I am formally trained in CBT-I (Cognitive Behavioural Therapy - Insomnia)
the Gold Standard. Also, other sleep therapies, MBT-I (Mindfulness-Based Therapy) &
ACT-I (Acceptance Commitment Therapy) to suit your needs.
I've worked in fatigue for over 20 years related to health conditions and various work contexts.
TREATMENT - SUPPORT FOR YOU
FOR EXAMPLE:
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Understanding the benefits of quality sleep on your mind & body health
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Understand why treatment changes depending on how long you have had sleep issues
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Identifying stressors that may be impacting on your sleep process
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How your sleep behaviours may be having an unintentional and unhelpful influence on your sleep​​​
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Developing a sleep and/or fatigue toolkit
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Identify your biological sleep need - quality vs quantity
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​How to manage health-related (e.g. pain, injury, disease) sleep issues
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Managing a trauma response or nightmares
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Understand the type of fatigue you are experiencing
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Learning how to manage your fatigue: ways to save and spend your energy so you have a reliable reserve (sense of resilience)
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LEARN MORE ABOUT WHY SLEEP & FATIGUE MATTER BELOW
THE FOUNDATIONS OF YOUR WELLBEING
​​Your sleep and waking experiences are fundamental to your health, resilience, and ability to perform.
Considering that we spend around one-third of our lives asleep (or trying to be), it’s evident that sleep is not a luxury; it is a biological necessity. The quality of your waking life is just as important to manage. Fatigue, for instance, is not simply “tiredness” and getting enough sleep.
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Taking care of your sleep and waking experience doesn’t have to wait until you have a problem. Adopting a proactive and preventative approach, rather than reacting only when difficulties arise, is far more effective for sustaining long-term health, wellbeing, and performance.​​
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HOW MANY CAN YOU RELATE TO?
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​I can fall asleep easily but wake up regularly through the night and find it hard to go back to sleep​
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My mind is racing when I go to bed, but my body is tired, I can’t get to sleep – ‘tired but wired’
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I worry about how I'm going to cope the next day and the rest of the week, as one night easily leads to more
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I wake regularly around 3 or 4 am and can’t go back to sleep
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I wake up feeling stressed and unrefreshed
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I wait until I'm tired before going to bed, which means I can't fit in 8 hours​
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I go to bed at different times and get up at different times
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I stay up late because that's the only time I have to myself
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I am drinking more as it helps me sleep and not think about things
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I have had sleeping issues for more than 3 months, and I can’t understand why, because the issue that started my sleep issues is gone​​
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It is hard to make it through the next day, and I feel exhausted, yet I thought I slept long enough​
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I am exhausted, but I didn't do anything that I thought would make me feel like this​​
SLEEP HEALTH MATTERS
WHAT DO YOU NOTICE ABOUT YOUR SLEEP QUALITY?​
PRIORITISE YOUR SLEEP HEALTH
DID YOU KNOW SLEEP APPEARS TO HAVE A STRONGER INFLUENCE?
If you look after your SLEEP HEALTH, you are PROTECTING yourself and PREVENTING having to react and manage issues.
“It’s a two-way street — influence flows both ways, but there’s often more traffic going in one direction.”
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For example, ​
Research shows:
“Individuals with insomnia had twice the risk of developing depressive disorders than those without insomnia”. Peng, A., et al. (2024).
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“Sleep disturbance and anxiety are mutually causal, and the effects of poor sleep on anxiety seem to be more significant”. Pigeon, W. R., et al. (2008)
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“Current evidence suggests that sleep impairment more strongly predicts pain than pain does sleep impairment.” Jain, S.V., et al. (2024)
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PRIORITISE YOUR SLEEP HEALTH
ARE YOU AWARE OF THE MULTIPLE BENEFITS OF QUALITY SLEEP?
“Imagine your wellbeing as a network of roads (mood, focus, immune function, energy, and recovery). Sleep is the central hub where all those roads meet. When the hub is well maintained, traffic flows easily. That’s why improving sleep often brings wide-ranging benefits — it strengthens the entire network.”
Research shows:
“Given its influence on a wide array of mental and physical health outcomes, sleep health should be considered a fundamental pillar in transdiagnostic prevention and treatment efforts.” Wainberg, M. L., et al. (2016).
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“Sleep problems, both in terms of sleep quality and sleep quantity, have been seen as key transdiagnostic processes across physical and mental health disorders.” Edinger, J. D., et. al. (2021).
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“Healthy sleep is necessary for good health, and sleep is important for cardiovascular health, obesity, diabetes, and psychological well-being.” https://www.michaelgrandner.com/about.html
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PRIORITISE YOUR SLEEP HEALTH
DID YOU KNOW TREATMENT ORDER MATTERS?
“Insomnia symptoms occur across several diagnoses like anxiety, PTSD, and depression – but diagnosis‑specific treatments won't (always) resolve sleep.” Posner, D. (2023).
WHY FATIGUE MANAGEMENT MATTERS
TIRED OR FATIGUED
We all get tired — after a long day, poor sleep, or stress. Tiredness is short-term and usually improves with rest, sleep, or good nutrition.
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Fatigue, however, is different. It’s a persistent state of physical, mental, or emotional exhaustion. Managing fatigue means more than just “getting more sleep.” It requires understanding and addressing the underlying causes — whether physical, psychological, or occupational. Treatment might involve medical care, lifestyle changes, psychological support, or adjustments at work.
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Fatigue is a sign that your body and mind need care and balance — not just rest. Understanding the type of fatigue, you’re experiencing is the first step towards managing it effectively and supporting your long-term wellbeing.​​
WHY FATIGUE MANAGEMENT MATTERS
DID YOU KNOW THERE ARE DIFFERENT TYPES OF FATIGUE?
​​The Different Faces of Fatigue
Fatigue isn’t one-size-fits-all — it’s multifaceted and can show up in several ways:
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Physical Fatigue
This is the type most people think of — when your body feels heavy, slow, or weak. But it’s not always visible. Hidden physical fatigue can develop when your body is under constant stress, such as managing a long-term health condition or chronic pain. Over time, this overuse of your body’s stress response can leave you feeling drained.
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Emotional Fatigue
Emotional fatigue often arises from ongoing stress, uncertainty, or grief — for example, when someone is coping with illness, loss of independence, or changes to their identity. It’s also common in people who work in demanding, high-stakes roles, such as emergency services, where compassion fatigue and ethical challenges can take their toll.
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Mental (Cognitive) Fatigue
This form of fatigue happens when your brain is overworked — from prolonged concentration, problem-solving, or decision-making. It can make it hard to focus, remember details, or think clearly, even if your body feels fine.​
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