Fast Five Quiz: Presentation and Diagnosis of Insomnia

Jasvinder P. Chawla, MD, MBA


November 08, 2021

The clinical scenario in the second answer choice is the most accurate description of a patient presenting with insomnia. Perimenopause can disrupt sleep patterns, and early awakening is a cardinal presenting symptom of insomnia.

A diagnosis of insomnia can be made when the following requirements are met: a patient experiences difficulty initiating or maintaining sleep, is waking up too early, or is getting nonrestorative sleep. These issues must persist despite adequate opportunity for sleep. In addition, at least one form of daytime impairment must be reported, such as attention impairment, poor school performance, irritability, daytime sleepiness, headaches or gastrointestinal symptoms in response to sleep loss, or concerns about sleep.

Learn more about the presentation of insomnia.

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