Sleep D/O

Question 1

Insomnia D/O

Answer 1

A. Dissatisfaction with sleep quality/quantity- 1 sx
1. Difficulty initiating sleep
2. Difficulty maintaining sleep
3. Early-morning awakening with inability to return to sleep.
B. ClinSig
C. 3x/wk
D. 3mos+
E. difficulty occurs despite adequate opportunity for sleep
F. NBE Medical
G. NBE Substance
H. NBE Mental
● Specify if:
With other mental/medical/sleep D/O
Episodic(1-3mo)/Persistent(3mo+)/Recurrent(2ep in 1 yr)

Question 2

Hypersomnolence D/O

Answer 2

A. hypersomnolence despite a main sleep period, at least 7hrs, 1+sx
1. Recurrent periods of sleep or lapses into sleep within the same day.
2. A prolonged main sleep episode of more than 9 hours per day that is nonrestorative
3. Difficulty being fully awake after abrupt awakening.
B. 3x/wk, 3mo+
C. clinsig
D. NBE sleep D/O
E. NBE substance
F. NBE mental/medical
● Specify if:
with mental/medical/sleep D/O
Acute(

Question 3

Narcolepsy

Answer 3

A. Recurrent periods of an irrepressible need to sleep, 3x/wk, 3mo
B. The presence of at least one of the following:
1. Episodes of cataplexy, defined as either (a) or (b), occurring at least a few times per month:
a. brief loss of muscle tone precipitated by laughter/joking
b. jaw-opening episodes with tongue thrusting or a global hypotonia, without emotional triggers.
2. Hypocretin deficiency
3. Nocturnal sleep polysomnography showing rapid eye movement (REM) sleep latency less than or equal to 15 minutes
● Specify whether:
Mild/Moderate/Severe

Question 4

Circadian Sleep/Wake D/O

Answer 4

A. persistent/recurrent sleep disruption due to alteration of circadian rhythm disruption, misalignment with physical env
B. leads to excessive sleepiness or insomnia, or both.
C. ClinSig
● Specify:
Delayed Sleep: Can’t fall asleep at normal hour
Non24: later each day (25-26hr cycle)
Advanced sleep D/O- less than 24 hr cycle
Irregular: Sporadic

Question 5

Nightmare D/O

Answer 5

A. Repeated intense nightmare
B. oriented and alert upon waking
C. ClinSig
D. NBE Substance
E. NBE Mental/Medical
● Specify if:
  During sleep onset
  Substance/Medical/Sleep
  Acute/Subacute/Persistent
  Mild/Moderate/Severe