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Severe insomnia9/4/2023 ![]() ![]() It does not reflect the views or opinions of any other government body or authority. ![]() This information reflects policy made by DVA and is used in the assessment of claims. Information provided on this website is prepared by the Department of Veterans’ Affairs (DVA) for general information only and does not provide professional advice on a particular matter. An assessment of worsening would be based on the level of symptoms or degree of distress or functional impairment. The condition can have a variable course and be responsive to treatment, particulalry of an underlying cause. Insomnia due to sleep apnoea or another sleep-wake disorderĬlinical onset will be based on when relevant symptoms first became persistent.caffeine consumption or other temporary stimulating or sleep disrupting effects of drug or substance use.due to exercise/physical activity, discretionary stimulating mental activity overstimulation in the period prior to sleep (e.g.insufficient or irregular hours available for sleep.a sleep environment that is not quiet, dark, comfortable and safe.Additional diagnoses covered by SOPĬhronic insomnia disorder attributable to the effects of a substance - includes where insomnia is related to alcohol use disorder or substance use disorder, but does not include the temporary stimulating effects of e.g. The relevant medical specialist is a sleep physician or a psychiatrist. Note also that the SOP covers more than the disorder as described in DSM-5, by including medication-related insomnia. The SOP definition has DSM-5 based criteria, including sleep difficulty at least three nights per week and for at least 3 months, which should be met before the SOP is applied. This SOP covers a disorder in which there is a persisting inability to initiate or maintain sleep, despite having adequate opportunity for sleep and suitable circumstances for sleep, and which results in clinically significant distress or impairment in functioning. SOP bulletin information for new Instruments
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