Insomnia Disorder
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Diagnostic Criteria |
A. |
A predominant complaint of dissatisfaction with sleep quantity or quality, associated with one (or more) of the following symptoms: |
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Difficulty initiating sleep. (In children, this may manifest as difficulty initiating sleep without caregiver intervention).
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Difficulty maintaining sleep, characterized by frequent awakenings or problems returning to sleep after awakenings. In children, this may manifest as difficulty returning to sleep without caregiver intervention.
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Early-morning awakening with inability to return to sleep.
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B. |
The sleep disturbance causes clinically significant distress or impairment in social, occupational, educational, academic, behavioral, or other important areas of functioning. |
C. |
The sleep difficulty occurs at least 3 nights per week. |
D. |
The sleep difficulty is present for at least 3 months. |
E. |
The sleep difficulty occurs despite adequate opportunity for sleep. |
F. |
The insomnia is not better explained by and does not occur exclusively during the course of another sleep-wake disorder (e.g. narcolepsy, a breathing-related sleep disorder, a circadian rhythm sleep-wake disorder, a parasomnia). |
G. |
The insomnia is not attributable to the physiological effects of a substance (e.g. a drug of abuse, a medication. |
H. |
Coexisting mental disorders and medical conditions do not adequately explain the predominant complaint of insomnia. |