title: Evaluation of insomnia.
abstract: The effective treatment of patients with a complaint of insomnia requires an appreciation of the range of etiologic factors underlying the symptom of insomnia, as well as sound clinical judgment and appropriate application of available therapeutics. Systematic inquiry regarding nocturnal and daytime aspects of a patient's life is helpful in narrowing the range of diagnostic possibilities. Specialized evaluation at a sleep disorders center may be useful in cases of chronic insomnia that remain refractory to initial interventions.
mesh_terms: D000293:Adolescent; D001569:Benzodiazepines / Q000627:therapeutic use; D002110:Caffeine / Q000009:adverse effects; D002908:Chronic Disease; D000431:Ethanol / Q000009:adverse effects; D006801:Humans; D009119:Muscle Contraction; D011602:Psychophysiologic Disorders / Q000150:complications; D012120:Respiration Disorders / Q000150:complications; D012148:Restless Legs Syndrome / Q000150:complications; D012891:Sleep Apnea Syndromes / Q000209:etiology; D007319:Sleep Initiation and Maintenance Disorders / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D013315:Stress, Psychological / Q000150:complications; D013997:Time Factors
chemical_list: D001569:Benzodiazepines; D002110:Caffeine; D000431:Ethanol