Sleep disorder · Brussels

Treating insomnia for good.

Insomnia means difficulty falling asleep, waking during the night or waking too early, with an impact on the day that follows. At the CIRCAE sleep centre in Woluwe-Saint-Lambert (Brussels), our neuropsychologists offer cognitive behavioural therapy for insomnia (CBT-I), the gold-standard treatment to regain natural sleep without dependence on sleeping pills.

When to consult

Our goal

Regain natural sleep

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Improve the quality and regularity of sleep

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Reduce cardio-neuro-vascular risks

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Restore daytime energy and alertness

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Achieve a lasting improvement in quality of life

Understanding

What is insomnia?

Insomnia is a complaint of insufficient or poor-quality sleep despite adequate opportunity: difficulty falling asleep, waking during the night, or waking too early in the morning. It always comes with daytime consequences, fatigue, irritability, difficulty concentrating, sleepiness or anxiety. Insomnia is described as chronic when it lasts for more than three months, at least three nights a week.

The causes are often multiple: stress, anxiety, poor sleep habits, pain, but also a vicious circle in which the fear of not sleeping keeps the insomnia going. It is precisely this mechanism that cognitive behavioural therapy for insomnia (CBT-I) helps to break.

The gold-standard treatment

CBT-I, without sleeping pills

Cognitive behavioural therapy for insomnia is recommended as first-line treatment by learned societies, ahead of sleeping pills. It targets the causes of insomnia and its effects are lasting.

Assessment

Assessing insomnia in consultation

Care begins with a specialist consultation; a sleep recording may be offered to rule out another cause (apnoea, restless legs). See the CIRCASLEEP sleep assessment →

First sleep consultation

Consultation · Doctor + Neuropsychologist

A meeting with two sleep experts to assess the type of disorder and the need for an in-depth assessment.

  • Analysis of your symptoms (fatigue, sleepiness, insomnia, snoring, night-time awakenings)
  • Assessment of medical history, treatments and sleep hygiene
  • Identification of behavioural, psychological and medical factors
  • Referral to the most relevant sleep examination
  • Initial personalised care

Overnight oximetry: O2Fellow

Home examination · Non-invasive

A simple examination carried out at home using a discreet finger ring. It assesses overnight desaturations and the cardiovascular risk associated with apnoea.

  • Oxygen saturation (SpO₂)
  • Heart rate and pulse wave
  • Hypoxic burden: a key indicator of cardiovascular risk

Objectives

  • Detect overnight desaturations
  • Estimate cardiovascular risk
  • Refer to a more comprehensive examination if necessary
O2Fellow sensor
O2Fellow in use

Overnight polygraphy

Home examination · Respiratory

Recording of respiratory and cardiac parameters during sleep. Primarily intended for the screening of obstructive sleep apnoea.

  • Respiratory airflow (nasal and oral)
  • Thoracic and abdominal effort
  • Oxygen saturation, heart rate
  • Snoring and body position

Objectives

  • Screen for mild to severe apnoea
  • Quantify apnoeas and hypopnoeas
  • Monitor the effectiveness of CPAP or oral appliance treatment

Full polysomnography

Gold-standard examination · Comprehensive

The most comprehensive sleep examination. It accurately diagnoses respiratory disorders, severe insomnia, parasomnias and restless legs syndrome.

  • EEG brain activity: sleep stages
  • Eye movements (EOG) and muscle activity (EMG)
  • Breathing, saturation, heart rhythm (ECG)
  • Snoring and body position

Results

  • A report including total duration, sleep stages, apnoea/hypopnoea index (AHI), saturation and hypoxic burden
Complementary approaches

Beyond CBT-I

Depending on your situation, other non-pharmacological approaches can support the return to natural sleep, alongside CBT-I.

CBT-I therapy

Gold-standard treatment · Chronic insomnia

Cognitive behavioural therapy for insomnia. A structured programme of 6 to 8 individual or group sessions (45–60 min) aimed at restoring natural sleep without dependence on sleeping pills.

CPAP

Gold-standard treatment · Moderate to severe apnoea

Delivers pressurised air during sleep to keep the airways open. Eliminates apnoeas and reduces snoring and cardiovascular risk.

Mandibular advancement device (MAD)

Oral appliance · Snoring & mild to moderate apnoea

The Oniris+ device holds the lower jaw forward to prevent airway obstruction. Thermo-mouldable, adjustable and comfortable.

Light therapy · AYO

Non-pharmacological approach · Circadian rhythm

AYO glasses emit controlled blue light (20 min/day in the morning). The AYO+ models combine stimulating blue light and relaxing red light to regulate the body clock.

AYO glasses in use
AYO glasses product

Explore the assessments