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DSM-IV: Primary Hypersomnia


Excessively deep or prolonged major sleep period. The term is primarily a diagnostic term, e.g., idiopathic hypersomnia.* [A dyssomnia, which as a symptom may be associated with any of a number of mental disorders.]

Diagnostic criteria for 307.44 Primary Hypersomnia 
(cautionary statement)
 

A. The predominant complaint is excessive sleepiness for at least 1 month (or less if recurrent) as evidenced by either prolonged sleep episodes or daytime sleep episodes that occur almost daily. 

B. The excessive sleepiness causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. 

C. The excessive sleepiness is not better accounted for by Insomnia and does not occur exclusively during the course of another Sleep Disorder (e.g., Narcolepsy, Breathing-Related Sleep Disorder, Circadian Rhythm Sleep Disorder, or a Parasomnia) and cannot be accounted for by an inadequate amount of sleep. 

D. The disturbance does not occur exclusively during the course of another mental disorder

E. 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. 

Specify if: 
Recurrent: if there are periods of excessive sleepiness that last at least 3 days occurring several times a year for at least 2 years

Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, fourth Edition. Copyright 1994 American Psychiatric Association

Also: Hypersomnia Related to Another Mental Disorder

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*Reprinted with permission from: Culebras, Antonio Clinical Handbook of Sleep Disorders Hardcover © 1996 Butterworth-Heinemann



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