Psychiatry

Sleep Disorders

Quality sleep is fundamental to mental and physical health. When sleep is disrupted, it can worsen psychiatric conditions, impair cognitive function, and reduce quality of life. Dr Xopa assesses and treats a range of sleep disorders, with particular experience in insomnia, sleep disturbances related to anxiety and depression, and circadian rhythm disorders. Treatment focuses on addressing underlying causes and establishing sustainable, healthy sleep patterns.

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Psychiatry

What to Expect

  • A detailed sleep history including bedtime routines, sleep quality, daytime symptoms, and sleep environment
  • Assessment of mental health conditions that may be contributing to sleep difficulties
  • Review of lifestyle factors (including caffeine intake) that may affect sleep
  • Sleep diary analysis and, if indicated, referral for a sleep study (polysomnography)
  • A personalised treatment plan combining sleep hygiene and behavioural strategies
Sleep Disorders at Pretoria Health
Areas Covered

Conditions We Treat

Chronic insomnia — difficulty falling or staying asleep
Insomnia secondary to anxiety, depression, or PTSD
Circadian rhythm sleep-wake disorders
Caffeine-related sleep disturbances
Restless legs syndrome
Nightmares and sleep-related parasomnias
Our Process

How It Works

1

Sleep Assessment

Complete a sleep diary for one to two weeks before your appointment. Dr Xopa conducts a thorough sleep and mental health history.

2

Diagnosis & Contributing Factors

The type of sleep disorder is identified and underlying causes — psychiatric, medical, behavioural, or environmental — are determined.

3

Treatment Implementation

A treatment plan is developed including sleep hygiene education, cognitive behavioural strategies, and ongoing clinical care where appropriate.

4

Follow-Up & Optimisation

Progress is reviewed at follow-up, sleep care is tapered if applicable, and long-term sleep health strategies are reinforced.

Benefits

Why Choose This Service

Thorough assessment of the psychiatric and medical factors underlying poor sleep
Evidence-based cognitive behavioural therapy for insomnia (CBT-I) principles integrated into treatment
Careful, responsible use of sleep care to avoid dependence
Addressing the root cause rather than masking symptoms with short-term aids
Improved sleep quality leading to better mental health, energy, and daytime functioning
FAQ

Common Questions About Sleep Disorders

Long-term sleep solutions focus on behavioural strategies and addressing underlying causes. Our approach prioritises sustainable sleep habits, mindfulness, and identifying the root cause of the disturbance.
Yes, very commonly. Insomnia is a frequent symptom of both anxiety and depression, and poor sleep can also worsen these conditions, creating a vicious cycle. Treating the underlying psychiatric condition often significantly improves sleep.
Sleep hygiene refers to habits and environmental factors that promote good sleep quality. This includes maintaining a consistent sleep schedule, avoiding screens before bed, limiting caffeine, keeping the bedroom cool and dark, and establishing a relaxing bedtime routine.
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