Sleep Assessment & Therapy

GP-led sleep assessment identifying root causes of poor sleep including insomnia, hormonal disruption, stress, and lifestyle factors. A personalised sleep therapy plan is developed incorporating sleep hygiene, CBT-I principles, and any indicated medical interventions.

Quality sleep is one of the most powerful levers for health, longevity, and cognitive performance — yet poor sleep is among the most common complaints seen at Osler Health. The clinic's Sleep Assessment and Therapy service takes a root-cause approach, looking beyond surface-level insomnia to identify the underlying drivers of disrupted sleep. The initial consultation involves a detailed review of sleep patterns, bedtime behaviours, stress load, dietary habits, exercise routine, and any medications that might be interfering with sleep architecture. For women in perimenopause or post-menopause, hormonal fluctuations — particularly declining oestrogen and progesterone — are a major driver of sleep disruption, and the sleep service can be seamlessly integrated with the clinic's hormone therapy pathway. For men, testosterone decline and elevated cortisol from chronic stress are common contributors. The GP may order targeted blood tests including thyroid panel, sex hormones, cortisol rhythm assessment, and iron/ferritin levels to rule out or address physiological causes. The personalised sleep therapy plan draws on Cognitive Behavioural Therapy for Insomnia (CBT-I) principles — the gold standard non-pharmacological intervention for chronic insomnia — combined with practical sleep hygiene protocols tailored to the patient's lifestyle. Where short-term pharmacological support is clinically appropriate, the GP can prescribe and monitor this carefully. The programme is designed to be progressive: each follow-up appointment reviews sleep diary data, refines the plan, and addresses any new barriers. Long-term, sustainable improvement in sleep quality is the goal, not indefinite medication reliance.