Introduction | Case
12.1Difficulty Staying Asleep | Case
12.2Anxious and Sleepy | Case
12.3Sleepiness | Case
12.4Feeling Itchy, Creepy, and Crawly
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.