Sleep — Brain Health Neurology

Why You Are Here

Six hours became normal somewhere along the way. You get through the day. You have coffee, and a system, and the sense that this is simply what adulthood costs now.

Or your sleep is broken rather than short. You are in bed eight hours and wake up as though you were not. Your partner has mentioned the snoring. You have mentioned nothing.

Either way the question is the same, and it is not how tired you feel. It is what your thinking is actually doing while you are convinced you are fine — because those two things come apart, and the research on that is not subtle.

The Evidence

Feeling fine is not the same as being fine.

Four findings from the peer-reviewed literature. Every source is linked below.

1
You cannot feel your own impairment. Adults restricted to six hours a night for two weeks developed cognitive deficits equivalent to two full nights without sleep — and their own ratings of sleepiness showed they were largely unaware it was happening. Van Dongen et al., Sleep, 2003
2
The most common treatable cause is usually missed. In a study of nearly 5,000 employed adults with ready access to health care, an estimated 93% of women and 82% of men with moderate to severe sleep apnea had never been diagnosed. Young et al., Sleep, 1997
3
And it shows up in the thinking. Untreated obstructive sleep apnea is associated with measurable deficits across attention, processing speed, executive function, and memory. Stranks & Crowe, Archives of Clinical Neuropsychology, 2016
4
Which means it can be measured. The assessment used here was validated against a normative sample of 1,069 people aged 7 to 90, with reliability comparable to conventional pencil-and-paper neuropsychological testing. Gualtieri & Johnson, Archives of Clinical Neuropsychology, 2006

How It Works

Three touches. One plan.

01

Measure

A validated computerized assessment that takes about 45 minutes — set aside an hour. Most online cognitive screens run ten and measure almost nothing. You take this one at home, on a desktop or laptop with a keyboard. It scores nine cognitive domains against age-matched norms, including the sustained attention and reaction time that sleep loss hits first.

02

Interpret

An unhurried consultation, about an hour. Your history in real detail, then What the numbers show, and a careful look at your sleep history, your risk for apnea, and the medications and habits shaping both.

03

Act

Within two business days: a written plan naming three prioritized things worth acting on first, with the peer-reviewed research behind every recommendation in it.

04

Review

A scheduled 30-minute call to go through the plan together — what it means, where to start, and how to fit it into your actual life.

A sleep study measures your breathing.

This measures what that is costing you. A sleep study can describe what happens to your airway at three in the morning. It cannot tell you what any of it is doing to your thinking, and it will not hand you a number to measure against later.

This does both. You get an objective measurement of the domains sleep loss actually damages, and a baseline you can be re-tested against — so if you treat something, you can see whether it worked instead of guessing.

Apnea is also only one branch of this. Your plan covers the rest: timing, alcohol, medication, metabolic health, and the other things quietly shaping your nights. For most people the problem turns out to be more than one thing. Formal diagnosis of a sleep disorder requires a sleep study, which the Brain Health Blueprint does not replace.

Find out what it is actually costing.

One flat fee. No insurance, no referral, and no one asking you to rate your tiredness from one to ten.

$599

Assessment · Physician Consultation · Written Plan · Review Call

Schedule Online →

You believe you have adapted to less sleep.