Also known as: Sleep-wake syndrome - irregular and Circadian rhythm sleep disorder - irregular sleep-wake type
- Sleeping or napping more than usual during the day
- Trouble falling asleep and staying asleep at night
- Waking up often during the night
- Setting up a regular daytime schedule of activities and mealtimes.
- Not staying in bed during the day.
- Using bright light therapy in the morning and taking melatonin at bedtime.
- Making sure the room is dark and quiet at night.
Irregular sleep-wake syndrome is sleeping without any real schedule.
This disorder is very rare. It usually occurs in people with a brain function problem who also don't have a regular routine during the day. The amount of total sleep time is normal, but the body clock loses its normal circadian cycle.
People with changing work shifts and travelers who often change time zones may also have these symptoms. These people have a different condition, such as shift work sleep disorder or jet lag syndrome.
Symptoms may include any of the following:
Exams and Tests
A person must have at least 3 abnormal sleep-wake episodes during a 24-hour period to be diagnosed with this problem. The time between episodes is usually 1 to 4 hours.
If the diagnosis is not clear, the health care provider may prescribe a device called an actigraph. The device looks like a wristwatch, and it can tell when a person is sleeping or awake.
The goal of treatment is to help the person return to a normal sleep-wake cycle. This may involve:
The outcome is often good with treatment. But some people continue to have this disorder, even with treatment.
When to Contact a Medical Professional
Most people have sleep disturbances on occasion. But if this type of irregular sleep-wake pattern occurs regularly and without cause, see your provider.
Abbott SM, Reid KJ, Zee PC. Circadian disorders of the sleep-wake cycle. In: Kryger M, Roth T, Dement WC, eds. Principles and Practice of Sleep Medicine. 6th ed. Philadelphia, PA: Elsevier; 2017:chap 40.
Chokroverty S, Avidan AY. Sleep and its disorders. In: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SK, eds. Bradley's Neurology in Clinical Practice. 7th ed. Philadelphia, PA: Elsevier; 2016:chap 102.
- Review date:
- December 06, 2016
- Reviewed by:
- Timothy Rogge, MD, Medical Director, Family Medical Psychiatry Center, Kirkland, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- 2008 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.