Sleep, Actually

Narcolepsy Type 1 and Type 2

Two recognised forms. Type 1 is defined with cataplexy and/or low hypocretin; Type 2 is described without cataplexy.

Sourced Medical EducationSources cited. No clinician review claimed.Last reviewed August 8, 2026

Clinicians describe two types. Type 1 narcolepsy is associated with cataplexy and/or low levels of hypocretin (also called orexin) in the cerebrospinal fluid. Type 2 is described in people with the same excessive daytime sleepiness but without cataplexy.

Both are real, both can be significantly disabling, and neither is the “mild” one. Type 2 is not a lesser version of Type 1.

Which type applies to a person is a clinical judgement made with testing and history. NAP does not, and cannot, tell you which one you have.

What does that mean?

Nearby

More in this part of the hub