The RLHIM Insomnia and Behavioural Sleep Medicine Service provides treatment for patients aged 16 and over with:

• insomnia 
• nightmares 
• restless legs 
• circadian rhythm disorders
• sleep paralysis. 

The clinic is a multi-disciplinary team which focuses on using cognitive and behavioural interventions but also advises on medications where appropriate. It offers a detailed initial assessment and will order and report sleep investigations if needed. 

Please note: The service does not investigate and treat excessive daytime sleepiness, obstructive sleep apnoea or any parasomnias aside from sleep paralysis. For patients with suspected OSA, please refer to either Respiratory Medicine at UCLH or the sleep team at the Royal National Throat, Nose and Ear Hospital. For excessive daytime sleepiness not thought to be due to OSA or for other parasomnias, please refer to the sleep team at the National Hospital for Neurology and Neurosurgery.

Most patients are offered a course of CBTi (Cognitive Behavioural Therapy for Insomnia).

The clinic also works with GPs to offer advice on sleeping pills and other medications that might affect sleep.

Those with insomnia who are interested in working on their own difficulties or ways of coping can be referred to iCOPE.

Eligibility Criteria

Inclusions

Patients must be 16+ with either:

• insomnia 
• nightmares 
• restless legs 
• circadian rhythm disorders
• sleep paralysis. 

How to Refer