
World Class Sleep Disorders Care
Schedule your appointment at Nalini’s Clinic today for a comprehensive sleep disorder evaluation! Our in-depth assessments and screenings help identify potential sleep issues early, ensuring you get the care you need for restful, healthy sleep. Click below to book now.
Common Sleep Disorders
- Sleep Apnea
- Insomnia
- Restless Leg Syndrome
- Narcolepsy
- Circadian Rhythm Disorders
- Sleep Related Abnormal Behaviors & Movements

Sleep Apnea
Sleep apnea is a serious sleep disorder where breathing repeatedly stops and starts during sleep, leading to poor rest and potential health risks.
Key Symptoms:
- Disrupted breathing during sleep
- Loud snoring
- Frequent awakenings or disturbed sleep
- Excessive daytime sleepiness
- Difficulty concentrating
- Mood changes (irritability, anxiety, or depression)
- Morning headaches

Insomnia
Insomnia is a sleep disorder characterized by difficulty falling or staying asleep, leading to daytime impairment.
Key Symptoms:
- Difficulty falling or staying asleep, impacting daily routine
- Nighttime wakefulness despite feeling tired
- Anxiety and racing thoughts interfering with sleep
- Mood changes, irritability, or depression
- Difficulty concentrating and reduced cognitive function

Restless Leg Syndrome
Restless Leg Syndrome is a neurological disorder that causes an uncontrollable urge to move the legs, often disrupting sleep.
Key Symptoms:
- Irresistible urge to move the legs
- Uncomfortable sensations (tingling, crawling, or aching)
- Symptoms worsen at night and during rest
- Temporary relief with movement (walking or stretching)

Narcolepsy
Narcolepsy is a neurological sleep disorder that affects the brain's ability to regulate sleep-wake cycles, leading to sudden and uncontrollable sleep episodes.
Key Symptoms:
- Excessive daytime sleepiness (difficulty staying awake)
- Sudden sleep bouts (falling asleep unexpectedly)
- Sleep paralysis (temporary inability to move upon waking or falling asleep)
- Difficulty concentrating and memory issues

Circadian Rhythm Disorders
Circadian rhythm disorders occur when the body's internal clock is misaligned with the natural sleep-wake cycle, leading to disrupted sleep patterns.
Key Symptoms:
- Sleeping late, waking late (Delayed Sleep Phase Disorder)
- Sleeping early, waking early (Advanced Sleep Phase Disorder)
- Difficulty sleeping at home, but sleeping at work (Shift Work Sleep Disorder)
- Disruptions due to irregular schedules (e.g., night shifts, jet lag)

Sleep Related Abnormal Behaviors & Movements
These disorders involve unusual behaviors or involuntary movements during sleep, often disrupting rest and affecting sleep quality.
Key Symptoms:
- Sleepwalking – Engaging in activities while asleep, often with no memory of them
- Sleep talking – Speaking or making sounds during sleep
- Kicking & shouting in sleep – Common in REM Sleep Behavior Disorder (RBD)
- Leg jerks in sleep – Involuntary movements, often linked to Periodic Limb Movement Disorder (PLMD)
- Leg pain at night, relieved by movement/massage – A sign of Restless Leg Syndrome.
- Teeth grinding/Bruxism
Advanced Sleep Diagnostics
- PAP Therapy
- Sleep Apnea Surgeries
- Mandibular Advancement Devices (MADs)
- Oromyofunctional Therapy for OSA
- Cognitive Behavioral Therapy for Insomnia (CBT-I)
- Ongoing Support and Monitoring
- Support for Co-Occurring Conditions

PAP Therapy
Main treatment for many Obstructive Sleep Apnea patients.
- CPAP & BPAP machines work as air splints and keep the collapsed upper airway open in Obstructive Sleep Apnea.
- PAP therapy reduces disease risk and improves quality of life.

Sleep Apnea Surgeries
Tailor-made surgeries in select persons to improve airway collapse during sleep can make a great impact on their health.
- Surgery may be considered for individuals who cannot tolerate CPAP.

Mandibular Advancement Devices (MADs)
Mandibular Advancement Devices (MADs) are oral appliances designed to treat obstructive sleep apnea (OSA).
- They work by repositioning the lower jaw forward and keeping the airway open during sleep.
- Effective alternative to CPAP in select patients.

Oromyofunctional Therapy for OSA
Oromyofunctional therapy (OMT) is a specialized therapy that focuses on strengthening and retraining the muscles of the mouth, tongue, and face to improve airway function and breathing patterns.
- Exercises to strengthen weak muscles around the airway, face, mouth, and tongue.
- Effective for snoring, mild to moderate Obstructive Sleep Apnea.

Cognitive Behavioral Therapy for Insomnia (CBT-I)
CBT-I is the gold standard for treating insomnia which has no side effects of pills.
- Stanford Medical University-trained professional in this highly effective therapy
- Guidance through cognitive restructuring to reshape negative thoughts about sleep
- Behavioral techniques to break the cycle of poor sleep
- Personalized approach to change negative sleep patterns
- Dr. Nalini Nagalla established the first CBT-I clinics in the Telugu states & Hyderabad.

Ongoing Support and Monitoring
Sleep improvement is a process—ongoing guidance every step of the way
- Follow-up consultations to monitor progress and maintain effectiveness
- Personalized adjustments to optimize your treatment plan
- Tracking progress to measure improvements in sleep quality
- Troubleshooting barriers to overcome sleep challenges
- Continuous support for lasting and sustainable sleep health

Support for Co-Occurring Conditions
Addressing sleep issues linked to underlying medical conditions is pivotal.
- Conditions like anxiety, depression, and chronic pain can impact sleep
- Collaborative care approach for comprehensive treatment
- Working with your medical providers to ensure integrated care
- Holistic treatment plans that consider all aspects of your health
- Optimizing results by addressing both sleep and overall well-being
Personalised Treatments
- Authentic Sleep studies
- Titration Sleep Studies
- Mask and PAP Machine Evaluation
- Personalized Sleep Reports
- Sleep Diaries
- Cognitive and Behavioral Assessments
- Collaboration with Specialists

Sleep Studies with Manual Scoring for Authentic Results
Essential for diagnosing conditions like Sleep apnea and Restless leg syndrome
Key Benefits:
- In-lab polysomnography (PSG) and home sleep studies help analyze complex sleep problems.
- These studies provide detailed insights into Sleep stages, Breathing patterns, Brain activity, Heart rate, and Oxygen levels during sleep.
- Manual scoring is the gold standard for accuracy.
- Precise, individualized reports improve diagnosis and treatment.

Titration Sleep Studies: Finding the Right Pressure for You
Titration sleep studies help patients with sleep apnea and other breathing disorders.
- Determines the optimal pressure for CPAP or BiPAP therapy.
- Monitors how different pressure levels affect the Sleep quality, Breathing patterns and ensures the best settings for comfort and treatment success.

Mask and PAP Machine Evaluation
Choosing the right CPAP mask and machine is crucial for effective treatment and comfort.
- Ensures a personalized solution that fits your specific needs.
- Improves comfort, leading to better treatment adherence.
- Supports long-term treatment success.

Personalized Sleep Reports
After your sleep study, you'll receive a comprehensive sleep report which is manually scored by our experts for accuracy. This report provide in-depth insights into
- Sleep Cycle
- Sleep disruptions
- Areas of concern
- Helps create a personalized and effective treatment plan.
- We’ll review the findings together.
- Discuss next steps to improve your sleep.

Sleep Diaries
Maintaining Sleep Diaries for a specific period gives detailed and improved understanding of your sleep-wake patterns.
- Simple yet effective tool for monitoring sleep patterns.
- Tracks sleep habits, mood, and energy levels to identify trends.
- Provides valuable data to guide your personalized treatment plan.

Cognitive and Behavioral Assessments
Sleep is often influenced by psychological factors such as stress, anxiety, or depression.
- Psychological assessments help identify factors affecting sleep.
- Examines the mind-sleep connection to uncover underlying issues.
- Targets specific areas for a more effective, personalized treatment approach.

Collaboration with Specialists
I collaborate with a network of trusted specialists to address medical conditions or co-existing health challenges affecting your sleep. This integrated care approach ensures comprehensive support for both sleep and overall health.
- Collaborates with specialists such as neurologists, ENT, dental experts, and psychologists.
- Addresses underlying health issues that may impact sleep.
- Provides holistic, coordinated care for effective treatment.
Frequently asked questions
You can book an appointment online, call the clinic, or schedule a virtual consultation. Click “Book a Consultation” to get started today!
If you experience difficulty falling asleep, frequent wake-ups, loud snoring, daytime fatigue, or trouble staying alert, you may have a sleep disorder. A professional sleep evaluation can help diagnose and treat it.
A sleep study monitors your breathing, oxygen levels, brain activity, and body movements while you sleep to diagnose conditions like sleep apnea and insomnia. If you have persistent sleep issues, a sleep study may be recommended.
Yes! Depending on severity, alternative treatments include lifestyle changes, oral appliances, positional therapy, and weight management. However, CPAP remains the gold standard for moderate to severe cases.