Sleep Disorder Treatment - Sleep Clinic Montreal (2024)

We Can Assess and Treat You

At Montreal Neurotherapy Center, patients with sleep disorders receive comprehensive care from psychiatrists, psychologists, neurofeedback clinicians and neurotherapists.

40% of Canadians will experience a sleep disorder during their lifetime. Sleep deprivation is linked with hearth disease, heart attacks, diabetes, and obesity. Not getting enough sleep affects your emotional regulation.

Unhealthy sleep and sleep deprivation are linked to neurological conditions, heart disease, depression, obesity and lower life expectancy. Roughly 40 per cent of Canadians will experience a sleep disorder during their lifetime, which can lead to serious health risks over time, according to sleep research.

Primary sleep disorders are caused by endogenous abnormalities in the mechanisms regulating the sleep-wake cycle. Secondary sleep disorders stem from comorbid conditions, including neurodegenerative diseases such as Parkinson’s disease or Alzheimer’s disease, or psychiatric disorders that can cause disruptions in normal sleep-wake mechanisms.

Common conditions include but are not limited to the following:

– Sleep Apnea

– Narcolepsy

– Insomnia

– Snoring

– Sleepwalking, kicking, and talking

– Excessive daytime sleepiness

– Difficulties with shiftwork

– Abnormal sleep behavior

– Daytime sleepiness and fatigue

– REM behavior disorder

– Restless leg syndrome

The Sleep Medicine Center at Neurotherapy Montreal is a state-of-the-art facility whose providers treat a breadth of sleep disorders, including sleep apnea, narcolepsy, insomnia, restless leg syndrome/periodic limb movement disorder and circadian rhythm abnormalities.

We provide multidisciplinary assessment, treatment, and follow-up consultation services for patients with neurological conditions and/or suspected or diagnosed sleep-related problems.

We offer various current treatment options.

Diagnosing Your Sleep Disorder

The Sleep medecine Clinic at Neurotherapy Montreal is committed to making a thorough assessment of your sleep issues so that we can fully understand your condition and create a treatment plan specific to your needs.

Common Comorbid Neurological, Psychiatric Conditions Evaluating potential primary or secondary causes of sleep disorders can be especially challenging when it comes to neurological disease and psychiatric disorders because the conditions often happen at the same time.

The prevalence of this REM behavior disorder in patients with Parkinson’s disease is believed to be about 15% to 60%. In people who have Alzheimer’s disease, for example, sleep can become fragmented, making it difficult for them to stay asleep.

One of the things we can see in Parkinson’s is an REM behavior disorder, in which patients actually act out their dreams at night.

1. Consultation

2. Overnight, attended sleep study

3. Daytime, attended sleep study

4. Home sleep study

5. Sleep Disorder Treatments

Polysomnograms (PSG)

Overnight, attended sleep studies –known as nocturnal polysomnograms (PSG)– are conducted in a sleep lab where you’re monitored (or attended) all night by a trained sleep technologist. During the study, we assess your sleep stages by recording brainwaves (EEG), eye movements (EOG) and muscle tone (EMG). We also carefully examine your breathing throughout the night by measuring your airflow, breathing effort, snoring and oxygen saturation. Leg movements and heart rate (ECG) are also monitored to provide a comprehensive evaluation of your sleep.

Collecting all this data requires the sleep technologist to apply numerous sensors before you go to sleep. The set up procedure is quite complex and usually takes about 90 minutes. The hook up includes applying sensors on the scalp, face, throat, chest, finger and legs.

There are three common types of overnight sleep studies:

Diagnostic Evaluation:

This study measures your sleep without any intervention. It’s typically used to diagnose or rule out a disorder.

Continuous Positive Airway Pressure (CPAP) Titration:

During a CPAP titration, the technologist adjusts the setting on the CPAP machine to determine how much air pressure is needed to normalize your breathing.

Split Night Study:

A split night study is a combination of a diagnostic and CPAP titration study.

The first half is used to diagnose sleep apnea and then midway through the night CPAP is started. The sleep tech spends the rest of the night adjusting the pressure until breathing has been normalized.

Home Sleep Study (Portable Monitoring)

To test for OSA at home sleep study is a simplified version of an overnight, attended sleep study that focuses on nocturnal breathing.

Home sleep studies are only used to diagnose or rule out obstructive sleep apnea (OSA). Because the emphasis is on breathing, it’s possible to use fewer sensors.

Not all patients are good candidates for a home test. If you need a sleep study, your doctor will make a recommendation based on your specific situation whether you should have your test done in the lab or at home.

Sleep Disorder Treatments

The key to successfully treating a sleep disorder is an accurate diagnosis. There are over 100 different sleep disorders, and each of those has a different treatment approach. For some disorders, such as obstructive sleep apnea , there are several choices available, so it is important that you discuss the options with your physician and develop a treatment plan.

If you would like to pursue a treatment for a previously diagnosed sleep disorder, schedule an appointment with the Neurotherapy Montreal Medicine Center.

Visit the Planning Your Visit section for more details. See below for more information about treatment options.