obsolete persistent disorder of initiating or maintaining wakefulness

Based on the provided context, it appears that the description you're looking for refers to a sleep disorder.

Insomnia is a common sleep disorder characterized by difficulty falling asleep, staying asleep, or both, even if you have ample time and a bedroom environment conducive to restful sleep [3]. It can get in the way of your daily activities and may make you feel sleepy during the day [4].

There are two main ways that experts use to put insomnia into categories: Time (acute/chronic) and Cause (primary/secondary) [10]. Insomnia is a complex obstacle for Veterans, and addressing sleep requires exploring other elements of health, such as nutrition, mental wellness, and fitness [11].

Insomnia can impair cognitive and physical functioning and is associated with a wide range of impaired daytime functions across emotional, social, and physical domains [5]. It's essential to note that insomnia is not an obsolete disorder; rather, it's a persistent sleep disorder that affects many people worldwide.

In some cases, insomnia may be related to other conditions or circumstances, such as stress, life events, habits, or underlying health issues [1, 13]. If left untreated, insomnia can lead to more severe consequences, including accidents and work absenteeism [5].

Overall, insomnia is a common sleep disorder that requires attention and treatment to prevent its negative impacts on daily life.

Based on my analysis, I was unable to find any information about an "obsolete persistent disorder of initiating or maintaining wakefulness". However, I can provide you with some general information about a condition that is closely related.

Insomnia

Insomnia is a common sleep disorder characterized by difficulty initiating or maintaining wakefulness. The symptoms of insomnia include:

• Trouble falling asleep on most nights
• Feeling tired during the day or falling asleep during the day
• Not feeling refreshed when you wake up
• Waking up too early in the morning and being unable to fall back asleep

According to various sources [1, 2, 3], symptoms of insomnia can also include:

• Daytime sleepiness and fatigue
• Difficulty concentrating or paying attention
• Changes in performance at school or work
• Mood changes such as irritability or anxiety

Insomnia is not an obsolete condition, but rather a common sleep disorder that affects millions of people worldwide. If you are experiencing symptoms of insomnia, it's essential to consult with a healthcare professional for proper diagnosis and treatment.

References:

[1] Context result 2: "Symptoms · Trouble falling asleep on most nights · Feeling tired during the day or falling asleep during the day · Not feeling refreshed when you wake up · Waking..."

[2] Context result 5: "Insomnia Symptoms · Sleepiness during the day · Fatigue · Grumpiness · Problems with concentration or memory"

[3] Context result 7: "Daytime Insomnia Symptoms · Sleepiness or fatigue · Trouble concentrating or paying attention · Changes in performance at school or work · Mood..."

Note: The context results provided are based on a search engine's output and may not be an exhaustive list of all relevant information.

Based on the provided context, it appears that you are looking for information on the drug treatment of insomnia.

Medications may not be the best long-term solution

According to [1], sleeping pills are generally not considered a good long-term treatment option for insomnia. This is because they can come with serious side effects, including dependence, withdrawal symptoms, amnesia, and thoughts about suicide.

Cognitive Behavioral Therapy (CBT) is often recommended first

Instead of medication, cognitive behavioral therapy (CBT) is often recommended as the first line of treatment for long-term insomnia [3]. CBT-I is a 6- to 8-week treatment plan that helps individuals learn how to fall asleep faster and stay asleep longer.

Medications may be used in conjunction with other treatments

In some cases, medications may be used in conjunction with other treatments, such as CBT or lifestyle changes, to help manage insomnia symptoms [9]. However, it's essential to note that medications should not be relied upon as the sole treatment for insomnia.

Commonly prescribed medications for insomnia

Some commonly prescribed medications for insomnia include melatonin and valerian supplements [5]. However, these medications may not be effective for everyone and can have side effects.

Lifestyle changes are often recommended first

Before considering medication or other treatments, lifestyle changes such as good sleep habits, stress management, and avoiding stimulants before bedtime are often recommended to help alleviate insomnia symptoms [9].

In summary, while medications may be used to treat insomnia, they should not be relied upon as the sole treatment option. Cognitive behavioral therapy (CBT) is often recommended first, and lifestyle changes can also be effective in managing insomnia symptoms.

References:

[1] Context 2 [3] Context 3 [5] Context 5 [9] Context 9

Based on the provided context, it appears that you are looking for a differential diagnosis of an obsolete persistent disorder related to initiating or maintaining wakefulness.

Possible Differential Diagnoses

• Depression: According to search result [1], depression can be a differential diagnosis for disorders related to sleep initiation and maintenance.
• Obstructive Sleep Apnea (OSA): Search result [1] also mentions OSA as a possible differential diagnosis, which is characterized by repeated episodes of complete or partial upper airway obstruction during sleep.
• Periodic Limb Movement Disorder: This disorder can cause persistent sleep difficulty, making it a potential differential diagnosis for disorders related to initiating or maintaining wakefulness (search result [1]).
• Restless Legs Syndrome: Similar to Periodic Limb Movement Disorder, Restless Legs Syndrome can also lead to persistent sleep difficulty and is therefore a possible differential diagnosis (search result [1]).

Other Relevant Conditions

• Insomnia Disorder: Search results [7] and [9] mention Insomnia Disorder as a condition that can be characterized by difficulty in initiating or maintaining sleep. This could be a relevant consideration when evaluating disorders related to wakefulness.
• Circadian Rhythm Sleep Disorder: According to search result [5], this disorder can affect the body's internal clock, leading to difficulties with sleep initiation and maintenance.

Important Considerations

When making a differential diagnosis for an obsolete persistent disorder of initiating or maintaining wakefulness, it is essential to consider various factors such as etiology, frequency, and duration. Search results [7] and [9] highlight the importance of these considerations in accurately diagnosing and treating sleep-related disorders.

References: [1], [5], [7], [9]

Note: The above answer is based on the provided context and search results.