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NeurologicalICD-10: G4750-70 million US adults have a sleep disorder; insomnia affects about 30% of adults

Sleep Disorders

Also known as: Insomnia, Dyssomnias, Parasomnias

Sleep disorders are conditions that impair the ability to get adequate, restful sleep on a regular basis. Common types include insomnia, sleep apnea, restless legs syndrome, and narcolepsy. Chronic sleep disruption can significantly impact physical health, mental well-being, and daily functioning, but most sleep disorders are treatable.

Symptoms

Difficulty falling asleep or staying asleep
Excessive daytime sleepiness
Irregular breathing during sleep
Unusual movements or behaviors during sleep
Irritability and mood changes
Difficulty concentrating and memory problems
Unrefreshing sleep despite adequate time in bed
Falling asleep at inappropriate times

Causes

  • Stress, anxiety, or depression
  • Medical conditions such as chronic pain, asthma, or heart failure
  • Medications that interfere with sleep
  • Poor sleep habits and environment
  • Circadian rhythm disruptions from shift work or jet lag
  • Neurological conditions affecting sleep regulation

Risk Factors

  • Irregular work schedules or shift work
  • Mental health conditions
  • Chronic medical conditions
  • Excessive caffeine or alcohol consumption
  • Age, with sleep patterns changing over the lifespan
  • Obesity

Diagnosis

  • Sleep history and sleep diary analysis
  • Polysomnography (overnight sleep study)
  • Multiple sleep latency test for excessive daytime sleepiness
  • Actigraphy to monitor sleep-wake patterns
  • Questionnaires such as Epworth Sleepiness Scale and Pittsburgh Sleep Quality Index

Treatment

  • Cognitive behavioral therapy for insomnia (CBT-I)
  • Sleep hygiene improvements including consistent schedules and optimal environment
  • Prescription medications for short-term use
  • CPAP therapy for obstructive sleep apnea
  • Light therapy for circadian rhythm disorders
  • Treatment of underlying medical or psychiatric conditions

Prevention

  • Maintaining a consistent sleep schedule
  • Creating a dark, quiet, and cool sleeping environment
  • Limiting caffeine, alcohol, and screen time before bed
  • Regular physical exercise during the day
  • Managing stress with relaxation techniques

When to See a Doctor

  • Chronic difficulty sleeping that affects daily functioning
  • Excessive daytime drowsiness despite adequate sleep time
  • Unusual behaviors during sleep such as sleepwalking
  • Partner reporting pauses in breathing during sleep

Frequently Asked Questions

Related Conditions

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Medical Disclaimer: This content is for educational and informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider.

Content reviewed against peer-reviewed medical literature and clinical guidelines. Read our editorial standards.