WHO Guide to Mental and Neurological Health in Primary Care
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Homepage :: Adult disorders :: Sleep problems :: Insomnia :: Presenting complaints

Presenting complaints

  • Difficulty falling asleep.
  • Recurrent waking during the night.
  • Feeling unrefreshed (ie easily exhausted or fatigued) by sleep.
  • Falling asleep at inappropriate times during the day.

Insomnia is associated with:

  • complaints of poor memory and concentration
  • irritability
  • prone to accidents at work
  • underperformance at work, or educational problems in young people
  • psychosocial difficulties
  • impairment
  • reduced quality of life
  • more frequent use of health services due to general ill health
  • chronic dependence on hypnotic medication and sometimes alcohol as a (ineffective) means of ‘sleeping’ better.


Last edited: 7/2/2004


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