Getting a restful night’s sleep can be a challenge for many. One in three Americans report not getting adequate sleep each night. Sleep disorders are often underdiagnosed, and some people may view restless nights as normal. Although a few nights of tossing and turning may be a result of stress or a change in routine, being unable to fall or stay asleep over long periods of time may indicate the need to visit a sleep clinic.
Trouble with falling and staying asleep, snoring, or choking and gasping as you sleep can be distressing for you and your sleep partner. Understanding what a sleep clinic is and what happens there can help you talk to your doctor about next steps.
Sleep centers and sleep clinics are terms used interchangeably. Both terms refer to a medical space where sleep testing takes place. Some sleep laboratories are simply testing sites, while others offer both testing and outpatient treatment for people experiencing sleep disorders.
Sleep clinics most often perform non-invasive testing called polysomnography to help give doctors insight into your sleep duration and patterns of brain activity during sleep. Generally, you are expected to spend the night at the clinic as they complete the testing.
When you go in for polysomnography, you’re asked to engage in your normal sleeping routine while at the clinic to the extent possible. Sensors are placed on your head and body to monitor various physiological responses. Although polysomnography is non-invasive, you might experience some discomfort when removing the sensors due to the adhesive used.
You may feel slightly uncomfortable as a sleep clinic is usually a new setting for most people. As a result, you might have trouble falling asleep. Generally, the rooms are dark and comfortable as falling asleep comfortably is key to the study. Often, you are allowed to bring personal items for comfort, such as earplugs, an eye mask, and your own pillow or bedding. Talk to the sleep specialists there if you have any concerns or are having trouble falling asleep.
Another test that may be performed at a sleep clinic is a maintenance of wakefulness test (MWT). A MWT doesn’t measure your sleeping patterns, it measures how long you’re able to stay awake during the day. A MWT is most often used when diagnosing sleep disorders such as narcolepsy or insomnia.
An MWT is performed in a dark, quiet room at a sleep center during normal waking hours. Talk to your doctor about any medications that you take that could influence the test. Some centers may ask that you don’t drink any coffee or consume caffeine as this may impact your ability to stay awake.
If you’re experiencing sleep disruptions that last longer than a few nights and do not seem to respond to changes in your bedtime routine, then you may want to consider asking your doctor about visiting a sleep clinic to test for a sleep disorder.
Sleep apnea affects approximately 2% to 4% of adults and is characterized by a repeated blocking, both partially or completely, of the upper airway. This results in symptoms such as daytime sleepiness, loud snoring with gasps, morning headaches, and trouble concentrating.
Insomnia, another common sleep disorder, is characterized by struggling to fall or stay asleep despite good conditions for sleep. Common symptoms of insomnia are troubling falling asleep most of the time, waking often during night, and not feeling refreshed in the morning.
Narcolepsy is a sleep disorder that causes disruptions to the natural sleep-wake cycle, resulting in “sleep attacks” during waking hours and an inability to sleep more than a few hours at night. Common symptoms of narcolepsy are falling asleep without warning during the day, difficulty focusing, and waking often at night, sometimes with hallucinations.
Although not everyone who experiences sleep disruptions has a sleep disorder, it is important to talk to your doctor about your symptoms, especially if they are similar to those prominent in common sleep disorders. A doctor can help you make an informed decision about whether you need to visit a sleep clinic or not.
When choosing a sleep center, consider a few factors. First, you may want to prioritize finding a sleep center that is covered by your insurance, even partially, to help reduce your costs. Finding centers your insurance provider covers should be fairly straightforward. Most insurance companies have a search option on their website that allows you to look for clinics that are covered and in your area. Alternatively, you can call your insurance company directly for more information.
You and your doctor should discuss what type of sleep clinic would fit your needs best. Also, some sleep studies can be done from the comfort of your own home. Evidence suggests that for some disorders, these portable tests are able to monitor sleep symptoms and provide accurate diagnostics as successfully as in-person tests. Portable tests are able to offer expedited test results, as there is sometimes a wait time for a bed at sleep clinics.
You may need a referral from your doctor before you can undergo a sleep study. Your doctor may have sleep center recommendations or want to refer you to a specific clinic. You can also search for clinics in your area through a sleep clinic database or a common search engine.
Sleep disruptions do not always indicate a sleep disorder. Sometimes sleep disruptions occur because of lifestyle changes, diet, weather conditions, or other factors that often only last for a brief while. However, if you’re noticing that despite maintaining good sleep hygiene and healthy habits, you still feel like you’re not getting enough sleep, it may be time to talk to your doctor.
Most notably, schedule a visit with your doctor if you’re experiencing symptoms such as:
These symptoms may indicate a sleep disorder is present, and your doctor will be able to help you determine your next steps.