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Diagnostic criteria for nightmare disorder (ICSD-3-TR)

Diagnostic criteria for nightmare disorder (ICSD-3-TR)
Criteria A through C must be met:
A Repeated occurrences of extended, extremely dysphoric, and well-remembered dreams that usually involve threats to survival, security, or physical integrity.
B On awakening from the dysphoric dreams, the person rapidly becomes oriented and alert.
C The dream experience, or sleep disturbance produced by awakening from it, causes clinically significant distress or impairment in social, occupational, or other important areas of functioning as indicated by the report of at least one of the following:
  1. Mood disturbance (eg, persistence of nightmare affect, anxiety, dysphoria)
  2. Sleep resistance (eg, bedtime anxiety, fear of sleep/subsequent nightmares)
  3. Negative impact on caregiver or family functioning (eg, nighttime disruption)
  4. Behavioral problems (eg, bedtime avoidance, fear of the dark)
  5. Daytime sleepiness
  6. Fatigue or low energy
  7. Impaired occupational or educational function
  8. Impaired interpersonal/social function
Reproduced with permission from: International Classification of Sleep Disorders, 3rd ed, text revision (ICSD-3-TR), American Academy of Sleep Medicine 2023. Copyright © 2023 American Academy of Sleep Medicine.
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