City Sleep Clinic
Do you or your partner snore?
Do you find yourself getting really sleepy during the day?
Do you wake up tired no matter how long you have slept?
If you or someone in your family answers yes to any of these questions, come in and meet with our expert Sleep Therapist Joel to start the journey to better sleep and better health.
The City Sleep Clinic works with adults and children who have sleep and breathing issues, from snoring and sleep apnea, to insomnia and asthma. Joel Simpson leads the clinic, and has lectured across the world in Sleep Disordered Breathing and Inspiratory Muscle Training.
Here at the City Sleep Clinic we work alongside a range of medical specialists, bringing in the right discipline at the right time. For some this may not be necessary at all, with the issues being fully treated at the clinic; for others it might be a dentist; others an ENT (ear, nose & throat) specialist. This unique approach enables us to achieve the best outcomes for our patients, as a holistic sleep treatment diagnosis and plan may include input from GPs, dentists, ENT specialists, maxillofacial surgeons, neurologists and psychologists.
Sleep & Breathing Issues We Treat
- Sleep apnea / sleep apnoea
- Insomnia & parasomnia (which includes sleepwalking, sleep talking, having sleep terrors,
bedwetting and more)
- Restless leg syndrome (to put it another way: legs doing funky things during sleep!)
Excessive snoring and sleep apnea are the most common issues we see at the City Sleep Clinic.
- Chronic fatigue syndrome (extreme fatigue that doesn’t go away with rest and can’t be
explained by an underlying medical condition)
- Circadian rhythm disorders (when the brain and hormones aren’t working in tandem;
patients typically have insomnia, excessive daytime sleepiness, or both)
- Narcolepsy (excessive sleepiness, sleep paralysis, hallucinations)
- Sleep paralysis (a state during waking up or falling asleep in which a person is aware but
unable to move or speak)
What causes snoring?
Snoring is caused by the vibration of soft tissues in the nose and/or throat when you breathe. The base of the tongue and the soft palate can fall back during deep sleep, occluding the airways. When we don’t have a full blockage the soft tissue vibrates creating loud noises that we describe as snoring. There are a lot of contributing factors to snoring including weight, age, gender, neck circumference, strength of the muscles around the neck and the muscles we use to breathe, as well as drug and alcohol use.
What is sleep apnea and what causes it?
Sleep apnea is when a person has multiple pauses in their breathing pattern during sleep. The three types of sleep apnea are central apnea, obstructive apnea, and a mixture of central and obstructive apnea. Obstructive sleep apnea (OSA) is by far the most common, and is caused by the collapse of the airway during sleep. Snoring is one of the main symptoms. Central sleep apnea is caused by a failure of the brain to activate the muscles of breathing during sleep. Obstructive sleep apnea is diagnosed and evaluated by looking at an individual’s medical history, doing a physical examination, and polysomnography (a sleep study).
What are the complications of sleep apnea?
The complications of sleep apnea include high blood pressure, strokes, heart disease, anxiety, depression, and daytime sleepiness which can lead to an increased risk of automobile accidents, as well as difficulty concentrating, thinking and remembering.
What are the treatment options for sleep apnea?
There are both nonsurgical and surgical treatment options for obstructive sleep apnea. Non- surgical options include behavior therapy, such as weight loss, medications, dental appliances, continuous positive airway pressure (CPAP), bi-level positive airway pressure, and auto-titrating continuous positive airway pressure.
What to Expect at the City Sleep Clinic
The first step is an initial 45 minute consultation with our Sleep Therapist. We will do a full screening, including insomnia screening, sleep disordered specific screening, general sleep disorder screening (measuring tiredness fatigue), and also a general health screening to ensure no other external issues are impacting sleep. You will be asked to complete a sleep diary as part of the process. We will help you to understand what can cause and contribute to sleep problems, look at what normal sleep is, and introduce the techniques involved in the sleep therapy.
The next step would likely be a recommendation to do a Level 2 Sleep Study. This one night study is done using an at-home polysomnography and will provide us with the full diagnostics to help us determine what the exact sleep issue is and what is causing it.
From this we will put together a holistic treatment plan, bringing in other health professionals if required, and begin working towards your goal of improved sleep. For some issues we will treat in- house for others we will refer out. Throughout, we will operate as a central pivot in the process, ensuring that you are getting the right treatment and desired outcomes.
Don’t let sleep or breathing issues ruin your day, contact The City Sleep Clinic now. If you are unable to visit our clinic, we also offer online and over the phone consultations.