TL;DR
Dr. Jedidiah Oldham, DO evaluates and treats sleep disorders at 972 N 600 E in Spanish Fork, including insomnia, obstructive sleep apnea, restless legs syndrome, and sleep disruption tied to anxiety or depression. Dr. Oldham uses validated screening tools, orders home sleep studies when indicated, prescribes CPAP therapy and behavioral interventions, and manages the underlying conditions that disrupt sleep. Call (385) 265-6060 to schedule.
What Sleep Disorders Does Dr. Oldham Diagnose and Treat?
Dr. Oldham diagnoses and treats the most common sleep disorders seen in primary care, including insomnia (difficulty falling or staying asleep), obstructive sleep apnea (OSA), restless legs syndrome (RLS), circadian rhythm disorders, and sleep disturbances caused by underlying medical or psychiatric conditions. The CDC reports that roughly one in three American adults does not get enough sleep, and chronic sleep deprivation increases the risk of obesity, type 2 diabetes, cardiovascular disease, and depression. Dr. Oldham evaluates sleep complaints at the Spanish Fork office using validated questionnaires (Epworth Sleepiness Scale, STOP-BANG for apnea risk, Pittsburgh Sleep Quality Index) and a clinical interview that explores sleep habits, daytime symptoms, and coexisting conditions.
Dr. Oldham sees sleep complaints across every age group in Spanish Fork, from adolescents with delayed sleep phase syndrome to adults with shift-work sleep disorder to elderly patients with insomnia related to chronic pain or medication side effects. Because he manages each patient’s full medical picture, he identifies connections between sleep and other conditions that a sleep specialist seeing the patient for the first time would need weeks to uncover. A patient with poorly controlled diabetes and daytime fatigue may have undiagnosed sleep apnea driving both problems.
How Does Dr. Oldham Evaluate Patients for Sleep Apnea?
Dr. Oldham screens for obstructive sleep apnea using the STOP-BANG questionnaire, which assesses snoring, daytime tiredness, observed breathing pauses, blood pressure, BMI, age, neck circumference, and gender. Patients who score three or higher are at elevated risk, and Dr. Oldham orders a home sleep apnea test (HSAT) as the next step. The home test is a portable device the patient wears overnight that measures airflow, respiratory effort, oxygen saturation, and heart rate. Dr. Oldham reviews the results and diagnoses OSA when the apnea-hypopnea index (AHI) exceeds five events per hour with symptoms or fifteen events per hour regardless of symptoms, per American Academy of Sleep Medicine criteria.
Dr. Oldham orders an in-lab polysomnography (overnight sleep study) when the home test is inconclusive, when central sleep apnea is suspected, or when the patient has significant comorbidities like heart failure or chronic opioid use that make a home test less reliable. He coordinates the referral to a local sleep lab and reviews the results with the patient at a follow-up visit. Dr. Oldham finds that many Spanish Fork patients with suspected sleep apnea prefer the home test because it allows them to sleep in their own bed, and the diagnostic accuracy for moderate to severe OSA is comparable to in-lab testing.
How Does Dr. Oldham Treat Obstructive Sleep Apnea?
Dr. Oldham treats obstructive sleep apnea with continuous positive airway pressure (CPAP) therapy as the first-line treatment for moderate to severe cases. He prescribes the CPAP device, works with a durable medical equipment supplier to fit the mask, and schedules a follow-up at four to six weeks to review compliance data, address mask discomfort, and assess symptom improvement. CPAP adherence is the biggest challenge in sleep apnea treatment, and Dr. Oldham spends time at each visit troubleshooting common problems like mask leak, nasal dryness, claustrophobia, and noise. For patients who cannot tolerate CPAP despite troubleshooting, he discusses alternatives including oral appliance therapy (referral to a sleep dentist) and positional therapy for patients whose apnea occurs primarily when sleeping on their back.
Dr. Oldham also addresses the modifiable risk factors that contribute to sleep apnea. Weight loss of 10 to 15 percent can reduce the AHI significantly in overweight patients, and Dr. Oldham builds a weight management plan alongside CPAP therapy. He avoids sedating medications in sleep apnea patients because benzodiazepines and certain sleep aids can worsen airway collapse. For patients with mild OSA and minimal symptoms, Dr. Oldham may recommend lifestyle modifications and positional therapy as initial management, with a follow-up sleep test in three to six months to reassess.
What Non-Medication Treatments Does Dr. Oldham Use for Insomnia?
Treatment covers chronic insomnia with cognitive behavioral therapy for insomnia (CBT-I) principles as the first-line approach, because the AAFP and the American College of Physicians recommend CBT-I over medication as the initial treatment. CBT-I combines sleep restriction (limiting time in bed to actual sleep time), stimulus control (using the bed only for sleep), sleep hygiene education, relaxation techniques, and cognitive restructuring of anxious thoughts about sleep. Dr. Oldham introduces these techniques over two to three visits, adjusting the plan based on the patient’s sleep diary entries. For patients who need structured CBT-I beyond what office visits provide, he refers to a behavioral health provider or a validated digital CBT-I program.
many Spanish Fork patients have never heard of CBT-I and assume that insomnia treatment means a sleeping pill. He explains that sleep medications can be appropriate for short-term use (less than four weeks) during acute insomnia triggered by a stressful event, but long-term use creates dependence and reduces natural sleep quality. When medication is needed alongside behavioral strategies, Dr. Oldham prescribes low-dose trazodone, melatonin (for circadian rhythm issues), or a short course of a non-benzodiazepine hypnotic, always with a plan to taper once behavioral strategies take hold.
How Are Sleep Disorders Connected to Mental Health?
Evaluation covers every sleep complaint for underlying anxiety and depression, because sleep disruption is both a symptom and a driver of mood disorders. Insomnia is present in roughly 75 percent of patients with depression, and treating the sleep problem alongside the mood disorder produces faster and more durable improvement than treating either condition alone. Dr. Oldham screens for anxiety and depression at the same visit where he evaluates insomnia, using the PHQ-9 and GAD-7, and builds a treatment plan that addresses both the sleep complaint and the mood component.
Additionally, sees the reverse pattern: patients who present with fatigue and low mood whose primary problem is untreated sleep apnea. Once CPAP therapy restores normal oxygen levels during sleep, the daytime fatigue and mood symptoms improve without antidepressant medication. That diagnostic nuance is possible because Dr. Oldham manages both sleep and mental health in the same office, and he does not default to an antidepressant prescription without first ruling out sleep-disordered breathing. In Spanish Fork, where ADHD is also common, Dr. Oldham screens for sleep disorders in patients whose ADHD symptoms worsen despite medication, because poor sleep amplifies inattention and impulsivity.
How Does Dr. Oldham Treat Restless Legs Syndrome?
Evaluation covers restless legs syndrome (RLS) by confirming the four diagnostic criteria: an urge to move the legs accompanied by uncomfortable sensations, symptoms that worsen at rest, relief with movement, and symptoms that are worse in the evening or at night. He orders a ferritin level because iron deficiency is the most treatable cause of RLS, and supplementation to a ferritin target above 75 ng/mL resolves or improves symptoms in many patients. Additionally, reviews medications that can worsen RLS, including antihistamines, certain antidepressants (SSRIs and SNRIs), and dopamine-blocking agents, and adjusts prescriptions when a medication is identified as the trigger.
Dr. Oldham prescribes gabapentin or pregabalin as first-line pharmacotherapy for RLS when iron supplementation and trigger removal are insufficient, following current guidelines that recommend alpha-2-delta ligands over dopamine agonists due to the risk of augmentation (worsening of symptoms with long-term dopamine agonist use). For patients with severe or refractory RLS, he refers to neurology. Dr. Oldham monitors treatment response at follow-up visits and adjusts the dose based on symptom control and side effects, with the goal of using the lowest effective dose long term.
Does Insurance Cover Sleep Disorder Treatment With Dr. Oldham?
Dr. Oldham bills sleep disorder evaluations under standard E&M codes, and most of the 30+ insurance plans accepted at the Spanish Fork office cover these visits with a standard copay. Home sleep apnea tests are covered by most commercial plans and Medicare when ordered with documented clinical indications (STOP-BANG score, symptoms, comorbidities). CPAP devices are typically covered as durable medical equipment with a copay or rental fee, and the equipment supplier handles the insurance authorization process. The front desk verifies sleep study coverage before ordering the test so patients understand any expected out-of-pocket costs.
Dr. Oldham notes that some plans require a prior authorization for in-lab polysomnography, and the office handles that paperwork. Medications for insomnia and RLS are generally covered at generic formulary prices. Patients without insurance can ask about self-pay rates for sleep evaluations and can obtain CPAP equipment through direct-purchase options that the office can recommend.
How Do I Schedule a Sleep Disorder Evaluation With Dr. Oldham?
Schedule a sleep evaluation
New and existing patients can book by phone or online. Mention your sleep concern when scheduling so the front desk reserves adequate appointment time for a full evaluation.
Call (385) 265-6060 Book online
972 N 600 E, Spanish Fork, UT 84660
Frequently Asked Questions About Sleep Disorders
Do I need a sleep study to get diagnosed with insomnia?
No. Dr. Oldham diagnoses insomnia based on clinical history and sleep diaries. A sleep study is needed only when sleep apnea or another breathing-related disorder is suspected.
Can Dr. Oldham prescribe a CPAP machine?
Yes. Dr. Oldham orders home sleep tests, interprets results, prescribes CPAP therapy, and coordinates with equipment suppliers for mask fitting and ongoing compliance monitoring.
Is melatonin safe for long-term use?
Melatonin is generally safe for short-term use and for circadian rhythm adjustment. Dr. Oldham reviews the appropriate dose and timing with each patient and discusses whether melatonin is the right option for their specific sleep complaint.
Can children have sleep disorders?
Yes. Evaluation covers sleep concerns in children, including behavioral insomnia, sleep apnea related to enlarged tonsils, and sleep disruption from ADHD. He tailors treatment to the child’s age and developmental stage.
Will Dr. Oldham prescribe sleeping pills?
Dr. Oldham uses behavioral strategies as first-line insomnia treatment. Short-term medication may be appropriate for acute insomnia, but he avoids long-term sleep medication prescriptions due to dependence risk and reduced sleep quality.
Medical disclaimer: This page is informational and does not replace an in-person evaluation. Individual diagnosis and treatment decisions should be made between a patient and their physician.
Content accuracy: Clinical guidance is based on current recommendations from the AASM, AAFP, and CDC. Last reviewed April 2026.