Fast Five Quiz: Presentation and Diagnosis of Insomnia

Jasvinder P. Chawla, MD, MBA


November 08, 2021

The diagnosis of insomnia is centered around the patient history. In addition to a detailed sleep history, a 2-week sleep log can help identify sleep patterns and maladaptive behaviors. A sleepiness assessment, such as the Epworth Sleepiness Scale, is also essential to workup.

Polysomnography and daytime multiple sleep latency testing are not indicated in the routine evaluation of chronic insomnia. Polysomnography is indicated when diagnosis remains unclear, clinical evidence suggests either breathing disorders (ie, sleep apnea) or movement disorders, or when behavioral or pharmacologic treatment fails. Actigraphy may be of diagnostic value when depression is suspected.

Learn more about the insomnia workup.


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