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Sleep
& Anxiety

Private, confidential assessment and treatment for insomnia, disrupted sleep and anxiety. We combine evidence-based psychological approaches with pharmacotherapy where needed, and investigate underlying causes properly.

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Overview

Sleep and mental health deserve the same rigour as physical health

Poor sleep and anxiety are among the most common reasons people consult a doctor, yet they are often undertreated or managed with generic advice. Chronic insomnia has the same evidence base for treatment as chronic physical conditions — it deserves proper clinical attention.

We conduct a thorough assessment to distinguish primary insomnia from sleep disruption driven by hormonal changes, anxiety, medication effects, sleep apnoea or other medical causes.

📋 What we assess

  • Sleep onset, maintenance and early morning waking
  • Sleep hygiene and circadian rhythm factors
  • Hormonal contributions (menopause, testosterone)
  • Anxiety, stress and mood assessment (GAD-7, PHQ-9)
  • Medication review (stimulants, beta-blockers, steroids)
  • Screening for sleep apnoea (referral if indicated)

💉 Treatment approaches

  • CBT-I (cognitive behavioural therapy for insomnia) referral
  • Sleep restriction and stimulus control advice
  • Short-term pharmacotherapy (z-drugs, melatonin)
  • Melatonin for circadian disorders and jet lag
  • Anxiolytics (short-term, risk-assessed)
  • Hormonal optimisation for sleep disruption in menopause/andropause

📚 Evidence base

Assessment and treatment follows NICE CG113 (generalised anxiety), NICE KTT6 (insomnia management), NICE TA77 (zaleplon, zolpidem, zopiclone), and recommendations from the British Sleep Society. CBT-I is first-line for chronic insomnia; pharmacotherapy is adjunctive and time-limited.

Initial consultation

£150 / consultation

Full assessment, diagnosis and personalised treatment plan

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Ready to get started?

Book a confidential consultation with Dr Qurbain today.

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