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