Insomnia

Question 1

Dx criteria: 
Chronic insomnia (DSM-5)

Answer 1

Associated with distress, impairment of daytime functioning lasting 3+ months for 3+ nights/week, occurs despite adequate opportunity for sleep, not explained by another disorder

Question 2

Acute insomnia

Answer 2

< 3 mo

sudden onset

Question 3

Signs/symptoms

Answer 3

difficulty falling asleep (30+ min) or staying asleep (30 + min) or early morning wakening (30+ min before desired time)

Question 4

Types of sleep disorders

Answer 4

• inadequate sleep hygiene
• insufficient sleep syndrome (shift work, circadian sleep/wake)
• adjustment sleep disorder (acute emotional stress)
• psychophysiologic insomnia (anticipatory anxiety)
• narcolepsy (cataplexy, hypnagogic hallucinations, sleep paralysis)

Question 5

What is the clinical tool you might use to measure overall daytime sleepiness?

Answer 5

Epworth sleepiness scale

Question 6

CBT-I includes

Answer 6

sleep restriction therapy, stimulus control, cognitive and relaxation therapy