One of the most common complaints reported in primary care. Unmanaged insomnia can cost over US $100 billion each year due to accidents and poor work productivity.
Associated with anxiety, depression, and physical complaints.
Diagnosis is made primarily by patient interview. Sleep diaries, actigraphy, and polysomnography may assist in confirming diagnosis.
Identification of the correct etiology is essential, as interventions differ and may be harmful in some cases if the diagnosis is incorrect.
Education regarding sleep hygiene techniques is useful to prevent chronic insomnia.
The significant morbidity of insomnia indicates that it is a condition that warrants treatment.
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