Chapter 12. Sleep-Wake Disorders

DOI: 10.1176/appi.books.9781585624836.415899
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The pursuit of restful sleep is bedeviled by work and family pressures, long-distance travel, and the ubiquitous presence of stimulants (e.g., coffee) and electronics (e.g., e-mail). A good night’s sleep can be a casualty of a host of psychiatric disorders, including anxiety, depression, and bipolar and psychotic disorders, as well as a variety of nonpsychiatric medical conditions. Sleep problems may not simply be epiphenomena but can precipitate, prolong, and intensify these other psychiatric and medical conditions. All too often, however, the DSM-5 sleep-wake disorders exist as silent and undiagnosed contributors to distress and dysfunction.

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