Completed Our ADHD
Direct Assessment
If you've been through our ADHD Direct or ADHD Direct Update Assessment, you're ready to add a focused sleep analysis to your care.
New Service — Clinician-Led Sleep Analysis
Your ADHD Is Managed.
Is Your Sleep?
The ADHD Sleep Optimization Service — a clinician-led sleep analysis, evidence-based Cognitive Behavioural Therapy for Insomnia (CBT-I) treatment session, and an OHIP-covered MD sleep consultation for adults who have already been assessed for ADHD.
$700
Service Cost
NP + Therapist + MD
Coordinated Sleep Team
CBT-I
Gold-Standard Treatment
OHIP
MD Consultation Covered
Why Now?
6 Reasons to Optimize Your Sleep
Sleep and ADHD are deeply connected. When sleep slips, focus, mood, and daily functioning are all affected. This service exists to support you — awake and asleep.
CAN'T SWITCH OFF AT NIGHT
A racing mind and “second wind” at bedtime are common with ADHD. An initial CBT-I session gets you ready to re-train your brain and body for sleep.
NIGHT-OWL BODY CLOCK
Many adults with ADHD run on a delayed sleep schedule that clashes with school and work. We help reset your rhythm.
DAYTIME FATIGUE & BRAIN FOG
Poor sleep mimics and magnifies inattention. Better sleep can sharpen focus more than you'd expect.
MEDICATION & SLEEP DON'T MIX
Stimulant timing can disrupt sleep, and poor sleep can change how medication works. Or team reviews the full picture.
RULE OUT A SLEEP DISORDER
Insomnia, sleep apnea, and restless legs hide behind ADHD symptoms. Experts on our team screen for comorbidities.
YOU'VE TRIED EVERYTHING ELSE
Apps, supplements, and sleep hygiene can only go so far. We’ll introduce you to CBT-I, a clinically proven first-line treatment for insomnia.
Who This Is For
Built for People Already Assessed for ADHD
This is a focused sleep service for individuals who have completed an ADHD assessment — so we can build on what we already know and go straight to optimizing your sleep.
Completed Our ADHD
Completed Our
Signature ADHD
Assessment
Clients who've had our Signature ADHD & Mental Health Assessment or Signature Update Assessment can layer sleep optimization on top.
Why Possibilities Clinic
Not All Sleep Help Is Created Equal
Sleep apps, supplements, and generic advice rarely fix the problem. Our service combines a real clinical sleep analysis, Intro to evidence-based CBT-I treatment, and an MD sleep consultation — all coordinated with your ADHD care.
| What You Get | ADHD Sleep Optimization | Sleep Apps & Trackers | A Single GP Visit |
|---|---|---|---|
| Clinical Team | ✓ Nurse Practitioner + CBT-I Clinician + MD | No clinician — self-guided | One clinician, limited time |
| Evidence-Based CBT-I Treatment | ✓ Delivered by a CBT-I trained clinician | Generic tips, no tailored therapy | Rarely offered |
| MD Sleep Consultation | ✓ Dedicated sleep-specialist MD consult (OHIP) | None | May require a separate referral |
| ADHD-Aware Care | ✓ Built around your ADHD & medication | Treats sleep in isolation | ADHD context often missed |
| Screens for Sleep Disorders | ✓ Apnea, restless legs & more considered | No clinical screening | Brief, if time allows |
| Medication & Timing Review | ✓ NP & MD review stimulant timing & sleep aids | None | Limited |
| Personalized Treatment Plan | ✓ Tailored plan with NP-led initiation | One-size-fits-all | General advice |
| Coordinated With Your ADHD Treatment | ✓ Connects to your existing Possibilities care | Standalone | Standalone |
No Referral Required.
Book Now with the Care Team
Already Assessed at Possibilities Clinic?
If you received an ADHD assessment and diagnosis at Possibilities Clinic within the last 2 years, you don’t need to fill out the form again. Contact us at [email protected] or call 1-833-482-5558 and the Care Team will book your appointments.
Your Journey
Transparent, Predictable Pricing
How the ADHD Sleep Optimization Service Works
A clear, structured path from intake to better sleep — guided by your Nurse Practitioner, CBT-I clinician, and sleep-specialist MD.
1
Medical Intake & Sleep Screen
A Nurse Practitioner reviews your health, ADHD medication & sleep patterns.
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2
Psychosocial & ADHD Intake
A CBT-I trained clinician explores how ADHD, lifestyle & routines affect your sleep.
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3
MD Sleep Consultation
A sleep-specialist MD reviews your screen & rules out underlying sleep disorders.
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4
Treatment Planning with MD
The sleep-specialist MD reviews findings post sleep study (if needed) and outlines evidence-based treatment plan.
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5
CBT-I Treatment Session
A CBT-I trained clinician introduces an evidence-based sleep therapy treatment.
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6
Treatment Support with NP
The Nurse Practitioner discusses a tailored plan based on the team’s findings.
Sleep Study and Labs Ordered If Needed
Post-Lab MD Review
If a lab test or sleep study is ordered, the MD reviews the results with you in an additional session before you meet the CBT-I therapist and NP.
Treatment Plan Update
Your NP incorporates the lab findings into your plan, so your sleep stays on track.
The Possibilities Difference
Why Families Across Ontario Choose Us
A Coordinated Sleep Team
A Nurse Practitioner, a CBT-I clinician, and a sleep-specialist MD work together so your medical, behavioural, and ADHD needs are all considered.
ADHD-Aware by Design
We understand how ADHD and stimulant medication shape sleep. Your plan is built around the way your brain and body actually work.
Introduction to Evidence-Based CBT-I
Cognitive Behavioural Therapy for Insomnia is the clinically recommended first-line treatment for chronic sleep problems. You’ll receive an introductory session from a trained clinician, not an app.
An MD Consult Covered by OHIP
The sleep-specialist MD consultations are covered by OHIP for eligible Ontario residents, keeping your out-of-pocket cost predictable.
The Details
Appointment Outline & Fee
Here is the full breakdown of appointments, providers, durations, and cost.
| Item | Provider(s) | Duration |
|---|---|---|
| Intake (Medical + Sleep Screen) | Nurse Practitioner (NP) | 50 min |
| Intake (Psychosocial + ADHD) | Registered Psychotherapist (RP) / CBT-I Trained Clinician | 50 min |
| MD Consultation (Sleep Specialist) | MD | 50 min |
| Treatment Planning with MD (after a sleep study/labs if needed/ordered) | MD | 45 min |
| CBT-I Treatment Session | Registered Psychotherapist (RP) / CBT-I Trained Clinician | 50 min |
| Treatment Support with NP | Nurse Practitioner (NP) | 30 min |
Total Service Fee
$700*
The MD sleep-specialist consultations are covered by OHIP for Ontario residents with a valid Ontario health card. The Nurse Practitioner and CBT-I clinician components are delivered privately.
*Please check with your insurance provider to confirm coverage for Nurse Practitioner (NP) and Registered Psychotherapist (RP) clinician services.
Frequently Asked Questions
Everything You Need to Know
What Does the ADHD Sleep Optimization Service include?
The Sleep Optimization Service includes appointments with various clinicians with expertise in sleep. You’ll attend 2 sessions with a Nurse Practitioner—at the very beginning to start the process and at the end to create a treatment plan. You’ll also meet a Registered Psychotherapist/CBT-I trained clinician for 2 sessions—an initial appointment will cover ADHD symptomatology and psychosocial factors potentially affecting sleep, and a second appointment will cover an introductory session of Cognitive Behavioural Therapy for Insomnia (CBT-I). You’ll also attend a medical consultation appointment with a physician. If the MD orders lab tests or a sleep study—necessary for some clients—you will meet with the physician a second time to discuss the findings of these added investigations.
What is CBT-I?
CBT-I stands for Cognitive Behavioural Therapy for Insomnia. It is a structured, evidence-based therapy that addresses the thoughts and behaviours that keep sleep problems going. It is widely recommended as the first-line treatment for chronic insomnia — often before, or alongside, medication.
Do I need to have an ADHD diagnosis to use this service?
Yes. This service is designed for people who have already been diagnosed with ADHD after receiving an assessment at the Possibilities Clinic where ADHD was examined (e.g., ADHD Direct Assessment, Signature ADHD & Mental Health Assessment, ADHD Direct Update Assessment and Treatment Planning Service or Signature ADHD Update Assessment and Treatment Planning Service. If you haven’t been assessed for ADHD yet, please fill out our Intake Form. Once the Intake Form is complete, our Care Team will help you determine which assessment at Possibilities best fits your needs.
Do I need a referral from my doctor?
No. You do not need a referral from a Primary Care Physician or Nurse Practitioner for this Sleep Optimization Service. You do need a diagnosis of ADHD from an assessment done at the Possibilities Clinic. If you require an ADHD Assessment to get things started, you may begin by completing our Intake Form. If your ADHD assessment was completed at Possibilities Clinic within the last 2 years, contact us at [email protected] or call 1-833-482-5558 and the Care Team will book your appointments for this Sleep Optimization Service.
How current does the ADHD Assessment done at Possibilities need to be to be eligible for this Sleep Optimization Service?
Our sleep experts need to tailor your treatment plan based on current data. You are eligible for this Sleep Optimization Service if your ADHD assessment at Possibilities has been done within the last 2 years. If your assessment is older than that, you can complete an updated assessment at Possibilities through our ADHD Direct Update Assessment and Treatment Planning Service or our Signature ADHD Update Assessment and Treatment Planning Service. We’ll need an updated Intake Form as well, which you can complete here. Your new Intake Form will take about 30 minutes to complete. If you require support filling out the form, please email us at [email protected] or call 1-833-482-5558 and a Care Team member will book an appointment with you to help complete it. If you’ve been seen at Possibilities within the last 2 years, we can access your previous Intake Form. There is no need to complete a new one.
Is this cost covered by OHIP or insurance?
The MD sleep-specialist consultations are covered by OHIP for Ontario residents with a valid health card. The Nurse Practitioner (NP) and Registered Psychotherapist/CBT-I clinician components are delivered privately and make up the $700 service fee. Many private insurance plans reimburse part or all of these fees, so we recommend confirming the specifics with your own provider before booking. You can find information about funding options here.
Will I need a sleep study?
No, not necessarily. Many sleep concerns can be addressed from information gathered in the Clinical Intake session, the MD consultation, and the introductory session of CBT-I. If the doctor identifies signs of an underlying sleep disorder such as sleep apnea, a lab test and/or sleep study may be recommended. After this information is ordered and the results received, the MD will meet with you for an additional consultation session to review the findings. This additional information will be incorporated into your treatment plan.
What are the ages of clients you see in this service?
This Sleep Optimization Service is available to adults aged 18 and older.
Can my ADHD medication be reviewed as part of this?
Yes. Stimulant medication and its timing can significantly affect sleep. Your Nurse Practitioner (NP) and the sleep-specialist MD will consider your current medication as part of the sleep screen and treatment plan, in coordination with your existing ADHD care.
Can I continue with CBT-I after the introductory session?
Yes, CBT-I sessions with our Registered Psychotherapist/CBIT-I clinician can be added at a cost of $200 per session if you wish to pursue this therapy further, after your introductory session. CBT-I is typically considered to be a short-term therapy with weekly sessions over 6 to 8 weeks, though the duration of therapy can differ across clients depending on needs.
Can this be done from home?
Yes. Clinical interviews, the MD consultation, treatment planning, and the introductory CBT-I sessions are delivered over secure video. As long as you are physically located in Ontario and have a computer and reliable high-speed internet, you can complete the process from the comfort of your home. Any lab test or sleep study, if ordered by the MD, would require a visit to a clinic outside of your home. Not all clients seen by our Sleep Optimization Team will require additional labs or a sleep study.
What if I'm not sure this is the right service for me?
We can help! Possibilities Clinic offers a complimentary 20-minute session with a member of our Next Steps Navigation Team. Team members are professionals from education and healthcare who will listen to your questions, discuss your concerns, and help you clarify your next steps. If you have been assessed at the Possibilities Clinic within the last 2 years, please reach out to us at [email protected] or call us at 1-833-482-5558 to set up a Navigation Team meeting. If you are new to the clinic, please complete our Intake Form first, before contacting us to set up a Navigation Team appointment.
⏱️
Not Sure Where to Start?
Book a FREE 20-minute session with our Next Steps Navigation Team – education and healthcare professionals who’ll help you figure out the right path. If you are new to the Possibilities Clinic, or you were assessed by our team more than 2 years ago, please complete our Intake Form. If you were assessed by us recently, please reach out to us at [email protected] or call 1-833-482-5558 to set up a Navigation Team meeting.
Reassess. Realign. Rest.
Book Now with the Care TeamYour ADHD care doesn’t stop at focus. Make sure your sleep — and everything it powers — is keeping up with your life.
Or call 1-833-482-5558 | Email [email protected]
