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Insomnia Causes and Treatment

Practice EssentialsInsomnia is defined as repeated difficulty with sleep initiation, maintenance, consolidation, or quality that occurs despite adequate time and opportunity for sleep and that results in some form of daytime impairment. As many as 95% of Americans have reported an episode of insomnia at some point during their lives. Signs and symptoms of insomniaThe American Academy of Sleep Medicine (AASM) guideline consensus is that, at a minimum, patients with insomnia should complete the following evaluations: [1] A general medical and psychiatric questionnaire to detect comorbid disorders A sleepiness assessment, such as the Epworth Sleepiness Scale A 2-week sleep log to define sleep-wake patterns and their variability A careful sleep history should be obtained, addressing the following: Timing of insomnia Patient’s sleep habits (commonly referred to as sleep hygiene) Presence or absence of symptoms of sleep disorders associated with insomnia A thorough medical history should be obtained…