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To diagnose insomnia, a doctor or sleep specialist will enquire about [1][5] Physical and mental health history, including recent or current conditions Medications or substances currently or recently being used Lifestyle and current circumstances, such as work and home life, including any stressors or difficulties Recent sleep patterns, how they have changed, what the current issues are, and the duration of sleep It may be necessary to conduct a sleep study, in which the individual will sleep in a lab overnight where heart rate, movements, and sleeping times can be monitored so ongoing sleep disturbances can be better understood