| Major criteria (all 4 are required) |
| Difficulty falling asleep |
| Difficulty staying asleep |
| Early awakening |
| Daytime impairment manifested by at least one of the following: |
| | Fatigue or malaise |
| | Poor attention or concentration |
| | Social or vocational/educational dysfunction |
| | Mood disturbance or irritability |
| | Daytime sleepiness |
| | Reduced motivation or energy |
| | Increased errors or accidents |
| | Behavioral problems such as hyperactivity, impulsivity, or aggression |
| | Ongoing worry about sleep |
| Occurs at least 3 times per week for at least 1 month |
| Not related to inadequate opportunity, an inappropriate sleep environment, or another sleep disorder |