Differential consideration
Insomnia disorder
G47.00Sleep-Wake
Why consider it
sleep timing problem vs sleep initiation/maintenance problem
Criteria and features to review
- A. Predominant complaint of dissatisfaction with sleep quantity/quality: ≥1 of: difficulty initiating sleep; difficulty maintaining sleep (frequent awakenings); early morning awakening with inability to return to sleep
- B. Causes clinically significant distress or impairment in social, occupational, educational, academic, behavioural, or other important areas of functioning
- C. Sleep difficulty occurs ≥3 nights/week
- D. Sleep difficulty present ≥3 months
Questions to clarify
- Which documented criteria and exclusions are met for each possibility?
- What timeline, course, and functional change best distinguishes the alternatives?
- Are substance, medication, medical, developmental, and contextual explanations adequately assessed?