Sleep Disorders

                Primary Sleep Disorder (i.e. not due to another etiology)

                Dyssomnias

                                Primary Insomnia – difficulty initiating or maintaining sleep or sleep that does not seem to be restorative for at least 1 month

                                Primary Hypersomnia – excessive sleepiness for at least 1 month

                                Narcolepsy – irresistible attacks of sleep daily for 3 months

                                Breathing-Related Sleep D/o – sleep disruption that then leads to sleepiness or insomnia

                                Circadian Rhythm Sleep d/o – mismatch of sleep/wake schedule that leads to excessive sleepiness or insomnia

                                Dyssomnia NOS

                Parasomnias

                                Nightmare D/o  - occurs during REM; client can usually remember details

                                Sleep Terror D/o – different from Nightmare d/o in that sleep terrors occur earlier in the night (not during REM) and typically the client recalls none or single images of terror

                                Sleepwalking D/o

                                Parasomnia NOS

                Sleep D/o’s Related to Another Mental D/o

                                Insomnia Related to another Mental D/o

                                Hypersomnia Related to another Mental D/o

                Other Sleep D/o’s

                                Sleep D/o due to gen med condition

                                Substance-Induced Sleep D/o

American Psychiatric Association. (2000). Diagnositc and Statistical Manual of Mental Disorders Text Revision, 4^th ed. Jaypee Brothers Medical Publishers.