![]() Documenting time asleep and awake each night, the number of times you wake up, the amount of caffeine and alcohol you consume, and other details can assist the doctor with their diagnosis. You should keep a sleep diary for at least one week prior to this first appointment. Medical Conditions: Underlying medical conditions such as breathing difficulties or sleep apnea, can result in insomnia.ĭuring your initial insomnia test screening, the doctor will inquire about your lifestyle and any risk factors that may be contributing to your sleep problems.Stress: Problems at school or work, marital difficulties, and the death of a loved one can all cause undue stress that impacts sleep onset, duration, and quality.Additionally, caffeine, tobacco, alcohol, and illegal drugs can all affect how well and how long you sleep each night. Lifestyle: Lack of exercise during the day can contribute to sleep problems.You should maintain a regular sleep schedule that includes the same sleeping and wake-up times each day. Sleep routines: Napping too much during the day can affect how tired you feel at night, which in turn can contribute to sleep loss.Frequent travel across different time zones can also make you more vulnerable to jet lag. Occupation: You may be at higher risk for sleep difficulties if you work shifts that include late night or early morning hours.A balanced temperature – neither too hot nor too cold – is also important. Bedroom environment: In order to promote healthy sleep, your bedroom should be quiet and relatively light-free.Family history: Insomnia symptoms can be genetically inherited, as can your likelihood of being a “light” or “heavy” sleeper.In particular, the hormonal changes a woman undergoes during pregnancy can cause sleep problems. Sex: Insomnia is more common for women.Age: You can develop insomnia symptoms at any age, including childhood, but your risk for insomnia – and sleep problems in general – tends to increase as you get older.While insomnia may arise from an underlying problem or be a primary condition, people are more susceptible to insomnia symptoms based on certain risk factors. However, treatment for secondary insomnia will typically also address the patient’s underlying condition. Primary and secondary insomnia share the same symptoms. Primary insomnia occurs independently, while secondary insomnia is usually attributed to an underlying medical or psychological condition that causes sleep loss. The cause of a person’s insomnia symptoms is also crucial to their diagnosis. A third condition known as other insomnia may be diagnosed if the patient does not meet the criteria for short-term insomnia but nonetheless exhibits insomnia symptoms. If these benchmarks have not been reached, then the condition is known as short-term or acute insomnia. If symptoms occur at least three times per week for at least three months, the patient will be diagnosed with chronic insomnia. These nighttime and daytime symptoms must occur despite adequate opportunity for sleep and a bedroom environment that is conducive to sleep. Concerns or dissatisfaction regarding sleep.Decreased energy, motivation, or initiative.Hyperactivity, impulsivity, aggression, and other behavioral problems.Impaired performance in social, family, academic, or occupational settings.Difficulty concentrating, paying attention, recalling, or remembering.Difficulty sleeping without help from a parent or caregiverĪdditionally, patients must experience one or more of the following daytime impairments after a night of insomnia-affected sleep:.Feelings of resistance about going to sleep at a reasonable hour.Repeated instances of waking up earlier than desired.Difficulty remaining asleep during the night.According to current criteria, patients must report at least one of the following problems in order to receive an insomnia diagnosis. The requirements for an insomnia diagnosis are continually evolving as researchers learn more about this sleep disorder. The diagnostic process may consist of multiple exams and appointments. Many people experience problems falling or staying asleep, but patients must meet certain criteria in order to receive a formal insomnia diagnosis. According to the American Academy of Sleep Medicine’s International Classification of Sleep Disorders, 3rd edition, insomnia is defined as the “ persistent difficulty with sleep initiation, duration, consolidation or quality.” People develop insomnia symptoms despite adequate time allotted for sleep and the opportunity to sleep in a comfortable environment, and they also experience excessive daytime sleepiness and other impairments when they are awake that directly result from sleep loss. Insomnia is a sleep disorder that affects 10-30% of adults. ![]()
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