The insomnia is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication). The disturbance is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition. Coexisting mental disorders and medical conditions do not adequately explain the predominant complaint of insomnia.Į. The disturbance does not occur exclusively during the course of another mental disorder (e.g., major depressive disorder, generalized anxiety disorder, a delirium). The insomnia is not better explained by and does not occur exclusively during the course of another sleep-wake disorder (e.g., narcolepsy, a breathing-related sleep disorder, a circadian rhythm sleep-wake disorder, a parasomnia).ĭ. The sleep disturbance does not occur exclusively during the course of narcolepsy, breathing-related sleep disorder, circadian rhythm sleep disorder, or a parasomnia.į. To be diagnosed with generalized anxiety disorder, you will have to meet the criteria for GAD listed in the current DSM. The sleep difficulty occurs despite adequate opportunity for sleep.Ĭ. When anxious, someone with GAD may also experience symptoms such as a pounding heart, rapid heartbeat, or heart palpitations. The sleep difficulty occurs at least 3 nights per week.Į. The sleep disturbance causes clinically significant distress or impairment in social, occupational, educational, academic, behavioral, or other important areas of functioning.Ĭ. The sleep disturbance (or associated daytime fatigue) causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.ī. The sleep difficulty is present for at least 3 months.ī. criteria allows for greater exploration of the experience of trauma.
Early-morning awakening with inability to return to sleep.ĭ. DSM- 5 (American Psychiatric Association, 2013 Alarcn et al., 2009).