Prolonged periods of time without sustained natural, periodic suspension of relative consciousness that provides rest

Altered attention

Anxiety

Apathy

Combativeness

Confusion

Decreased functional ability

Drowsiness

Expresses distress

Fatigue

Fleeting nystagmus

Hallucinations

Heightened sensitivity to pain

Irritable mood

Lethargy

Prolonged reaction time

Psychomotor agitation

Transient paranoia

Tremors

Age-related sleep stage shifts

Average daily physical activity is less than recommended for age and gender

Discomfort

Environmental disturbances

Environmental overstimulation

Late day confusion

Nonrestorative sleep-wake cycle

Sleep terror

Sleep walking

Sustained circadian asynchrony

Sustained inadequate sleep hygiene

Individuals with familial sleep paralysis

Conditions with periodic limb movement

Idiopathic central nervous system hypersomnolence

Narcolepsy

Neurocognitive disorders

Nightmares

Sleep apnea

Sleep-related enuresis

Sleep-related painful erections

Treatment regimen

AUTHOR'S NOTE

This diagnostic label represents a situation in which the individual's sleep is insufficient. It is difficult to differentiate this diagnosis from the others. Refer to Disturbed Sleep Pattern for focused assessment and focused interventions.