Why Narcolepsy Takes Time to Diagnose: Dr David Cunnington Explains Narcolepsy in Clinical Practice

The final episode of the Waking Up Tired – Narcolepsy Symptoms Explained podcast features Dr David Cunnington, a specialist sleep physician and educator, who’s spent over two decades listening to patients and helping decode the complexities of sleep disorders.

David shares what narcolepsy looks like from the other side of the desk, why diagnosis takes time, how clinicians think through sleepiness, and what makes narcolepsy with cataplexy so uniquely difficult to identify. The importance of narrative history, the key disorders of hypersomnolence including Narcolepsy (Types 1 and 2) and Idiopathic Hypersomnia (IH), and the diagnostic tools that help distinguish narcolepsy from its many mimics.

David also offers guidance for healthcare providers and patients alike, reminding us that expertise isn’t always the goal. Openness, curiosity, and collaboration are.

Episode eight is about bridging understanding, validating the lived experience of sleepiness and offering insight into the systems that shape diagnosis and care. Whether you’re living with narcolepsy, supporting someone who is, or working in healthcare, this episode is for you.

About David Cunnington:

David undertook training in sleep medicine both in Australia and in Boston at Harvard Medical School as part of completing his specialist medical training as a specialist sleep physician. In addition to training in sleep medicine, David has international qualifications in behavioural sleep medicine being a Diplomat Behavioural Sleep Medicine (US Board of Behavioural Sleep Medicine), which means he is expert in using non-drug treatments such as cognitive behavioural therapy to manage sleep problems. David is expert in the measurement and interpretation of sleep data and using this data to better understand people’s sleep and sleep problems and plan management.

David sees people at Sunshine Coast Respiratory & Sleep, in Birtinya and Noosa, and sees people from around Australia via Telehealth.

Podcast Host/Creator: Di Spillane

David Cunnington Links

 Sunshine Coast Respiratory and Sleep

https://www.screspiratorysleep.com.au/david-cunnington

 Dr David Cunnington: Sleep Specialist –SleepHub

Thank you for listening.

Di Spillane

Published by Di Spillane

My name is Di Spillane and I am Living With Narcolepsy (N1) in Australia. Despite having lived with this disorder since childhood, I wasn't diagnosed with narcolepsy + cataplexy (N1) until late in life at the age of 49. Every person has their own personal journey, this website is where I will share my story about living with narcolepsy & cataplexy, and my long journey to receiving a diagnosis. I will share information and tips for managing day to day life in an effort to help others who live with narcolepsy, help those who suspect that they might have a sleep disorder by providing information about my experiences, and help the narcolepsy community by advocating, educating, and raising public awareness of this debilitating rare sleep disorder.

Leave a comment