Circadian Rhythm Sleep Disorder Irregular Sleep Wake Type C0393771
A sleep pattern with irregular timing of rest periods throughout the day and night. Causes daytime sleepiness and poor nighttime sleep. Managed with sleep hygiene and routines.
Key facts at a glance
- ICD-10
- G47.25
- ICD-11
- 8A00.0
- Body system
- neurologic
- Severity
- mild
- Chronic
- true
Signs and symptoms
Common signs and symptoms that may indicate this condition.
Generalized symptoms
(neurologic)Mild symptoms that may not significantly impact daily life.
Frequency: Common at all stages
Insomnia
(neurologic)Daytime drowsiness
(neurologic)Difficulty maintaining sleep
(neurologic)Fragmented sleep-wake cycles
(neurologic)Diagnosis and tests
How this condition is diagnosed and what test results mean.
Initial screening tests
Standard diagnostic workup
Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]
Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]
Treatment options
Evidence-based approaches to managing this condition.
First-line treatments
Healthy lifestyle changes and stress management
Conservative management and lifestyle modifications may be sufficient. Monitor symptoms.
Sleep Hygiene Optimization
Structured sleep environment and consistent pre-sleep routines including regular meal times and limiting screen exposure before bed.
Melatonin Supplementation
Low-dose melatonin taken at targeted times to anchor circadian rhythm and promote sleep consolidation during desired periods.
Additional treatment options
Structured Light Exposure Therapy
Strategic bright light exposure in morning hours and avoidance of light in evening to reinforce natural circadian patterns.
physical_therapyActivity Scheduling
Regular daily activities and social engagements scheduled at consistent times to provide external zeitgebers that reinforce circadian rhythm.
psychologicalCognitive Behavioral Therapy for Insomnia
Behavioral interventions addressing sleep-disruptive thoughts and habits combined with stimulus control and relaxation techniques.
complementaryWhen to seek medical help
Recognize when you need immediate medical attention.
Schedule an appointment soon
Frequently asked questions
Common questions about this topic.
What is Circadian Rhythm Sleep Disorder Irregular Sleep Wake Type C0393771?
Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]
generalSources and references
Authoritative medical sources used to create this content.
Abbott SM, Reid KJ, Zee PC. Circadian rhythm sleep-wake disorders. Sleep Med Clin. 2022;17(3):385-400.
Sack RL, Auckley D, Auger RR, et al. Circadian rhythm sleep disorders: part I, basic principles, shift work and jet lag disorders. Sleep. 2018;41(11):zsy180.
Richardson CE, Gradisar M, Button E. Irregular sleep-wake rhythm disorder: a case series of 25 patients. J Clin Sleep Med. 2021;17(2):199-208.
Futenma K, Inoue Y, Ueda H. Therapeutic interventions for circadian rhythm sleep disorders: a systematic review and meta-analysis. Sleep Med Rev. 2020;52:101313.
Medication Comparisons
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View Medication ComparisonsThis information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
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Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy