Insomnia / Sleep-Wake Disorders

The essential feature of Insomnia Disorder is problematic or unsatisfactory sleep quantity or quality, with complaints of problems with initiating sleep, returning to sleep if awakened, and maintaining sleep for adequate number of hours. While most adults complain of occasional insomnia, which is usually related to temporary issues with stress, grief, family, diet, travel, etc., a diagnosis of an insomnia disorder involves sleep complaints which are accompanied by clinically significant emotional or cognitive distress and/or impairment in social, occupational, or other important aspects of life. 

Other Sleep-Wake Disorders include: 

Hypersomnolence Disorder, which is defined by excessive sleepiness, despite main sleep period of at least 7 hours, which occurs at least 3 times per week for at least 3 months, is not better explained by another disorder or by effects of a drug/substance, and which causes significant distress or impairment. 

Narcolepsy, which includes an irrepressible need for sleep, which can be sudden lapses into sleep or frequent napping, all occurring within the same day and for at least 3 times per week for at least 3 months. Individuals with true narcolepsy also experience cataplexy (sudden loss of muscle tone and loss of voluntary muscle control), abnormalities in cerebrospinal fluid, and/or problems with REM sleep. 

Breathing-related sleep disorders, such as obstructive sleep apnea, central sleep apnea, and sleep-related hypoventilation.

Circadian rhythm sleep-wake disorder, Parasomnias (which include experience of sleepwalking and/or sleep terrors), Nightmare Disorder, and Substance/Medication induced sleep disorder. 

Your Remedy psychiatric providers may need to work directly with other medical doctors, such as pulmonologists, neurologists, and sleep specialists, as some sleep-wake disorders may require a sleep study, other medical tests, or scans for proper diagnosis and medication. 


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