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A primary sleep disorder is caused by an abnormality in the physiological processes of the body. There are different categories of primary sleep disorders depending on which bodily system they impact or originate in, as summarized below: |
Primary Sleep Disorders |
Types of Sleep Disorders |
What is a primary sleep disorder? |
A genetic or biological basis toward hypervigilance may predispose one to this type of sleep disorder. Often triggered by a stressful life event or condition, which may or may not be associated with the onset of depression. Characterized by excessive anxious preoccupation about ones' ability to sleep. Insomnia continues long after the trigger that provoked it. Best treated by a sleep-trained mental health professional. |
Psychophysiological Insomnia (Conditioned type): |
A. Primary Insomnias |
Sensations of restlessness or crawling in the legs while at rest or during bedtime, accompanied by an intense urge to kick, move or walk it off. Most often treated by a neurologist who specializes in sleep. |
Restless Leg Syndrome |
B. Limb Movement Disorders |
Involuntary twitching or jerking of the muscles during the night. The person affected may not be aware of the movements. May cause numerous partial of full awakenings during the night and subsequent daytime sleepiness. Most often treated by a neurologist skilled in the treatment of sleep disorders.. |
Periodic Leg Movement Disorder |
Shallow breathing or cessation of breathing during sleep, often followed by gasping, choking or snorting. Loud snoring. Excessive daytime sleepiness. Generally treated by a sleep-trained pulmonary medicine provider who can help determine the type of sleep apnea and its' severity. |
Obstructive Sleep Apnea |
C. Disorders of Excessive Daytime Sleepiness |
Symptoms include episodes of sleep attacks, excessive daytime sleepiness. The person may experience loss of muscle tone when provoked by strong emotion and/or hallucinations upon going to sleep. Generally treated by a sleep-trained neurologist. |
Narcolepsy |
As they sound, these disorders are characterized by excessive daytime sleepiness that seriously interferes with social and occupational functioning |
Characterized by excessive sleepiness during the day, long daytime naps, and long periods of sleep at night that is not restorative in nature. Awakening from naps may be associated with confusion, and unusual behaviors. Largely treated by a neurologist. Post-traumatic stress disorder and depression may have similar symptoms. |
Idiopathic Hypersomnia |
Repeated occurrence of nightmares during rapid eye movement sleep in the absence of a medical, mental health or substance disorder. The person can usually awaken and recall the distressing content of the nightmare. |
Nightmare Disorder |
D. Parasomnias |
REM (rapid eye movement ) Behavior Disorder |
Parasomnias are characterized by abnormal behaviors or physiological responses during sleep and treated by neurologists. |
Awakening suddenly with fear or screaming generally within the first hour of sleep. Often accompanied by rapid heart rate and breathing. Inability to recall the frightening dreams. May occur in adults but generally in children between the ages of 5-8. |
Sleep Terror Disorder |
The acting out of dreams, often dangerously, during REM sleep. Striking out, thrashing and hitting may occur putting bed partners and the sleeper him/herself at risk. |
Medical-related Sleep Disorders |
Certain medical disorders may be commonly associated with sleep problems. Generally a medical professional will treat the disorder to decrease its impact on your sleep. The patient should also maintain good sleep hygiene to prevent progression of medical-based sleep problems to a chronic sleep disturbance. Below are the most common types of disorders impacting sleep: |
A. Pulmonary Disorders |
May impact sleep by causing shortness of breath, anxiety and may lower blood-oxygen levels that cause partial or full night time arousals. For example: |
Asthma Chronic obstructive pulmonary disorder |
B. Cardiovascular Disorders |
May disrupt sleep by causing chest pain, shortness of breath, panic or low oxygen levels. For example: |
Angina Congestive heart failure |
C. Gastrointestinal Disorders |
May disrupt sleep by causing arousals due to the back up of gastric acids or stomach discomfort. For example: |
Gastroesophageal reflux disorder Gastritis Hernia Peptic ulcer |
D. Endocrine Disorders |
Sleep disruption may occur with thyroid or adrenal diseases. For example: |
Hypothyroid/hyperthyroid disorder Cushing's disease Diabetes |
E. Female Hormonal Disorders/Conditions |
Sleep disturbance may occur at various times throughout a woman's hormonal state Fluctuating or decreasing levels of progesterone and estrogen may disrupt the rhythms of sleep. For example: |
Premenstruation, Pregnancy Perimenopuase & menopause |
F. Chronic Pain Disorders |
May disrupt sleep architecture and/or create pain, stiffness, & discomfort that prohibit restful sleep. For example: |
Fibromyalgia Arthritis |
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