Sleep-wake disorders
- Treat the specific sleep disorder—not “sleep” generically
- Insomnia: CBT-I is foundational
- Excessive sleepiness: treat sleep debt/OSA first
- Circadian disorders need timed light/melatonin
- Narcolepsy/hypersomnia may need wake agents/oxybate
- Sedatives can worsen breathing and next-day function
Use at a glance
- Treat the specific sleep disorder—not “sleep” generically
Practical pearls
- Insomnia: CBT-I is foundational
Other practical pearls
- Excessive sleepiness: treat sleep debt/OSA first
- Circadian disorders need timed light/melatonin
- Sedatives can worsen breathing and next-day function
Clinical pearls
- Narcolepsy/hypersomnia may need wake agents/oxybate
Self-check
- What do circadian sleep disorders need?
Timed light/melatonin. - What should be treated first for excessive sleepiness?
Sleep debt/OSA.
Drugs used for this (28)
All clinical uses · Open Sleep-wake disorders in the interactive console ↗