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SLEEP-WAKE DISORDER - Coggle Diagram

- - - - Dissatisfaction with sleep quantity or quality
      - Sleep disturbance causes significant distress
      - Sleep difficulty occurs 3 nights per week or more for at least 2 months
      - Difficulty occurs even when there is possibility for sleep
      - No other physiological, medical, or mental disorders better explain symptoms
    - - Unrealistic expectations about sleep
      - Believe lack of sleep will be more disruptive than it usually is
    - - Pain, physical discomfort
      - Delayed temperature rhythm (body temperature doesn’t drop until later, leading to delayed drowsiness)
      - Light, noise, temperature influence ability to sleep
      - Other sleep disorders cause secondary insomnia
      - Stress and anxiety
      - Parental effects on children’s sleep
  - - - Cataplexy usually treated with antidepressants
      - Stimulants
  - - - Persons are usually minimally aware of apnea problem
      - Often snore, sweat during sleep, wake frequently
      - May have morning headaches
      - May experience episodes of falling asleep during the day (due to poor sleep quality at night)
    - - May include medications, weight loss, or mechanical devices
  - - - Causes are not well understood due to limited research
      - Often associated with other medical and/or psychological conditions
      - Only diagnosed if other conditions don’t adequately explain hypersomnia, which should be the primary complaint
      - Sleeping too much or excessive sleep
    - - Stimulants (i.e., Ritalin)
  - - - Phase delays: Moving bedtime later
      - Phase advances : Moving bedtime earlier
      - Use of very bright light : Trick the brain’s biological clock
- - - - Recurrent episodes of panic-like symptoms during non-REM sleep
      - ASSOCIATED FEATURES
        
        More common in children (~6%) than adults
        
        Child cannot be easily awakened during the episode
        
        Child has little memory of it the next day
    - - Individual has no memory of the episodes
      - ASSOCIATED FEATURES
        
        More common in children than adults
        
        Problem usually resolves on its own without treatment
        
        Seems to run in families
        
        May be accompanied by nocturnal eating
  - - - DIAGNOSTIC CRITERIA
        
        distressful till effect ability to carry on noraml activities