DisorderSymptoms and signsMost effective treatment
Delayed sleep phase syndromeLate sleep onset and wake-up timeBright light therapy in the morning, low-dose melatonin in the evening
InsomniaDifficulty initiating or maintaining sleep, daytime sleepiness with inability to nap, daytime impairment (e.g., difficulty with memory, concentration, attention; worry about sleep; mood disturbance; irritability)Cognitive behavior therapy, benzodiazepine receptor agonists
NarcolepsyExcessive daytime sleepiness, cataplexy, hallucinations upon falling asleep or awakeningModafinil (Provigil) or stimulants, gamma hydroxybutyric acid (sodium oxybate [Xyrem]), selective serotonin reuptake inhibitors
Obstructive sleep apneaSnoring, witnessed apneas, gasping or choking, excessive daytime sleepinessContinuous positive airway pressure
Rapid eye movement sleep behavior disorderMotor activity during sleep, acting out of dreams, polysomnography showing increased muscle toneClonazepam (Klonopin) or melatonin
Restless legs syndromeUncomfortable sensation (e.g., “creepy crawly,” aching) in both legs, symptoms are worse in the evening, improve with movement such as walking or stretchingDopaminergic agonists