Insomnia

Difficulty initiating or maintaining sleep or nonrestorative sleep despite adequate opportunity and circumstances for sleep

Causes at least one of the following forms of daytime impai...

Daytime sleepiness and napping

Unintended sleep episodes (e.g. dozing at a stoplight while driving, working)

Insomnia history

• Duration, time of problem

• Sleep latency, difficulty in mainta...

Transient and short-term insomnia

• May use medications for short-term use only; hypnotic sedatives favored

• Self-medicating with alcohol can increase awakenings and sleep-stage changes.

Chronic i...

Daily exercise improves quality of sleep and may be more effective than medication.

Avoid exercise within 4 hours of bedtime.

Reassess need for me...

Anxiety (Generalized Anxiety Disorder); Depression; Fibromyalgia; Sleep Apnea, Obstructive

Algorithms: Anxiety; Insomnia, Chronic; Restless Legs Syndrome

G47.00 Insomnia, unspecified

F51.02 Adjustment insomnia

F51.01 Primary insomnia

F51.09 Oth insomnia not due to a substance or known physiol cond

G47.01 Insomnia due to medical condition

F51.03 P...

Treatment of underlying etiology of the insomnia and consistent sleep hygiene are key.

Most medications are indicated for short-term use only.

Sedative hypnotics are not recommended in t...