DefinitionSleep disorders are problems with sleeping, including trouble falling or staying asleep, falling asleep at the wrong times, too much sleep, or abnormal behaviors during sleep.Causes, incidence, and risk factorsThere are more than 100 different sleeping and waking disorders. They can be grouped into four main categories:Problems falling and staying asleep (insomnia)Problems staying awake (excessive daytime sleepiness)Problems sticking to a regular sleep schedule (sleep rhythm problem)Unusual behaviors during sleep (sleep-disruptive behaviors)PROBLEMS FALLING AND STAYING ASLEEPInsomniaincludes trouble falling asleep or staying asleep. Episodes may come and go, last up to 3 weeks (be short-term), or be long-lasting (chronic).PROBLEMS STAYING AWAKEPeople with excessive daytime sleepiness feel tired during the day. Symptoms that are not caused by a lack of sleep or interrupted sleep are called hypersomnia.Causes of this problem include:Medical conditions such as fibromyalgia and low thyroid functionMononucleosisor other viral illnessesNarcolepsy and other sleep disordersObesityWhen no cause for the sleepiness can be found, it is called idiopathic hypersomnia.PROBLEMS STICKING TO A REGULAR SLEEP SCHEDULEProblems may also occur when you do not stick to a regular sleep and wake schedule. This occurs when people travel between time zones and with shift workers who are on changing schedules, especially nighttime workers.Disorders that involve a disrupted sleep schedule include:Irregular sleep-wake syndromeJet lag syndromeParadoxical insomnia (the person sleeps a different amount than they think they do)Shift work sleep disorderSLEEP-DISRUPTIVE BEHAVIORSAbnormal behaviors during sleep are called parasomnias. They are fairly common in children and include:Sleep terrorsSleepwalkingREM sleep-behavior disorder (a person moves during REM sleep and may act out dreams)Reviewed ByReview Date: 08/16/2011David B. Merrill, MD, Assistant Clinical Professor of Psychiatry, Department of Psychiatry, Columbia University Medical Center, New York, NY. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.