Difficulties Falling Asleep
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1. Does the individual abide by a strict sleep and wake cycle (bedtime and wake time)?
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2. Does the individual experience sleep onset latency, or does it take them a long time to fall asleep?
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3. Is screen time included in bedtime routines? Or is the individual frequently exposed to violent media content within 30 minutes before bedtime?
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4. Does it need to be completely dark for the individual to fall asleep or can they only fall asleep when they are completely exhausted?
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5. When an individual resists bedtime routines, is the behavior rewarded? Do they avoid going to bed?
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6. Does the individual frequently consume caffeinated beverages, especially within six hours of sleep?
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Difficulties While Sleeping
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7. Does the individual suffer from night terrors (episodes of intense fear that cause people to wake up in a panicked state), sleepwalking, or confusional arousal (disoriented awakening)?
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8. Does the individual experience dream enactment (acting out dreams)?
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9. Does the individual experience fragmented sleep or do they wake multiple times at night?
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10. Does the individual forcefully grind their teeth (bruxism) during sleep?
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11. Does he/she snore during sleep?< Does the individual experience sleep-disordered breathing, such as diminished nasal airflow or obstructed or absent respiratory effort? br>
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12. Does the individual experience confusional arousal (disoriented awakening) or non-restorative sleep?
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Difficulties After Sleep
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13. Does the individual experience daytime sleepiness? Or do they sleep on and off during the day?
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14. Does the individual experience early morning wakening?
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Primary Diagnosis
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15. Does the individual have REM Sleep Behavior Disorder (RBD) or other REM or NREM dysfunctions?
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16. Does the individual have Angelman Syndrome?
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17. Does the individual have Fragile X Syndrome?
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18. Does the individual have Landau-Kleffner Syndrome?
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19. Does the individual have Kleine-Levin Syndrome?
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20. Does the individual have Smith-Magenis Syndrome?
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Co-Occurring Conditions
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21. Does the individual have Circadian Rhythm Dysfunction or difficulty falling asleep and waking up at desired hours?
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22. Does the individual have any psychiatric diagnoses like depression or anxiety?
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23. Does the individual have ADHD?
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24. Does the individual have epilepsy or experience sleep-related seizures?
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25. Does the individual suffer from celiac or Chrones disease or experience gastrointestinal issues like bloating, constipation, diarrhea, reflux (GERD), flatulence (gas), foul smelling or unhealthy-looking stools?
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26. Does the individual have hypertension, diabetes, or an autoimmune disease (e.g., autoimmune encephalitis, hypothyroidism, psoriasis, osteoarthritis)?
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27. Does the individual have Dyspraxia?
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Physical Impairments
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28. Does the individual experience sleep apnea, hypotonia, or apraxia?
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29. Does the individual have enlarged tonsils or adenoids?
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Nutrition and diet
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30. Is the individual's daily diet high in carbohydrates, especially processed carbs and sugars, and/or low in fiber and fresh fruits and vegetables?
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31. Does the individual consume high-fat meals within close proximity to bedtime?
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32. Does the individual have restless leg syndrome or nocturnal limb movements?
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33. Does the individual have an iron deficiency or experience non-restorative sleep or poor overall sleep quality?
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34. Is the individual deficient in vitamin D?
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35. Does the individual have optimal magnesium levels?
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36. Does the individual have a vitamin A deficiency?
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Sensory Processing
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37. Does the individual experience tactile or taste/food sensitivity?
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38. Does the individual experience audio avoidance or chronic pain?
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39. Does the individual experience hyper or hypo arousal of the nervous system?
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