What are Sleep Disorders?

Sleep disorders are a group of conditions that affect the quality, timing, and duration of sleep. They can disrupt a person’s normal sleep pattern and have negative effects on their physical health, mental well-being, and overall functioning.

NOVA Pulmonary Critical Care and Sleep Associates manage and treat a variety sleep conditions including sleep disorders:

  • Shift work related sleep problems

  • CPAP management and education

  • Sleep study interpretation

Sleep Disorders We Treat

Sleep Apnea

Sleep Apnea

Insomnia

Insomnia Treatment

Narcolepsy

Narcolepsy

Restless leg syndrome

Restless Leg Syndrome Diagnosis and Treatment

Excessive Sleep Syndrome

Excessive Daytime Sleepiness

Circadian rhythm Sleep/Wake

Circadian Rhythm Sleep Disorders

Snoring

Snoring

Shift work related sleep problems

Work Shift Related Sleep Disorders

Sleep terror disorder

Sleep Terror Disorder

If you are struggling with sleep or tired during the day that is the first symptom of a sleep disorder. Sleep disorders are a medical condition that can affect sleep patterns at night. Many sleep disorders are adverse to your overall health and general well being. The best way to diagnose a sleep disorder is to have a sleep study. But what is a sleep study? How is it performed? What can it tell you to improve your rest? Here we walk you through all of the important things you need to know about sleep disorders, diagnosis, and treatments.

If you’re reading this, chances are you already suspect something is wrong with your sleep. Have you documented your symptoms and what may be causing your sleep issues? Most people recognize the symptoms during the day (tiredness, lack of energy, trouble concentrating, etc.), but may not be able to pinpoint what is happening at night that could be symptoms of a sleep disorder.

One of the best ways to find out what may be happening before a sleep study is to as your partner. Ask if you snore, move fitfully, if you stop breathing and resume with loud gasps or snorts, or any other sleep pattern that seems unusual. Knowing what happens during sleep helps your provider determine the right sleep study and testing for you.

In addition, starting a sleep diary with bedtimes, how long to fall asleep, hours slept, night wakings, grogginess in the morning, day tiredness, and medication, caffeinated or alcoholic beverages consumed during the day. A diary will help you discuss your sleep symptoms with your doctor.

When you’re ready to discuss your sleep issues, you’ll want to discuss your symptoms with a pulmonary and sleep specialist or ask for a referral from your primary care doctor. Bring and documentation regarding your sleep patterns and issues to these appointments. Depending on the symptoms, your doctor can help decide if a sleep study is right for you.

Previously, you would have to look for a sleep clinic that is close to your home or work and stay overnight. Special technology in our office allows you to take most sleep studies home with you! That is a big advantage because you don’t have to stay overnight at a hospital. The testing is also more accurate of what is going on in your home environment.

At our office you pick up your machine and fill out the paperwork ahead of time. We discuss with you the procedures so that you feel comfortable with all of the equipment.

So what are the different kinds of sleep studies? Depending on the suspected disorder, your symptoms and insurance coverage, your doctor will recommend the sleep study for you.

There are four types of sleep studies:

  • Polysomnogram (PSG). An overnight sleep study that measures a large variety of information including brain activity, eye movements, heart rate, blood pressure, body movements and more. PSGs are the go-to sleep study for almost all sleep disorders including sleep related breathing disorders such as obstructive sleep apnea, sleep related movement disorders, circadian rhythm disorders, parasomnias, hypersomnia, insomnia, and many more.
  • Multiple Sleep Latency Test (MSLT). A MSLT is a sleep study during the day to measure how sleepy you get or to discern whether breathing treatments for your disorder are working properly. MSLT’s follow a polysomnogram and record whether you fall asleep during the test, and if so, which stages of sleep you enter. During a MSLT you are generally given five 20-minute nap opportunities spaced 2 hours apart while a sleep technician monitors your brain activity and eye movements. A MSLT is used to test for narcolepsy.
  • Maintenance of wakefulness test (MWT). A MWT is a daytime sleep study that measures how alert you are during the day and your ability to stay awake. They are usually performed after a PSG and can help determine if your sleepiness is a safety concern. Results of an MWT can be critical if a person’s job involves public transportation or driving for work.
  • Home Sleep Test. For a home sleep test you show up to the clinic during the day and receive a small device with instructions on how to use it. If moderate to severe obstructive sleep apnea is the most likely cause of your sleep troubles this is an easy test to diagnose the condition.

It will usually take about a week for the doctor to analyze your results. Based on the findings your doctor will determine the sleep disorder and treatment for your disorder.

If sleep apnea is diagonsed, you may need a second sleep study called a CPAP titration. This study uses the same at-home equipment. However, this time the device will determine the positive airway pressure (CPAP) needed while sleeping to eliminate your apnea. Sometimes this study can be done during the first test if apnea has been previously diagnosed.

The treatments depend upon the sleep disorder and the severity of the disorder from the sleep study. With sleep apnea you may either be prescribed a CPAP device, get referred to a dentist for a specially designed oral device. In addition, there are alternative treatments available.

For other disorders such as circadian rhythm disorders and insomnia, often cognitive behavioral therapy is recommended with a clinical psychologist and behavioral sleep medicine specialist.

Other sleep disorders may be treated with medication, lifestyle changes, treating another medical condition that may be causing it, or a combination of treatment types. As there are a variety of sleep disorders, there is also a range of treatment options. Its important to go to a pulmonologist and sleep specialist to determine the best treatments for you.

Read more about Dr. Aditya Dubey and Pulmonary Treatment out of his office near Dulles Airport and Stone Springs Hospital in Sterling Virginia.

Questions? Contact NOVA Pulmonary Critical Care and Sleep Associates, LLC

Feel Better Today!

Cannot sleep?  Do you suffer from insomnia? Insomnia involves difficulty falling asleep, staying asleep, or both. It can be caused by stress, anxiety, depression, medications, or underlying medical conditions. Contact NOVA Pulmonary Critical Care and Sleep Associates to set up an appointment with a sleep specialists.

Sleeping Disorder - Excessive Sleep Syndrome
Is your work suffering ?

Are you suffering from excessive sleep syndrome? Dozing at work?  Cannot Concentrate? We can help you!  Call NOVA Pulmonary Critical Care and Sleep Associates to set up an appointment with a sleep specialist.

Schedule an Appointment

Fill out our online form today to schedule your next appointment.

Treatment for Sleep Disorders

Treatment for sleep disorders depends on the specific type and underlying cause. It may include lifestyle changes, behavioral therapies, medications, or devices such as continuous positive airway pressure (CPAP) machines for sleep apnea. If you suspect you have a sleep disorder, it’s essential to consult with a healthcare professional for an accurate diagnosis and appropriate treatment.

Meet the team at NOVA Pulmonary Critical Care and Sleep Associates

Dr. Aditya Dubey

Dr. Aditya N Dubey, M.D, F.C.C.P. – FounderBoard Certified Internal Medicine

Specialty:
Pulmonary, Critical Care and Sleep Medicine
Board Certified by American Board of Internal Medicine in the Subspecialities of Pulmonary Medicine, Critical Care Medicine and Sleep Medicine.  Learn more about Dr. Dubey

Dr. Petra Thomas

Dr. Petra Thomas, M.D.

Specialty:
Pulmonary Medicine
Board Certified by American Board of Internal Medicine in the Subspecialities of Pulmonary Medicine. Learn more about Dr. Thomas

Dr. Arman Murabia

Dr. Arman Murabia, M.D.

Specialty:
Pulmonary, Critical Care and Sleep Medicine
Board Certified by American Board of Internal Medicine in the Subspecialities of Pulmonary Medicine, Critical Care Medicine and Sleep Medicine. Learn more about Dr. Murabia

Dr. Zara Martirosyan, MD

Dr. Zara Martirosyan, MD

Specialty:
Sleep Medicine & Internal Medicine Specialist
Board-certified physician in both Sleep medicine and Internal medicine. Learn more about Dr. Martirosyan

Rebekah B. Lee, AGNP-C

Rebekah Lee, AGNP-C, Lead APP

Nurse Practitioner.  Learn more about Rebekah Lee

Paulos Abebe PA-C

Paulos Abebe PA-C

Physician Assistant Learn more about Paulos Abebe PA-C

Katie Cameron, PA

Katie Cameron, PA

Physician Assistant Learn more about Katie Cameron, PA-C

Christine Amorosi, AGNP-C

Christine Amorosi, AGNP-C

Nurse Practitioner.  Learn more about Christine Amorosie

Office Locations

Conveniently located near you in Dulles, Leesburg, (Loudoun County) and Vienna, (Fairfax County), VA

NOVA Pulmonary – Dulles
24430 Stone Springs Boulevard
Suite 550
Dulles, VA 20166

NOVA Pulmonary – Lansdowne
19415 Deerfield Avenue
Suite 301
Landsdowne, VA 20176

NOVA Pulmonary – Vienna
124 Park Street SE
Suite 203
Vienna, VA 22180

NOVA Pulmonary Critical Care and Sleep Associates Testimonials

5 star ratingThe sleep specialists in the Fairfax office are very knowledgeable and courteous. I was having sleep problems and was looking for a sleep doctor near me. I am grateful I found  NOVA Pulmonary Critical Care and Sleep Associates.  Dr. Dubey patiently listened to my health problems and ordered some tests for me. After the diagnosis he explained the treatment to me in detail.  I feel so much better now.  I cannot thank him enough for helping me.  I highly recommend Dr. Dubey, if you suffering from a sleep disorder ~ patient Fairfax.

5 star ratingI’ve been seeing Dr. Dubey for close to 3 years now for my sleep disorder treatment. The c-pap has greatly improved my quality of sleep. Scheduling an appointment with him is easy. The staff is courteous and helpful. My supplies are shipped to me on a subscription basis and tweaks to the amount of air to my c-pap is adjusted and discussed each visit. Dr. Dubey is very pleasant and easy to talk to. ~ Patient, Leesburg, VA

5 star ratingI visited Dr. Thomas in the Fairfax location as I wanted a consultation for my sleep disorder. Dr. Thomas at Nova Pulmonary is amongst the best Sleep Specialist I have come across. She is extremely thorough with her patients, very cordial and helpful. ~ Patient Fairfax

5 star ratingSuffering from insomnia or any sleep disorder can make you exhausted. I could not sleep at night and  used to fall asleep in the office during meetings and my job was at risk. Dr. Dubey was recommended to me by a friend. Since I have started treatment from him, my life has changed completely. I have become more productive at work and do not feel lethargic all the time. I feel optimistic that I will regain my health very soon. ~ Patient Fairfax

5 star ratingI highly recommend NOVA Pulmonary Critical Care and Sleep Associates. I have had a challenging asthma diagnosis and Dr. Dubey has worked diligently to find the best treatment and medication for my condition. He takes the time to listen to me and I never feel rushed. The office environment is very clean and professional. His staff is very accommodating, especially Natasha, who has gone out of her way to answer my questions and guide me through the “specialty pharmacy” red tape. ~ Patient Leesburg

5 star ratingFirst impression: very organized and well run practice. The staff was very friendly and professional and I was shown into a room immediately. Wait time to see the doctor was very reasonable and the doctor himself (Dr. Dubay) had a great “ bedside manner”. I felt as though he had read through my chart and was familiar with my case on my first visit. He ordered some tests which were done in the office with a very skilled and kind individual and he met with me within five minutes of the tests’ completion. He answered all of my questions and was positive and kind. Highly recommend this practice! ~ Patient Leesburg