Insomnia

DDx

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DDX

Acute: emotional stress, physical discomfort, jet lag
Alcohol abuse
Stimulants, eg, caffeine, nicotine, cocaine, pseudoephedrine
Depression
Poor sleep hygiene, eg, daytime naps, TV in bed
Mania or bipolar disorder
Medical illness, eg, chronic obstructive pulmonary disease, uremia, hyperthyroidism, hepatic encephalopathy, gastroesophageal reflux disease
Nocturia, eg, diuretics, benign prostatic hyperplasia, urinary incontinence, congestive heart failure
Restless leg syndrome
Menopause
CNS disease, eg, complex partial seizures, brain tumor, neurosyphilis
Medications, eg, corticosteroids, SSRIs, theophylline, benzodiazepine withdrawal
Circadian rhythm disorder

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