s home)
- An uncomfortable sleeping environment (too hot, too cold, too bright, too noisy)
- An uncomfortable mattress
- Pajamas that are too tight
- Having a bed partner who snores or has disruptive sleep patterns
- Watching television, reading a book or problem-solving in your bed, so your brain associates lying down in bed without activities other than sleeping
- Eating a heavy meal before bedtime
- Taking a prescription medication that has insomnia as a side effect
- Drinking alcoholic beverages before bedtime
- Having a high intake of beverages containing caffeine (coffee, tea, cola) during the day
- Cigarette smoking
- Exercising immediately before bedtime
- Not exercising enough during the day, so you have energy to spare
- Taking a hot bath or shower before bed
- Traveling to a different time zone
- Traveling to a much higher altitude
- Shift work
Some common causes of chronic insomnia include:
- Psychiatric illness, especially depression or post-traumatic stress disorder (PTSD)
- Chronic medical illnesses, especially kidney disease, heart failure or asthma
- Painful illnesses, especially arthritis, neuropathy, acid reflux or cancer
- Hormone imbalance, especially menopause or hyperthyroidism
- Taking a prescription medicine that has insomnia as a side effect
- Restless legs syndrome — This disorder causes uncomfortable sensations in the legs. Symptoms can include twitching of the legs, a habit of repetitive leg movements, and leg cramps
- Obstructive sleep apnea
Sleep apnea is caused most often by relaxing the tongue and throat tissues, which can settle into a position that closes your airway. Your body reacts to sleep apnea by releasing adrenaline-like “alarm” hormones so you will awaken and resume breathing. These hormones keep you awake for periods of the night.
Symptoms of insomnia can include:
- Difficulty falling asleep
- Waking up periodically during the night
- Waking up in the early morning, but not feeling rested
- Feeling tired and irritable during the day
- Having trouble concentrating
Your doctor often can determine the cause of your insomnia by asking about your habits and sleep environment, by reviewing your symptoms, and by examining you. Your doctor may suggest that you keep a sleep diary (a log of your sleep patterns) to provide an exact record of how many hours you sleep, whether symptoms may be your trigger for awakenings, and at what times you wake up.
If your doctor suspects that a medical illness is causing your insomnia, you may need additional tests. In some patients, an overnight sleep study at a sleep clinic may be necessary. During a sleep study, your brain waves, breathing pattern and oxygen levels can be monitored, and your body movements can be observed.
It helps to have habits that promote healthy sleep:
- Follow a regular sleep schedule. Have a routine bedtime and wake up at roughly the same hour each morning.
- Sleep in loose, comfortable clothes in a comfortable bed.
- Eliminate any sources of noise or bright lights that prevent or disrupt sleep. If noise from outside your bedroom can’t be eliminated, it might help if you drown out that noise by creating a monotonous noise of your own. Use a fan, a channel with static noise on your radio, or a recording of ocean waves to make a noise that can lull you to sleep.
- Maintain a comfortable temperature in your bedroom
- Cut down on beverages containing caffeine during the day, since the stimulating effects of caffeine can last for many hours
- Avoid heavy meals before bedtime
- Eliminate alcohol, since many people experience wakefulness as the effect of the alcohol wears off
- Exercise daily, preferably early in the day
- If you read before bed, do this in a chair or in another room
- Consider sleeping in a separate bed or separate room if your partner keeps you awake
If you have chronic insomnia because of chronic pain, medical illness or psychiatric problems, seek prompt treatment for your health problem. Don’t assume that insomnia is an unavoidable part of your illness.
Treatment and Therapies
- Changes in your bedtime surroundings and habits that can promote sleep are usually the most important way to manage insomnia.
- Behavioral therapies also may be used to treat some patients with insomnia.
- These therapies include:
- Relaxation therapy — Special techniques to quiet the mind and relax the muscles
- Sleep restriction — A program that at first permits only a few hours of sleep per night, then gradually increases the nightly sleeping time
- Reconditioning — A program that teaches the patient to associate the bed only with sleeping (and sexual activity) by having the patient go to bed only when sleepy and avoid daytime naps
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Evaluation for sleep disorder treatment begins with a telemedicine visit with one of our Doctors.
If insomnia is one of the symptoms of a medical disorder, treating the underlying problem may be all that you need. For example, treating restless legs syndrome with specific medication or sleep apnea with a special mask can markedly improve quality of sleep.