Sleep Disorder: Sleep Disorder DSM IV Criteria

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Sleep Disorder: Sleep Disorder DSM IV Criteria

Sleep Disorder: Sleep Disorder DSM IV Criteria

March 24, 2012 at 10:00

Sleep Disorder: Sleep Disorder DSM IV Criteria

(This is not a comprehensive list of each sleep disorder, although Dallas Brain Changers does treat each disorder listed below. For the comprehensive list, please refer to the DSM IV)

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Dyssomnias

*Primary Insomnia

The predominant complaint is difficulty initiating or maintaining sleep, or nonrestorative sleep, for at least 1 month.
The sleep disrurbance (or associated daytime fatigue) causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
The sleep disturbance does not occur exclusively during the course of Narcolepsy, Breathing-Related Sleep Disorder, Circadian Rhythm Sleep Disorder, or a Parasomnia.
The disturbance does not occur exclusively during the course of another mental disorder (e.g., Major Depressive Disorder, Generalized Anxiety Disorder, or delirium).
The disturbance is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition.

*Primary Hypersomnia

The predominant complaint is excessive sleepiness for at least 1 month (or less if recurrent) as evidenced by either prolonged sleep episodes or daytime sleep episodes that occur almost daily.
The excessive sleepiness causes clinically significant distress or impairment in social, occupational, or other important areas of functioining.
The excessive sleepiniess is not better accounted for my insomnia and does not occur exclusively during the course of another Sleep Disorder (e.g., Narcolepsy, Breathing-Related Sleep Disorder, Circadian Ryhthm Sleep disorder, or a Parasomnia) and cannot be accounted for by an inadequate amount of sleep.
The disturbance does not occur exclusively during the course of another mental disoder.
The disturbance is not due to the direct physiological effects of a substance (e.g., drug of abuse, a medication) or a general medical condition.

Specify if: Recurrent: If there are periods of excessive sleepiness that last at least 3 days occcurring several times a year for at least 2 years.

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*Narcolepsy

1. Irresistible attacks of refreshing sleep that occur daily over at lease 3 months.

2. The Presence of one or both of the following:

*cataplexy (i.e., brief episodes of sudden bilateral loss of muscle tone, most often in association with intense emotion)

*recurrent intrusions of elements of rapid eye movement (REM) sleep into the transition between sleep and wakefulness, as manifested by either hypnopompic or hynagogic hallucinations or sleep paralysis at the beginning or end of sleep episodes.

3. The disturbance is not due to the direct physiological effects of a subtance (e.g., a drug of abuse, a medication) or another general medical condition.

Parasomnias

* Nightmare Disorder (formerly Dream Anxiety Disorder)

Repeated awakenings from the major sleep period or naps with detailed recall of extended and extremely frightenening dreams, usually involving threats to survival, security, or self-esteem. The awakenings generally occur during the second half of the sleep period.
On awakening from the frightening dreams, the person rapidly becomes oriented and alert (in contrast to the confusion and disorientation seen in Sleep Terror Disorder and some forms of epilepsy).
The dream experience, or the sleep disturbance resulting from the awakening, causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
The nightmares do not occur exclusively during the course of another mental disorder (e.g., a delirium, Post Traumatic Stress Disorder) and are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition.

*Sleepwalking Disorder

Repeated episodes of rising from bed during sleep and walking about, usually occurring during the first third of the major sleep episode.
While sleepwalking, the person has a blank, staring face, is relatively unresponsive to the efforts of others to communicate with him or her, and can be awakened only with great difficulty.
On awakening (either from the sleepwalking episode or the next morning), the person has amnesia for the episode.
Within several minutes after awakening from the sleepwalking episode, there is no impairment of mental activity or behavior (although there may initially be a short period of confusion or disorientation).
The Sleepwalking causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
The disturbance is not due to the direct physiological effects of substance (e.g., a drug of abuse, a medication) or a general medical condition.

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