- Chronic pain, chf, copd, cancer, breathing probs or discomfort at night, BPH or anything that promotes nocturia (excess PM liquids, poorly controlled DM, other)
- Nocturnal cough or any other process that manifests when patient undistracted by day-to-day activities
- Meds→ prescribed or illicit (e.g. narcotics, benzodiazepines, ADHD Rx, cocaine, meth, other) can disrupt sleep/wake cycles
- Unaware that target time for sleep is 7h/d
- Mental health issues - depression, anxiety, thought disorders (e.g. bipolar), etc can interfere w/ability to fall and stay asleep.