Marisol Reyes expected a prescription. The first forty minutes were about her rota, and she nearly walked out.

Time in bed is compressed to match time actually asleep, then widened week by week as efficiency climbs. It is counter-intuitive by design and explained as such in session one.

Nothing in the course is advice about darkened rooms or herbal tea. Participants are frequently disappointed by this in week one and grateful for it by week six.

We can’t out-prescribe a rotating shift pattern. It’s the least popular sentence in this clinic.

Illustrative composite

The apnoea pathway begins with a home study rather than a laboratory night, which cut the wait for a first result from months to under a fortnight.

“It felt like blame,” she says. “It was actually just the only lever that moved.”