Insomnia

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Insomnia

Psychological disorders

Mood disorders

Major depressive disorder

Suicide

Bipolar disorder

Seasonal affective disorder

Premenstrual dysphoric disorder

Anxiety disorders

Generalized anxiety disorder

Social anxiety disorder

Panic disorder

Agoraphobia

Phobias

Obsessive-compulsive disorders

Obsessive-compulsive disorder

Body focused repetitive disorders

Body dysmorphic disorder

Stress-related disorders and abuse

Post-traumatic stress disorder

Physical and sexual abuse

Psychotic disorders

Schizoaffective disorder

Schizophreniform disorder

Delusional disorder

Schizophrenia

Cognitive and dissociative disorders

Delirium

Amnesia

Dissociative disorders

Eating disorders

Anorexia nervosa

Bulimia nervosa

Personality disorders

Cluster A personality disorders

Cluster B personality disorders

Cluster C personality disorders

Somatoform and factitious disorders

Somatic symptom disorder

Factitious disorder

Substance use disorders and drugs of abuse

Tobacco dependence

Opioid dependence

Cannabis dependence

Cocaine dependence

Alcohol use disorder

Sleep disorders

Bruxism

Nocturnal enuresis

Insomnia

Night terrors

Narcolepsy (NORD)

Sexual dysfunction disorders

Erectile dysfunction

Male hypoactive sexual desire disorder

Orgasmic dysfunction

Female sexual interest and arousal disorder

Genito-pelvic pain and penetration disorder

Pediatric disorders

Attention deficit hyperactivity disorder

Disruptive, impulse control, and conduct disorders

Learning disability

Fetal alcohol syndrome

Tourette syndrome

Autism spectrum disorder

Rett syndrome

Shaken baby syndrome

Enuresis

Encopresis

Psychiatric emergencies

Suicide

Serotonin syndrome

Neuroleptic malignant syndrome

Psychological disorders review

Mood disorders: Pathology review

Amnesia, dissociative disorders and delirium: Pathology review

Personality disorders: Pathology review

Eating disorders: Pathology review

Psychological sleep disorders: Pathology review

Psychiatric emergencies: Pathology review

Drug misuse, intoxication and withdrawal: Hallucinogens: Pathology review

Malingering, factitious disorders and somatoform disorders: Pathology review

Anxiety disorders, phobias and stress-related disorders: Pathology Review

Trauma- and stress-related disorders: Pathology review

Schizophrenia spectrum disorders: Pathology review

Drug misuse, intoxication and withdrawal: Stimulants: Pathology review

Drug misuse, intoxication and withdrawal: Alcohol: Pathology review

Developmental and learning disorders: Pathology review

Childhood and early-onset psychological disorders: Pathology review

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Insomnia

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Insomnia

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Questions

USMLE® Step 1 style questions USMLE

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A group of researchers is studying the effects of alcohol on sleep. Alcohol is administered prior to nocturnal sleep to assess its physiological impact on sleep variables in healthy volunteers and control samples. Which of the following is most likely to be true in the patients given alcohol?  

External References

First Aid

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Insomnia

AChE inhibitors p. 569

barbiturates for p. 566

benzodiazepines p. 566

marijuana withdrawal p. 595

nonbenzodiazepine hypnotics p. 567

stimulants causing p. 594

Transcript

Content Reviewers

Rishi Desai, MD, MPH

Tanner Marshall, MS

Contributors

Have you ever had one of those nights where you just can’t seem to fall asleep?

While that happens to everyone every occasionally, people with insomnia have to deal with these symptoms night after night.

Some people with insomnia have trouble falling asleep, whereas others wake up throughout the night, and struggle to fall back asleep.

These disturbances typically happen at least 3 times each week.

Acute insomnia lasts less than a month, whereas chronic insomnia lasts over a month.

Insomnia affects both the quantity and quality of sleep, which makes it hard for individuals to reach restorative levels of sleep, leading to daytime sleepiness and fatigue, and over time, feelings of irritability, anxiety, and depression.

This can cause professional and personal problems, as make day-to-day activities like driving more challenging and dangerous, with people struggling to stay awake on the road.

Although insomnia can happen without an underlying cause, it can also accompany and worsen other problems like pulmonary diseases, psychiatric conditions, and a whole variety of conditions that might cause pain.

Insomnia is also a common side effect of stimulants like caffeine, as well as depressants like alcohol, which can both disrupt the regular sleep cycle.

Finally, and probably most commonly, insomnia can be the result of daily stresses from work or relationships as well environmental factors such as having to work a night shift, or having a newborn baby.

There are a number of biological factors associated with insomnia.

Studies have shown that people with insomnia might have heightened levels of the stress hormone cortisol, which plays a role in the process of waking up every morning.

People with insomnia are also more sensitive to the effects of cortisol, typically waking up at much lower levels of cortisol compared to the general population.

Additionally, insomnia is also associated with reduced levels of estrogen and reduced levels of progesterone, which can happen during menopause.

Elsevier

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