Primary insomnia

Chronic sleep difficulty without broader syndrome

UrgentReview due

At a glance

Watch forSleep deprivation causing accidentssevere functional declinehidden sleep apnoea

Sleep disturbance sits inside a broader syndrome. Reduced need for sleep is one of the most decisive bipolar bedside clues.

Separates the Sleep Disturbance / Insomnia / Reduced Need for Sleep group. It is not specific to Primary insomnia.

Rows marked “Whole group”: Applies to the Sleep Disturbance / Insomnia / Reduced Need for Sleep group — not specific to Primary insomnia

Chronic sleep difficulty without broader syndrome

Key features

Sleep deprivation causing accidents, severe functional decline, hidden sleep apnoea.

High-risk causes3 causes

Applies to the Sleep Disturbance / Insomnia / Reduced Need for Sleep group.

Sleep disturbance sits inside a broader syndrome. Reduced need for sleep is one of the most decisive bipolar bedside clues.

Helpful clues

Applies to the Sleep Disturbance / Insomnia / Reduced Need for Sleep group.

None listed

Priority steps

Applies to the Sleep Disturbance / Insomnia / Reduced Need for Sleep group.

None listed

Core tests

Applies to the Sleep Disturbance / Insomnia / Reduced Need for Sleep group.

None listed

Consider

Clinical reference — not validated decision support. Review before use.