Insomnia and sleep concerns
Trouble falling asleep, staying asleep, or waking unrefreshed.
Sleep problems are common and often improve with behavioural changes. Persistent insomnia can also point to another treatable condition.
- Taking a long time to fall asleep
- Waking often or very early
- Daytime tiredness, irritability or poor focus
- Dreading bedtime
- Loud snoring or gasping (may suggest sleep apnea)
We review your sleep pattern, routines, mood, pain, medicines and caffeine, and screen for sleep apnea when snoring or daytime sleepiness is present. Cognitive behavioural approaches for insomnia are the recommended first step; other causes are treated alongside.
- Same wake time every day, including weekends
- Bed for sleep only — no screens or work
- Get up if awake more than 20 minutes
- No caffeine after midday
- Wind-down routine with dim light
Reach out if poor sleep has lasted more than a month, if you fall asleep during the day, or if a partner notices you stop breathing at night.
Contact the clinicThis website provides general health education and clinic-navigation information. It is not a diagnosis, treatment plan, or medical advice, and it does not create a patient-provider relationship. A licensed clinician confirms anything consequential for your care.