In addition to asking you a number of questions, your doctor may have you complete a questionnaire to determine your sleep-wake pattern and your level of daytime sleepiness. You may also be asked to keep a sleep diary for a couple of weeks if you haven't already done so.
Your doctor will likely do a physical exam to look for signs of other problems that may be causing insomnia. Occasionally, a blood test may be done to check for thyroid problems or other conditions that can cause insomnia.
If the cause of your insomnia isn't clear, or you have signs of another sleep disorder, such as sleep apnea or restless legs syndrome, you may need to spend a night at a sleep center. Tests are done to monitor and record a variety of body activities while you sleep, including brain waves, breathing, heartbeat, eye movements and body movements.
Riggin, EA. Decision Support System. Mayo Clinic, Rochester, Minn. July 19, 2013.
What is insomnia? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/inso/. Accessed Aug. 9, 2013.
Approach to the patient with a sleep or wakefulness disorder. The Merck Manuals: The Merck Manual for Health Care Professionals. http://www.merck.com/mmpe/print/sec16/ch215/ch215b.html. Accessed Aug. 9, 2013.
Williams JM, et al. Sleep discrepancy, sleep complaint, and poor sleep among older adults. The Journals of Gerontology: Series B — Psychological Sciences and Social Sciences. In press. Accessed Aug. 9, 2013.
Buysse DJ. Insomnia. JAMA. 2013;309:706.
Bonnet MH, et al. Overview of insomnia. http://www.uptodate.com/home. Accessed Aug. 9, 2013.
Shochat T, et al. Functional consequences of inadequate sleep in adolescents: A systematic review. Sleep Medicine Reviews. In press. Accessed Aug. 9, 2013.
Natural medicines in the clinical management of insomnia. National Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed Aug. 9, 2013.
Cheuk DKL, et al. Acupuncture for insomnia (Review). Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD005472.pub3/abstract. Accessed Aug. 12, 2013.
Tamanna S, et al. Major sleep disorders among women (Women's Health Series). Southern Medical Journal. In press. Accessed Aug. 9, 2013.
Sleep-wake disorders. In: Diagnostic and Statistical Manual of Mental Disorders DSM-5. 5th ed. Arlington, Va.: American Psychiatric Association; 2013. http://www.psychiatryonline.org. Accessed Aug. 9, 2013.
Neubauer DN. Chronic insomnia. Continuum. 2013;19:50.
Auger RR (expert opinion). Mayo Clinic, Rochester, Minn. Aug. 21, 2013.
Olson EJ (expert opinion). Mayo Clinic, Rochester, Minn. Sept. 13, 2013.
Bauer BA (expert opinion). Mayo Clinic, Rochester, Minn. Sept. 14, 2013.
Afonso RF, et al. Yoga decreases insomnia in postmenopausal women: A randomized clinical trial. Menopause. 2012;19:186.
Gross CR, et al. Mindfulness-based stress reduction vs. pharmacotherapy for primary chronic insomnia: A pilot randomized controlled clinical trial. Explore (NY). 2011;7:76.
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