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Behavioral Presentations of Insomnia

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Sleep and Neuropsychiatric Disorders

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Abstract

Insomnia is a common disorder that results in short sleep at night along with daytime symptoms, for example, fatigue, lethargy, poor concentration, cognitive problems, and mood alteration to name a few. These symptoms may, at times, be so severe that they can be mistaken for a number of psychiatric disorders, for example, depression and somatic symptoms disorders. Moreover, insomnia also increases the risk for cognitive impairment and dementia. Fibromyalgia and chronic fatigue syndrome are other common presentations of chronic insomnia. Many patients with chronic insomnia try to self-medicate using addictive substances, for example, alcohol that may culminate in alcohol use disorder. A number of patients continue hypnotic medications beyond the prescription period and a proportion of them increase the dose, thus clinically presenting with benzodiazepine use disorder, according to the present classification system. A careful assessment of these patients may unmask the underlying chronic insomnia. Optimal treatment of insomnia using behavioral and pharmacological measures can improve the prognosis.

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Author information

Authors and Affiliations

  1. University of Hartford Graduation Institute of Professional Psychology, Weill Cornell Medical College, Center for Sleep Medicine, New York, NY, USA

    Mariya Narizhnaya

  2. Weill Cornell Medicine, Cornell University, Sleep Medicine, New York, NY, USA

    Matthew R. Ebben

Authors
  1. Mariya Narizhnaya
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  2. Matthew R. Ebben
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Correspondence to Matthew R. Ebben .

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Editors and Affiliations

  1. Department of Psychiatry and Division of Sleep Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India

    Ravi Gupta

  2. Department of Psychiatry, Johns Hopkins Medical School, Baltimore, MD, USA

    David N. Neubauer

  3. Somnogen Canada Inc., Toronto, ON, Canada

    S. R. Pandi-Perumal

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Narizhnaya, M., Ebben, M.R. (2022). Behavioral Presentations of Insomnia. In: Gupta, R., Neubauer, D.N., Pandi-Perumal, S.R. (eds) Sleep and Neuropsychiatric Disorders. Springer, Singapore. https://doi.org/10.1007/978-981-16-0123-1_11

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