# GEO EN — MHR-074

```json
{
  "schema_version": "uw.editorial_geo.v1",
  "catalog_id": "MHR-074",
  "article_index": "MHR-074",
  "language": "en",
  "headline": "Insomnia: when the night becomes a struggle of its own",
  "description": "Distinguishing sleep opportunity from insomnia, gathering observations about nights and daytime life, and discussing suitable help without universal sleep restriction.",
  "master_filename": "ARTICLE_EN.md",
  "master_sha256": "8c80fa2ed2797d941b47797a92917a22bdf133e66412b01d7e261ec1af0808e6",
  "short_answer": "Distinguishing sleep opportunity from insomnia, gathering observations about nights and daytime life, and discussing suitable help without universal sleep restriction.",
  "claims": [
    {
      "id": "C01",
      "article_sections": [
        "I. Opportunity and ability to fall asleep differ"
      ],
      "text": "Sleep opportunity and ability may call for different kinds of help.",
      "limitations": "Task distinction, not a diagnostic test.",
      "source_ids": [
        "S1",
        "S6"
      ],
      "type": "source_bounded_information"
    },
    {
      "id": "C02",
      "article_sections": [
        "II. Sequence is not a complete explanation"
      ],
      "text": "Sleep difficulty has varied possible circumstances; PTSD is not assumed.",
      "limitations": "Timing establishes no sole cause.",
      "source_ids": [
        "S1",
        "S2"
      ],
      "type": "source_bounded_information"
    },
    {
      "id": "C03",
      "article_sections": [
        "VI. Assessment can begin with present effects"
      ],
      "text": "Schedules, the difficulty and daytime impact can be discussed without a mandatory diary.",
      "limitations": "No self-diagnostic checklist.",
      "source_ids": [
        "S6"
      ],
      "type": "source_bounded_information"
    },
    {
      "id": "C04",
      "article_sections": [
        "VI. Assessment can begin with present effects"
      ],
      "text": "CBT-I is recommended for chronic insomnia and adapted to the individual.",
      "limitations": "Adult VA/DoD scope; no home sleep restriction or medication instruction.",
      "source_ids": [
        "S3"
      ],
      "type": "source_bounded_information"
    },
    {
      "id": "C05",
      "article_sections": [
        "VIII. Images of rest are not a sleep technology"
      ],
      "text": "Religious and philosophical images are no sleep technology.",
      "limitations": "No safety guarantee or nervous-system model.",
      "source_ids": [
        "S4",
        "S5"
      ],
      "type": "source_bounded_information"
    }
  ],
  "questions": [],
  "retrieval_limits": [
    "Adults 18+; no individual diagnosis",
    "Current danger or urgent medical need takes precedence",
    "No self-exposure, recovered-memory instruction, medication change or compulsory calming",
    "Language is not jurisdiction; no foreign emergency numbers",
    "Author review only; no production acceptance, import, index or publication"
  ],
  "sources": [
    {
      "id": "S1",
      "author": "NHS",
      "title": "Insomnia",
      "url": "https://www.nhs.uk/conditions/insomnia/",
      "role": "Varied circumstances, impact, seeking assessment; do not drive while sleepy",
      "limitations": "No universal home schedule, medicine choice or clearance"
    },
    {
      "id": "S2",
      "author": "NIMH",
      "title": "Post-Traumatic Stress Disorder",
      "url": "https://www.nimh.nih.gov/health/publications/post-traumatic-stress-disorder-ptsd",
      "role": "Sleep difficulty can occur in PTSD; no exclusive cause",
      "limitations": "No diagnosis through a sleep description; no waiting gate"
    },
    {
      "id": "S3",
      "author": "VA/DoD",
      "title": "2025 Chronic Insomnia Disorder and OSA — Provider Summary",
      "url": "https://www.healthquality.va.gov/guidelines/CD/insomnia/I-OSA-CPG_2025-Provider-Summary_final_20250422.pdf",
      "role": "Professional CBT-I recommendation; adaptation or delay; patient-centred decisions",
      "limitations": "Adult VA/DoD scope; no individual protocol or universal contraindication; not full guideline or underlying trials"
    },
    {
      "id": "S4",
      "author": "Psalm 4, KJV",
      "title": "Complete selected psalm",
      "url": "https://www.biblegateway.com/passage/?search=Psalm%204&version=KJV",
      "role": "Religious image of rest; brief epigraph",
      "limitations": "No safety guarantee or faith test; own RU/TH rendering; no whole Psalter or global rights conclusion"
    },
    {
      "id": "S5",
      "author": "Laozi / James Legge",
      "title": "Tao Teh King, chapter 15",
      "url": "https://www.gutenberg.org/cache/epub/216/pg216-images.html",
      "role": "Image of water settling, short key quotation",
      "limitations": "No physiology, home treatment or worldwide licence conclusion; own RU/TH rendering"
    },
    {
      "id": "S6",
      "author": "NHLBI",
      "title": "Insomnia — Diagnosis",
      "url": "https://www.nhlbi.nih.gov/health/insomnia/diagnosis",
      "role": "Schedule, daytime impact, health and breathing observations for assessment",
      "limitations": "No self-diagnostic checklist, required diary or adopted diagnostic threshold"
    }
  ],
  "schema_org": {
    "@context": "https://schema.org",
    "@type": "Article",
    "identifier": "UW:MHR-074:en",
    "headline": "Insomnia: when the night becomes a struggle of its own",
    "inLanguage": "en",
    "author": [
      {
        "@type": "Person",
        "name": "Andrey Zarinsh"
      },
      {
        "@type": "Person",
        "name": "Maria Evilkut"
      }
    ]
  }
}
```