Specialist Sleep Tests: Are They Necessary?

do i need a specialist for sleep test

Sleep specialists are experts in diagnosing and treating sleep disorders. They can help if you are experiencing symptoms that affect the quality and quantity of your sleep. If you are having trouble with falling asleep, staying asleep, or feeling tired during the day, you should first speak to your primary care provider, who may refer you to a sleep specialist for further evaluation. Sleep specialists are most often neurologists, pulmonologists, or psychiatrists who have completed additional training in sleep medicine. They will work with you to determine the underlying cause of your symptoms and recommend treatment options to improve your sleep.

Characteristics Values
When to see a sleep specialist If you have or suspect a sleep disorder, the first step is to let your primary care provider know about it. Sleep problems that you should bring up include: waking up gasping for air or due to loud snoring, regularly taking 30 minutes or more to fall asleep, frequently waking up at night and struggling to get back to sleep, waking up too early in the morning to feel rested, feeling especially tired even after a full night's sleep, being unable to function during the day due to fatigue, falling asleep at inappropriate times (such as while driving), sleep paralysis, frequent nightmares, sleepwalking or other abnormal sleep behaviours, getting creeping, tingling, crawling, or “twitchy” feelings in your legs as you relax, episodes of sudden muscle weakness or collapsing (cataplexy) when you experience a strong emotion.
What sleep specialists treat Insomnia, narcolepsy, sleep apnea, restless legs syndrome, circadian rhythm disorders, parasomnias, seizures and epilepsy, night terrors, nocturnal panic attacks, sleepwalking or other sleep behaviour-related disorders.
Types of sleep specialists Board-certified sleep medicine physician, sleep technologists, sleep surgeon, pulmonologists and respiratory therapists, behavioural sleep medicine specialists (psychologists and psychiatrists), neurologists, otolaryngologists, dentists and oral/maxillofacial surgeons, paediatricians.
Sleep study A sleep study is a diagnostic test that involves recording multiple systems in your body while you sleep. It is a painless procedure that measures a variety of bodily activity, from brain waves to heart rate to eye movements and more. It can be conducted at home or in a medical facility known as a sleep centre.

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When to see a sleep specialist

Sleep specialists are experts in diagnosing and treating sleep disorders. They are trained in fields such as neurology, pulmonology, psychiatry, otolaryngology, and sleep medicine. If you are experiencing persistent sleep problems that are affecting your daily life, it is recommended that you see a sleep specialist.

  • Persistent Sleep Problems: If you have been experiencing difficulty falling asleep, staying asleep, or waking up too early for more than three months, it is a good idea to consult a sleep specialist.
  • Excessive Daytime Sleepiness: If you feel exhausted and struggle to stay awake during the day, even after a full night's sleep, it could be a sign of a sleep disorder.
  • Snoring and Breathing Issues: Loud and frequent snoring, gasping for air during sleep, or episodes of sleep apnea (breathing pauses during sleep) can indicate a sleep disorder.
  • Leg Discomfort: If you experience aches, pains, or a creeping feeling in your legs while trying to fall asleep, it could be a sign of restless leg syndrome.
  • Medical Conditions: Certain health conditions, such as high blood pressure, diabetes, heart problems, lung diseases (COPD), or obesity, are associated with a higher risk of sleep disorders. If you have any of these conditions, consider getting evaluated for a sleep disorder.
  • Memory and Concentration Issues: Sleep disorders can also manifest as difficulty with memory or concentration, so if you're experiencing these issues in addition to sleep problems, it's a good idea to consult a sleep specialist.

If you relate to any of these signs and symptoms, the first step is to discuss them with your primary care provider, who may refer you to a sleep specialist for further evaluation and treatment.

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Types of sleep specialists

Sleep specialists are doctors who diagnose and treat sleep disorders. They are experts in the field of sleep medicine and can address any issue that affects your sleep. Some sleep specialists have a special area of expertise. Here are some types of sleep specialists:

  • Psychiatrists and psychologists, who treat thoughts and behaviours related to sleep. They focus on the mental and behavioural issues that contribute to sleep problems.
  • Neurologists, who treat brain and nervous system disorders. They often have a background in neurology before focusing on sleep.
  • Pediatricians, who treat sleep disorders in children.
  • Otorhinolaryngologists, also known as ear, nose, and throat (ENT) doctors, who treat problems with the ear, nose, and throat that contribute to sleep disorders. They may perform procedures to address certain sleep issues, such as repairing structural problems that cause snoring and obstructive sleep apnea (OSA).
  • Dentists and oral and maxillofacial surgeons, who fit people with oral appliances to correct problems with the mouth and jaw, such as sleep apnea and tooth grinding.
  • Pulmonologists and respiratory therapists, who treat breathing-related problems, such as sleep apnea. They work with sleep doctors to manage and treat breathing disorders.
  • Sleep surgeons, who perform procedures to help with snoring and sleep apnea, such as sleep apnea surgery.

Depending on your symptoms or diagnosis, you may consult with one or more of these sleep specialists.

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What to ask a sleep specialist

If you are experiencing sleep difficulties, it is important to consult a medical professional. A sleep specialist is trained to diagnose and treat sleep disorders, and they can help determine why you're not sleeping well.

  • What caused my condition?
  • Will I need a sleep study or other tests to diagnose my condition?
  • What are the potential risks of my condition?
  • What are my treatment options?
  • What lifestyle changes might help with my symptoms?
  • What if the first treatment I try doesn't work?
  • How often will I need follow-up appointments?
  • How can I prevent insomnia?
  • What's the best treatment for me?
  • Are there any alternative treatments available?
  • Are there any drug interactions I should be aware of?
  • Are there sleeping pills that aren't habit-forming?
  • Can any complementary or alternative therapies help me?
  • Should I exercise, and if so, when?
  • Are there activities I should avoid that could disturb my sleep?
  • How can I make my bedroom better for sleeping?
  • Should I stop or limit caffeine, alcohol, or nicotine?
  • How can I get help to quit smoking?
  • Will losing weight improve my sleep?
  • Is it alright to nap during the day?
  • Do I need to see a sleep doctor?
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Preparing for a sleep study

If you're preparing for a sleep study, there are a few things you can do to make the process go smoothly. Here are some tips to help you get ready:

  • Discuss any medications you are taking with your doctor or healthcare provider. They will advise you on whether to continue taking them as usual and how they may affect the test results. Do not make any changes to your medication without consulting a doctor.
  • Avoid caffeine and alcohol on the day of your sleep study. Caffeine and alcohol can disrupt your sleep and affect the accuracy of the test results.
  • Pack an overnight bag with items such as comfortable sleepwear, a change of clothes for the next day, oral care items, and any medications you need to take during the study. You may also want to bring your own pillow and a book or other reading material.
  • Follow your regular bedtime routine as closely as possible. This includes bringing your usual bedclothes or any items that help you sleep, such as a favourite pillow or a stuffed animal.
  • Do not apply any hair products such as hairspray, gel, or oil, as these can interfere with the sensors used during the study. Wash your hair with shampoo only and let it air dry before the study.
  • If you have any skin allergies or sensitive skin, be sure to inform your doctor or the sleep centre staff in advance so they can make accommodations.
  • Arrive at the sleep centre at the designated time, usually a few hours before your bedtime. A staff member will greet you, show you to your room, and explain the equipment used for the study.
  • You will be given time to change into your sleepwear and get comfortable in the bedroom. You may have some time to relax before the test begins, so feel free to bring something to read or watch TV.
  • Sensors and electrodes will be attached to your skin to monitor your brain activity, eye movements, breathing, heart rate, and other physical processes during sleep. These sensors are not painful, but they may feel strange at first.
  • It is normal to feel nervous or uncomfortable about sleeping in an unfamiliar environment with the sensors attached. However, most people eventually fall asleep, and a sleep study is considered valid even with just two hours of sleep.
  • If you need to use the bathroom during the study, simply say so, and a staff member will assist you in disconnecting the wires.

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Sleep study procedure

A sleep study, or polysomnogram, is a diagnostic test that involves recording multiple systems in your body while you sleep. It is a common test that can help diagnose many sleep-related conditions.

Sleep studies are performed in sleep labs, which resemble comfortable hotel rooms. The procedure involves attaching sensors to your head and body to monitor brain activity and gather other information from your body. The sensors are attached with adhesive gel, and the wires are gathered over your head to allow you to move freely during sleep. Elastic belts may also be wrapped around your chest and abdomen to monitor breathing, and a clip may be placed on your finger or earlobe to monitor oxygen levels.

Before the sleep study, it is recommended to avoid caffeine, alcohol, and naps during the day. You should also inform your doctor of any medications or supplements you are taking. On the day of the study, you should pack an overnight bag with items such as a toothbrush, pajamas, and any other personal items you may need.

During the study, you will be asked to change into your sleepwear, and the staff will calibrate the sensors by asking you to perform simple tasks like moving your eyes and opening your mouth. The sensors will monitor your brain waves, heart's electrical activity, muscle movement, eye activity, and breathing. There will also be video and audio monitoring in the room.

After the study, the data collected will be reviewed and interpreted by a healthcare provider, who will determine if there are any medical issues and make a diagnosis. The results are typically shared with the patient within a few days, and further discussions about treatment options may take place during a follow-up visit.

Sleep studies are usually performed overnight, but daytime sleep studies can be scheduled for those who work night shifts and sleep during the day. The procedure typically lasts for one night and is not painful, although some people may experience mild discomfort from the adhesives used for the sensors.

Frequently asked questions

Yes, a sleep specialist is a doctor who diagnoses and treats sleep disorders. They are experts in sleep medicine and can help identify the root cause of your sleep issues.

Sleep specialists have a background in other medical fields like neurology, psychiatry, otolaryngology (ENT), pulmonology, internal medicine, pediatrics, family medicine, or anesthesiology. They complete additional training and a fellowship in sleep medicine.

There are several types of sleep specialists, including:

- Board-certified sleep medicine physicians

- Sleep technologists

- Sleep surgeons

- Pulmonologists and respiratory therapists

- Behavioral sleep medicine specialists (psychologists and psychiatrists)

- Neurologists

- Otolaryngologists (ENTs)

- Dentists and oral/maxillofacial surgeons

- Pediatricians

If you are experiencing symptoms such as snoring, gasping for air while sleeping, difficulty falling or staying asleep, daytime fatigue, or inability to perform daily activities due to tiredness, you should consult your primary care provider. They may recommend seeing a sleep specialist for further evaluation and treatment.

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