Acute, transient insomnia (<4 weeks) |
Recent or recurring stress |
Change in sleeping environment |
Acute illness or injury |
New medications (see Table 2) |
Jet lag or shift change |
Chronic insomnia (> 4 weeks) |
Difficulty staying asleep |
| Medications (see Table 2) |
| Drug or alcohol use |
| Psychiatric disorders (e.g., depression, anxiety) |
| Medical disorders (see Table 3) |
| Sleep-disordered breathing (e.g., sleep apnea) |
| Nocturnal myoclonus |
Difficulty falling asleep |
| Poor sleep hygiene |
| Conditioned insomnia (behavioral conditioning) |
| Restless legs syndrome |
| Circadian rhythm disorder |
| Advanced sleep-phase syndrome |
| Delayed sleep-phase syndrome |