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Published on: 10/24/2025

Why is narcolepsy often misdiagnosed or undiagnosed?

Narcolepsy is often misdiagnosed or undiagnosed because its symptoms can be mistaken for other conditions and it lacks clear, visible signs like cataplexy.

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Explanation

Narcolepsy is a sleep disorder that can be hard to diagnose correctly. One reason is that its symptoms, like extreme daytime sleepiness, can look like other problems, such as depression or sleep apnea. This makes it tricky for doctors to pinpoint narcolepsy right away.

Reasons for Misdiagnosis or Undiagnosis

  1. Symptom Overlap: Many symptoms of narcolepsy, such as fatigue or sleepiness, are common in other conditions, leading to confusion.
  2. Lack of Cataplexy: Some people with narcolepsy do not have cataplexy, a sudden loss of muscle control, which is a more obvious sign of the disorder. Without this, it is harder to diagnose.
  3. Complex Diagnosis Process: Diagnosing narcolepsy often requires specialized tests, which might not be readily available or considered in initial evaluations.

These challenges mean that people with narcolepsy might wait a long time before they get the right diagnosis and treatment. Understanding these issues can help in seeking the right help sooner.

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