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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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