Obstructive sleep apnea (OSA) and insomnia are often thought of as opposing clinical conditions, specifically in regard to alertness and sleepiness. In this short video, Earl C. Crew, PhD, DBSM discusses a case where a patient presenting with a discrepancy between subjective and objective assessment of sleep; features typical of paradoxical insomnia was diagnosed with sleep apnea. This case highlights that older adults presenting with features similar to paradoxical insomnia should be examined for signs of sleep apnea, and a PSG should be conducted for a definitive diagnosis.
