Examples of factors and considerations
Medical Conditions
- Endocrine dysfunction
- Metabolic
- Obesity
- Enlarged tonsils
- Obstruction
- Sleep-related breathing disorders (possibly sleep apnea)
- Early morning headaches
Current Medication Use
Verify if prescribed or non-prescribed medications that are being taken have an impact on sleep and screen for stimulants. Factors to consider:
- Type of medication (adequate/inadequate type)
- Dosage
- Timing of administration
Comorbid Psychopathology
- Mood and anxiety disorders (Domain 8: Mental health considerations)
- Post-traumatic stress disorder (PTSD)
- Query nightmares and/or night terrors
Unhealthy Habits
- Lack of exercise
- Variable sleep-wake schedule
- Excessive napping
- Excessive time spent in bed
- Exercising close to bedtime
- Screen time (hours per day)
- Use of nicotine, caffeine, and/or energy drinks
- Diet: Consumption of processed foods, processed sugars, alcohol, and/or drugs
Adapted from Guidelines for Concussion/Mild Traumatic Brain Injury and Persistent Symptoms, Third Editiono.