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Primary Insomnia (cont.)

Primary Insomnia Symptoms

Patient Comments

Psychophysiological insomnia:

  • Sleep disturbance varies from mild to severe.
  • Sleeplessness may manifest as difficulty falling asleep or as frequent awakenings in the night.
  • Persons with insomnia often find that they can sleep well anywhere else but in their own bedroom.
  • Persons with this type of insomnia tend to be more tense and dissatisfied compared to good sleepers. Emotionally, they are typically repressors (suppress their feelings), denying problems.

Idiopathic insomnia:

  • Insomnia is long-standing, typically beginning in early childhood.
  • Persons with idiopathic insomnia often complain of difficulties with attention or concentration or hyperactivity.
  • Emotionally, persons with childhood-onset insomnia are often repressors, denying and minimizing emotional problems.
  • Individuals often show atypical reactions, such as hypersensitivity or insensitivity, to medications.
  • Insomnia tends to persist over the entire life span and can be aggravated by stress or tension.

Sleep state misperception: Persons complain of insomnia subjectively, while sleep duration and quality are completely normal. They typically do not display daytime sleepiness or other signs of poor-quality sleep. These people may be described as having "sleep hypochondriasis." They may subsequently develop anxiety and depression.

Medically Reviewed by a Doctor on 10/8/2012
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Primary Insomnia »

Primary insomnia is sleeplessness that is not attributable to a medical, psychiatric, or environmental cause.

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