Sleep Disorders

CBT-I: The First-Line Treatment for Insomnia (And Why Most People Skip It)

By Dr. Joshua Roland, MD, FAASM Former Director, CBT-I Clinic in an Outpatient Substance Rehabilitation

Obesity Hypoventilation Syndrome: When OSA Is Only Part of the Picture

By Dr. Joshua Roland, MD, FAASM Co-author, “Obesity Hypoventilation Syndrome” chapter in Clinics in Chest

REM Sleep Behavior Disorder: A Sleep Physician’s Guide to RBD

By Dr. Joshua Roland, MD, FAASM Co-author, 2023 AASM Clinical Practice Guideline on the Management

Central sleep apnea

Central Sleep Apnea (CSA): Causes, Symptoms & What You Need to Know

Central Sleep Apnea (CSA) is more than just “trouble sleeping”; it’s a neurological breathing disorder

Insomnia Caused by Stress: How It Hijacks Your Sleep Cycle and What You Can Do

You lay down, ready to sleep, but your mind keeps spinning. You replay your day,

Doctor consulting with patient in medical office, writing notes on clipboard during healthcare appointment

Treatment Paths for Mixed Apnea Cases

What Counts as Mixed Sleep Apnea? A mixed apnea begins with no airflow and no

Man sleeping with CPAP machine and mask for sleep apnea treatment in bedroom

When OSA Meets CSA: Understanding Complex Sleep Apnea

Two Disorders, One Sleepless Night Obstructive sleep apnea (OSA) blocks the throat; central sleep apnea

Sick woman resting in bed with medicine, glass of water, and thermometer on bedside table

Medications Linked to Central Sleep Apnea

Why Some Drugs Disrupt Night‑Time Breathing Central sleep apnea (CSA) arises when the brain’s breathing

Woman undergoing overnight sleep study with electrodes attached for polysomnography test

How Brain Signals Affect Breathing During Sleep

The Night‑Shift Inside Your Brain Every sleeping breath starts deep in the brainstem. Within the

Woman sleeping with CPAP nasal mask for sleep apnea treatment at home

OSA in Women: Under Diagnosed and Under Treated

Why Gender Matters in Sleep Apnea Obstructive sleep apnea (OSA) was once labeled a “middle‑aged