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20-September-2008 10:08:30 - Dyssomnia Dyssomnia Classification and external resources ICD-9 307.47, 780.56 MeSH D020920 Dyssomnias are a broad classification of sleeping disorder that make it difficult to get to sleep, or to remain sleeping. Dyssomnias are primary disorders of initiating or maintaining sleep or of excessive sleepiness and are characterized by a disturbance in the amount, quality, or timing of sleep. Patients may complain of difficulty getting to sleep or staying asleep, intermittent wakefulness during the night, early morning awakening, or combinations of any of these. Transient episodes are usually of little significance. Stress, caffeine, physical discomfort, daytime napping, and early bedtimes are common factors. Contents 1 Major types of dyssomnias 2 Treatment 3 See also 4 External links Major types of dyssomnias There are over 30 recognized kinds of dyssomnias. Major groups of dyssomnias include: Intrinsic sleep disorders - 12 disorders recognized, including hypersomnia, narcolepsy, periodic limb movement disorder, restless legs syndrome, sleep apnea. Extrinsic sleep disorders - 13 disorders recognized, including alcohol-dependent sleep disorder, food allergy insomnia, inadequate sleep routine. Circadian rhythm sleep disorders, both intrinsic and extrinsic - 6 disorders recognized, including advanced sleep phase syndrome, delayed sleep phase syndrome, jetlag, shift work sleep disorder. Treatment In general, there are two broad classes of treatment, and the two may be combined: psychological cognitive-behavioral and pharmacologic. In situations of acute distress, such as a grief reaction, pharmacologic measures may be most appropriate. With primary insomnia, however, initial efforts should be psychologically based. Other specific treatments are appropriate for some of the disorders, such as ingestion of the hormone melatonin and bright light therapy for circadian rhythm disorders. Specialists in sleep medicine are trained to diagnose and treat these disorders. See also Somnolence Parasomnia External links Complete listing of the group of dysomnias and orders within each group Treatment of Specific Sleep Disorders - Dyssomnias v d e WHO ICD-10 mental and behavioral disorders F · 290-319 Neurological/symptomatic Dementia Alzheimer's disease, multi-infarct dementia, Pick's disease, Creutzfeldt-Jakob disease, Huntington's disease, Parkinson's disease, AIDS dementia complex, Frontotemporal dementia · Delirium · Post-concussion syndrome · Organic brain syndrome Psychoactive substance alcohol drunkenness, alcohol dependence, alcoholic hallucinosis, Alcohol withdrawal, delirium tremens, Korsakoff's syndrome, alcohol abuse · opioids opioid dependency · sedative/hypnotic benzodiazepine withdrawal · cocaine cocaine dependence · general Intoxication, Drug abuse, Physical dependence, Withdrawal Psychotic disorder Schizophrenia disorganized schizophrenia · Schizophreniform disorder · Schizotypal personality disorder · Delusional disorder · Folie à deux · Schizoaffective disorder Mood affective Mania · Bipolar disorder · Clinical depression · Cyclothymia · Dysthymia Neurotic, stress-related and somatoform Anxiety disorder Agoraphobia, Panic disorder, Panic attack, Generalized anxiety disorder, Social anxiety, Social phobia · OCD · Acute stress reaction · PTSD · Adjustment disorder · Conversion disorder Ganser syndrome · Somatoform disorder Somatization disorder, Body dysmorphic disorder, Hypochondriasis, Nosophobia, Da Costa's syndrome, Psychalgia · Neurasthenia Physiological/physical behavioral Eating disorder: Anorexia nervosa · Bulimia nervosa Sleep disorder: Dyssomnia Hypersomnia, Insomnia · Parasomnia REM behavior disorder, Night terror · Nightmare Sexual dysfunction: Erectile dysfunction · Premature ejaculation · Vaginismus · Dyspareunia · Hypersexuality · Female sexual arousal disorder Postpartum depression · Postnatal psychosis Adult personality and behavior Personality disorder · Passive-aggressive behavior · Kleptomania · Trichotillomania · Voyeurism · Factitious disorder · Munchausen syndrome · Ego-dystonic sexual orientation · Fetishism Mental retardation Mental retardation Psychological development developmental disorder Specific: speech and language expressive language disorder, aphasia, expressive aphasia, receptive aphasia, Landau-Kleffner syndrome, lisp · Scholastic skills dyslexia, dysgraphia, Gerstmann syndrome · Motor function developmental dyspraxia Pervasive: Autism · Rett syndrome · Asperger syndrome Behavioral and emotional, childhood and adolescence onset ADHD · Conduct disorder · Oppositional defiant disorder · Separation anxiety disorder · Selective mutism · Reactive attachment disorder · Tic disorder · Tourette syndrome · Speech stuttering · cluttering v d e Sleep Sleep stages Rapid eye movement sleep · Non-rapid eye movement sleep · Slow-wave sleep Brain waves Beta wave · Delta wave · Gamma wave · Theta wave Sleep disorders Advanced sleep phase syndrome · Automatic behavior · Bruxism · Circadian rhythm sleep disorder · Delayed sleep phase syndrome · Dyssomnia · Excessive daytime sleepiness · Hypersomnia · Insomnia · Narcolepsy · Night terror · Nocturia · Nocturnal myoclonus · Non-24-hour sleep-wake syndrome · Ondine's curse · Parasomnia · Sleep apnea · Sleep deprivation · Sleepeating · Sleeping sickness · Sleeptalking · Sleepwalking Benign phenomena Dream · Exploding head syndrome · False awakening · Hypnagogia · Hypnic jerk · Lucid dream · Nightmare · Nocturnal emission · Sleep paralysis · Somnolence Related topics Bed Bunk bed, Four poster bed, Futon, Hammock, Mattress · Bed bug · Bedding · Bedroom · Bedtime · Bedtime toy · Bedtime story · Chronotype · Dream journal · Jet lag · Lullaby · Nightwear · Polyphasic sleep · Power nap · Siesta · Sleep and learning · Sleep debt · Sleep diary · Sleep inertia · Sleep medicine · Sleepover · Snoring · Sleep and creativity Retrieved from http://en..org/wiki/Dyssomnia Categories: Sleep | Sleep disorders Views Article Discussion this page History Personal tools Log in / create account Navigation Main page Contents Featured content Current events Random article Search Go Search Interaction Community portal Recent changes Contact Donate to Help Toolbox What links here Related changes Upload file Special pages Printable version Permanent link Cite this page This page was last modified on 10 August 2008, at 19:36
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