Primary Insomnia Overview
Primary insomnia is sleeplessness or the perception of poor quality sleep that cannot be attributed to a medical, psychiatric, or environmental cause (such as drug abuse or medications). It is characterized by the following:
- A 1-month or longer history of at least one of the following: a) difficulty initiating or maintaining sleep or b) nonrestorative sleep.
- Sleep disturbance (or associated daytime fatigue) causing significant distress or impairment in social, occupational, or other important areas of functioning.
- To be considered primary insomnia, the sleep disturbance must not occur exclusively during the course of narcolepsy, breathing-related sleep disorder, circadian rhythm sleep disorder, or a parasomnia.
- The sleep disturbance does not occur as a result of another mental disorder.
- The sleep disturbance does not occur as a result of drug or alcohol dependence or any medical condition.
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