Chapter 29. Sleep Disorders

Anna Ivanenko, M.D., Ph.D.; Kyle P. Johnson, M.D.
DOI: 10.1176/appi.books.9781585623921.463151



Child and adolescent mental health clinicians serve on the front line of recognizing sleep disorders in children and adolescents since so many children we assess have sleep complaints. These sleep problems may represent either 1) primary sleep disorders, such as obstructive sleep apnea (OSA), restless legs syndrome (RLS), or narcolepsy; or 2) insomnia comorbid with psychiatric conditions, such as depression or anxiety. Mental health professionals must keep sleep disorders in mind when assessing children with neurocognitive, emotional, behavioral, and motivational problems, because chronic sleep disruption can cause these difficulties.

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TABLE 29–1. DSM-IV-TR classification of sleep disorders
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TABLE 29–2. DSM-IV-TR diagnostic criteria for primary insomnia
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TABLE 29–3. DSM-IV-TR diagnostic criteria for narcolepsy
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TABLE 29–4. DSM-IV-TR diagnostic criteria for breathing-related sleep disorder
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TABLE 29–5. DSM-IV-TR diagnostic criteria for circadian rhythm sleep disorder


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