Medical history and a physical examination can identify other conditions that could be the cause of insomnia. A comprehensive sleep history should include sleep habits and sleep environment, medications (prescription and non-prescription including supplements), alcohol, nicotine, and caffeine intake, co-morbid illnesses.Passarella, S, Duong, M. "Diagnosis and treatment of insomnia." 2008. A sleep diary can be used track time to bed, total sleep time, time to sleep onset, number of awakenings, use of medications, time of awakening, and subjective feelings in the morning. The sleep diary can be replaced or validated by the use of out-patient actigraphy for a week or more, using a non-invasive device that measures movement.
Medical history and a physical examination can identify other conditions that could be the cause of insomnia. A comprehensive sleep history should include sleep habits and sleep environment, medications (prescription and non-prescription including supplements), alcohol, nicotine, and caffeine intake, co-morbid illnesses.Passarella, S, Duong, M. "Diagnosis and treatment of insomnia." 2008. A sleep diary can be used track time to bed, total sleep time, time to sleep onset, number of awakenings, use of medications, time of awakening, and subjective feelings in the morning. The sleep diary can be replaced or validated by the use of out-patient actigraphy for a week or more, using a non-invasive device that measures movement.