In simple words: This condition means someone can't stop drinking alcohol because their body needs more and more to get the same effect, and they also have trouble sleeping. They crave alcohol so much that they can't resist it, and they feel sick if they don't drink.Even though alcohol can make people sleepy, when someone is dependent on it, it can mess up their sleep. They might not be able to fall asleep, wake up a lot during the night, and feel tired all day.Alcohol dependence can also cause other problems like memory loss, clumsiness, anxiety, and serious health issues.

Alcohol dependence with alcohol-induced sleep disorder refers to the inability to stop using alcohol because the individual develops a tolerance (more and more is needed to achieve the same effect that a lesser amount previously achieved) and suffers from disturbed sleep. Patients with alcohol dependence have a strong desire to drink alcohol and are unable to resist this desire. They may experience depression, aggression, and withdrawal symptoms such as sweating, shaking, and nausea if they cannot drink. These symptoms are typically relieved by consuming alcohol. Although often considered a calming substance, alcohol dependence can disrupt sleep patterns, leading to difficulty falling asleep, staying asleep, and daytime fatigue that can interfere with daily activities. Other symptoms of alcohol dependence may include memory loss, poor coordination, anxiety, excessive worry, depression, agitation, and irritability.Alcohol dependence can also cause or contribute to other health problems, like liver cirrhosis, kidney cancer, pancreatitis, and cardiovascular and gastrointestinal disorders.

Example 1: A 45-year-old male presents with difficulty falling asleep and staying asleep,experiencing frequent awakenings during the night. He reports drinking heavily for the past ten years and acknowledges an inability to quit despite multiple attempts. He exhibits signs of alcohol withdrawal when he tries to reduce his intake.This scenario aligns with F10.282 as it combines alcohol dependence and alcohol-induced sleep disturbance., A 50-year-old female reports chronic insomnia and daytime fatigue.She admits to drinking several glasses of wine each night to help her relax and fall asleep, but finds that she now needs to drink more to achieve the same effect.She experiences anxiety and tremors when she attempts to stop drinking. The combination of increased alcohol tolerance, withdrawal symptoms, and sleep problems points to F10.282., A 60-year-old male is admitted to the hospital for alcohol detoxification. During his stay, he experiences severe sleep disturbances, including nightmares and vivid dreams. He reports a long history of alcohol dependence and difficulty sleeping, even when not actively withdrawing. The patient’s alcohol dependence combined with the sleep disorder during detoxification supports the use of F10.282.

Documentation should include evidence of both alcohol dependence (e.g., increased tolerance, withdrawal symptoms, unsuccessful attempts to quit) and alcohol-induced sleep disorder (e.g., insomnia, hypersomnia, parasomnia).Details of the patient’s alcohol consumption habits, sleep patterns, and any associated symptoms (e.g., anxiety, depression) are essential.

** Harmful alcohol consumption is defined as more than 14 drinks per week or 4 drinks per occasion for men, and more than 7 drinks per week or 3 drinks per occasion for women and people over 65.