The work group is proposing that this disorder be subsumed into an existing disorder:  Insomnia Disorder

The work group is proposing to remove or integrate "related to" (another mental disorder or to another medical disorder) to avoid causal attributions (e.g., A is due to B) and to encourage, instead, specification of clinically relevant comorbidities worthy of independent clinical attention. This change is consistent with the 2005 NIH State of the Science conference on Insomnia.  

The work group is proposing that this disorder be subsumed into an existing disorder:  Insomnia Disorder

Sleep Disorder Due to a General Medical Condition, Insomnia Type [Indicate the General Medical Condition]

A. A prominent disturbance in sleep that is sufficiently severe to warrant independent clinical attention.

B. There is evidence from the history, physical examination, or laboratory findings that the sleep disturbance is the direct physiological consequence of a general medical condition.

C. The disturbance is not better accounted for by another mental disorder (e.g., an Adjustment Disorder in which the stressor is a serious medical illness).

D. The disturbance does not occur exclusively during the course of a delirium.

E. The disturbance does not meet the criteria for Breathing- Related Sleep Disorder or Narcolepsy.

F. The sleep disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Specify type:

Insomnia Type: if the predominant sleep disturbance is insomnia

Coding note: Include the name of the general medical condition on Axis I, e.g., 327.01 Sleep Disorder Due to Chronic Obstructive Pulmonary Disease, Insomnia Type; also code the general medical condition on Axis III (see Appendix G for codes).