Psychiatry/Behavioral · PANCE / PANRE

Insomnia Disorder

Dissatisfaction with sleep quantity/quality, >=3 nights/week for >=3 months, with daytime impairment.

Also known as: insomnia, sleep disorder, chronic insomnia

Overview

Predominant complaint of dissatisfaction with sleep quantity or quality — difficulty initiating sleep, maintaining sleep, or early-morning awakening with inability to return to sleep — occurring >=3 nights/week for >=3 months despite adequate opportunity for sleep, with associated daytime impairment.

Epidemiology

Symptomatic insomnia in ~30% of adults; chronic insomnia disorder in ~6-10%. Female-to-male ratio ~1.5:1. Prevalence increases with age and medical comorbidity.

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Risk factors

  • Female sex, older age
  • Anxiety, depression, PTSD, chronic pain
  • Cardiopulmonary disease, GERD, BPH, nocturia
  • Caffeine, alcohol, stimulants, nicotine
  • Shift work, jet lag
  • Predisposing personality traits (hyperarousal, perfectionism)

Pathophysiology

Hyperarousal model: heightened cognitive, somatic, and cortical arousal at night with conditioned arousal to bed/bedroom. Disrupted homeostatic and circadian sleep regulation.

Clinical presentation

Symptoms

  • Difficulty initiating sleep (sleep-onset insomnia), maintaining sleep (sleep-maintenance), or early-morning awakening
  • Daytime fatigue, attention/concentration impairment, irritability, mood disturbance, reduced motivation
  • Sleep diary: time in bed, sleep onset latency, wake after sleep onset, total sleep time, sleep efficiency

Signs / physical exam

  • Generally normal exam
  • Look for signs of OSA (obesity, large neck, Mallampati class), restless legs, depression/anxiety
  • Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index, sleep diary

Differential diagnosis

  • Obstructive sleep apnea — Snoring, witnessed apneas, daytime hypersomnia, obesity; STOP-BANG screen; polysomnography
  • Restless legs syndrome — Urge to move legs at rest, evening predominance, relieved by movement
  • Circadian rhythm sleep-wake disorder — Delayed/advanced sleep phase, shift work, jet lag
  • Mood/anxiety disorder — Insomnia secondary to MDD, GAD, PTSD; treat underlying condition
  • Substance/medication effect — Caffeine, alcohol (paradoxical), stimulants, corticosteroids, beta-agonists, SSRIs, decongestants
  • Medical conditions — Pain, GERD, nocturia, dyspnea, hyperthyroidism, menopause
  • Parasomnias — Behavioral events during sleep — REM sleep behavior disorder, sleepwalking, night terrors

Diagnostic workup

Diagnostic criteria

DSM-5-TR / ICSD-3: Predominant complaint of dissatisfaction with sleep quantity or quality, with >=1 of: difficulty initiating sleep, difficulty maintaining sleep, early-morning awakening; sleep difficulty occurs >=3 nights/week, present >=3 months, despite adequate opportunity; causes clinically significant distress/impairment; not better explained by another sleep-wake disorder, substance, or coexisting condition.

Labs

  • TSH, ferritin (RLS), CBC; consider iron studies if RLS suspected
  • Targeted labs based on comorbidities

Imaging

  • Polysomnography NOT routine for insomnia — reserve for suspected OSA, periodic limb movement disorder, narcolepsy, parasomnias, or treatment failure

Diagnostic algorithm

flowchart TD
  A[Sleep complaint] --> B[History + sleep diary<br/>screen for OSA, RLS, mood]
  B --> C{Comorbid sleep<br/>or psychiatric disorder?}
  C -->|Yes| D[Treat comorbidity<br/>polysomnography if OSA]
  C -->|No| E[Chronic insomnia disorder]
  E --> F[CBT-I first-line]
  F --> G{Response?}
  G -->|Yes| H[Taper and maintain]
  G -->|No| I[Add medication:<br/>orexin antagonist, low-dose doxepin,<br/>Z-drug or ramelteon]
  I --> J[Reassess at 4-6 wks<br/>shortest effective duration]
Insomnia evaluation and stepped management.

Treatment

First-line

  • Cognitive behavioral therapy for insomnia (CBT-I) — first-line per ACP and AASM; components include stimulus control, sleep restriction, sleep hygiene, cognitive restructuring, relaxation training
  • Sleep hygiene alone has limited efficacy as monotherapy but is foundational
  • Treat comorbid conditions (depression, pain, OSA)

Second-line / adjunct

  • Pharmacotherapy as adjunct or when CBT-I unavailable/insufficient; use lowest effective dose for shortest duration
  • Dual orexin receptor antagonists — suvorexant, lemborexant, daridorexant (preferred per 2023 AASM guideline)
  • Non-benzodiazepine 'Z-drugs' — zolpidem, zaleplon, eszopiclone (limit chronic use; FDA boxed warning for complex sleep behaviors)
  • Ramelteon — melatonin receptor agonist; useful for sleep-onset insomnia
  • Doxepin 3-6 mg — selective H1 antagonist for sleep maintenance
  • AVOID: chronic benzodiazepines (dependence, falls in elderly, cognitive effects), diphenhydramine and other anticholinergics (Beers criteria — avoid in older adults)
  • Melatonin (OTC) — modest evidence; useful for circadian misalignment

Complications

  • Increased risk of depression, anxiety, substance use
  • Cardiovascular morbidity (HTN, CAD)
  • Workplace and motor vehicle accidents
  • Falls and cognitive impairment (especially elderly with sedative-hypnotics)
  • Complex sleep behaviors with Z-drugs

PANCE pearls

  • CBT-I is first-line and superior to pharmacotherapy in long-term outcomes — many digital and self-help options available where in-person access is limited.
  • Avoid diphenhydramine and benzodiazepines in older adults (Beers criteria); orexin antagonists or low-dose doxepin preferred when medication is needed.
  • Z-drugs carry FDA boxed warning for sleepwalking, sleep-driving, complex sleep behaviors — counsel patients.
  • Treating OSA (CPAP, dental appliance, surgery) often resolves apparent insomnia and chronic fatigue.
  • Alcohol disrupts sleep architecture and worsens insomnia despite initial sedating effect — counsel reduction.

References

  • AASM 2017/2021 — Sateia MJ et al. Clinical Practice Guideline for the Pharmacologic Treatment of Chronic Insomnia in Adults. J Clin Sleep Med 2017; 2021 update
  • ACP 2016 — Qaseem A et al. Management of Chronic Insomnia Disorder in Adults: ACP Clinical Practice Guideline. Ann Intern Med 2016
  • DSM-5-TR — American Psychiatric Association. DSM-5-TR (2022)
  • ICSD-3 — American Academy of Sleep Medicine. International Classification of Sleep Disorders, 3rd ed.

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