![]() In contrast, insomnia has an impact on daytime functioning. While sleep disturbance, with difficulty initiating and maintaining sleep, is a common complaint, many people continue to function well throughout the day. It is important to take a thorough history to distinguish between insomnia and sleep disturbance. Insomnia is not attributable to the physiological effects of a substance (e.g. ![]() narcolepsy, breathing‑related sleep disorder, a circadian rhythm sleep–wake disorder, parasomnia).Ĭoexisting mental disorders and medical conditions do not adequately explain the predominant complaint of insomnia. Is not better explained by, and does not occur exclusively during, the course of another sleep–wake disorder (e.g. Occurs despite adequate opportunity for sleep.
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