At the Sleep Diagnostic & Treatment Center, an accredited member of the American Academy of Sleep Medicine (AASM), our board-certified sleep medicine physician and staff are dedicated to helping our patients achieve deep, refreshing and restorative sleep on a regular basis. We provide complete and comprehensive treatment services for all adult sleep disorders.
Once diagnostic testing is complete and a diagnosis is arrived at, we provide treatments such as:
1. Continuous Positive Airway Pressure (CPAP) Titration
Continuous Positive Airway Pressure (CPAP) therapy is the frontline treatment for obstructive sleep apnea. CPAP therapy keeps your airway open during the night by gently providing a constant stream of air through a mask you wear while you sleep. This eliminates the breathing pauses caused by sleep apnea, so you will no longer snore or make choking noises in your sleep. You will be able to sleep through the night without your body waking up from a lack of oxygen.
A CPAP titration study involves spending a night at the sleep center in your own private, clean, and modern bedroom. It is used to determine the most comfortable and effective CPAP setting for you. You will also be fitted with a CPAP mask. There are many different sizes and designs of CPAP masks. Based on your preference, you will choose the CPAP mask which best fits you.
2. Oral Appliance
Oral appliance therapy is a treatment for snoring and obstructive sleep apnea. It involves wearing a removable oral appliance in your mouth as you sleep. The device fits much like a sports mouth guard or orthodontic retainer.
An oral appliance prevents your airway from collapsing by either holding the tongue or supporting the jaw in a forward position. You must be custom fitted for an oral appliance in order for it to be effective. Over-the-counter devices are not recommended as a treatment option for snoring or obstructive sleep apnea.
3. Cognitive Behavioral Therapy (CBT) or Insomnia Treatment
Cognitive Behavioral Therapy (CBT) helps you change actions or thoughts that hurt your ability to sleep well. It helps you develop habits that promote a healthy pattern of sleep. Following are the most common forms of CBT:
Stimulus Control
A stimulus is anything that causes a response. The goal of this method is for you to have a positive response when you get into bed at night. It is used for people who toss and turn in bed, unable to fall asleep. When this happens for many nights, you begin to get frustrated. You may even dread bedtime, expecting to toss and turn for hours. Bedtime and even your bed itself are causing you to have a negative response.
This method teaches you to use the bed only for sleep and for sex. You are not to read, watch TV, or do anything else in bed. You are also taught to go to bed only when you feel very sleepy. If you are not asleep after about 20 minutes, then you are to get out of bed to do something else relaxing. When you feel sleepy again, then you return to bed.
Over time, this method helps you to fall asleep more quickly after you get into bed. You begin to have a positive response toward going to bed at night. Instead of being frustrating, it becomes relaxing and restful.
Sleep Restriction
This method sets strict limits on the time you spend in bed each night. The initial limit used is the same as the amount of sleep you tend to get on a nightly basis. For example, you may only get five hours of sleep even though you spend seven hours in bed at night. Two hours in bed are spent trying to fall asleep or go back to sleep after waking up. In this case, your initial limit would be to spend only five hours in bed at night. This means that you would be likely to get less than five hours of sleep.
This sleep loss will make you even more tired at first. But it will also help you fall asleep faster and wake up fewer times in the night. This gives you a solid period of sleep and a more stable sleep pattern. As your sleep improves, the limit on your time in bed is slowly increased. The goal is to reach the point where you get the amount of sleep you need without reducing the quality of your sleep.
Relaxation Training and Biofeedback
Relaxation training teaches you how to relax both your mind and your body. This helps you to reduce any anxiety or tension that keeps you awake in bed. This method can be used both during the day and at bedtime. It involves training you how to better control the following functions:
- Muscle relaxation
- Breathing
- Mental focusing
Biofeedback may be used along with relaxation training. The process of sleep is more complex than it may seem. It involves such things as your brain, your breathing, your heart, and your muscles. Biofeedback teaches you how to raise or lower various signs of how your body is working. You are given the details of certain indicators in your body. Biofeedback can provide details on such things as the following:
- Muscle tension
- Brainwaves
- Blood pressure
- Heart rate
- Body temperature
In order to sleep better, you are taught how to change either your muscle tension or your brain waves. You wear a device that signals to you the level of your muscle tension or brain wave frequency. You then try to change that level in a way that will help you sleep. The device uses a gauge, visual images or sounds to tell you how your level is changing.
These methods require you to focus and concentrate in order to see results. Some people may quickly learn the methods in just a few sessions. Others may need many sessions to master the techniques.
Cognitive Control and Psychotherapy
These methods are used to help you identify attitudes and beliefs that hinder your sleep. These negative thoughts involve worries and stress that keep you awake. A therapist helps you process your thoughts and feelings about sleep.
You learn ways to overcome negative thoughts and promote positive attitudes and beliefs. This might involve setting a “worry time” in the afternoon or early evening. This is a time when you review the day and plan for tomorrow. You focus on getting all of your worries out of your system. At the end of this time, you feel “free” to relax. This helps your mind to be at rest when you go to bed.
Another method is to use guided imagery. You imagine that you are in a story. In your mind, you try to picture what things look, feel, and sound like. You try to make it as real as possible. This keeps your mind from thinking about other concerns. You stop “trying” to go to sleep. As a result, your mind settles down and stops racing. This allows your body to relax and go to sleep.
A therapist will often see you weekly on an individual basis. Sessions may vary in length from 30 to 90 minutes. Other options are to do group therapy or to consult with a therapist by phone. These options may cost less than individual sessions.
Sleep Hygiene Training
This method of therapy is used to correct things you do on a regular basis that disturb your sleep. Sleep hygiene consists of basic habits and tips that help you develop a pattern of healthy sleep. Disturbed sleep will often be caused by more than one thing that you do. To improve your sleep, you will need to improve all of these habits which can greatly improve your chance of sleeping well at night.
If you would like to learn more about available sleep disorder treatments offered through our Sleep Center, you can do so at the American Academy of Sleep Medicine’s Treatments page.