🕷️ Crawler Inspector

URL Lookup

Direct Parameter Lookup

Raw Queries and Responses

1. Shard Calculation

Query:

Response:

Calculated Shard: 98 (from laksa171)

2. Crawled Status Check

Query:

curl -X POST \
  'http://laksa098.int.ahrefs:8124/' \
  -H 'Content-Type: text/plain' \
  -H 'X-ClickHouse-Database: crawler3' \
  -H 'Authorization: Basic YXBpOg==' \
  -d 'SELECT getAhrefsURLFromUnparsed(src_unparsed) AS found_url, ifNull(toUnixTimestamp(download_stamp), 0) AS crawl_time, ifNull(toUnixTimestamp(props_url_first_seen), 0) AS first_indexed_time, download_http_code AS http_code, src_unparsed AS src_unparsed, src_root_hash AS src_root_hash, history_drop_reason AS history_drop_reason, meta_title AS meta_title, meta_descriptions AS meta_descriptions, attrs_boilerpipe_text AS attrs_boilerpipe_text, attrs_markdown AS attrs_markdown, attrs_readable_markdown AS attrs_readable_markdown, meta_canonical AS meta_canonical FROM crawler3.page_info_local FINAL PREWHERE (src_root_hash, src_unparsed) IN ((getAhrefsRootHashFromUnparsed(getAhrefsUnparsedNoserviceFromURL(\'https://www.healthline.com/health/chronic-insomnia\')), getAhrefsUnparsedNoserviceFromURL(\'https://www.healthline.com/health/chronic-insomnia\'))) FORMAT JSONEachRow'

Response:

{"found_url":"https:\/\/www.healthline.com\/health\/chronic-insomnia","crawl_time":1775030757,"first_indexed_time":1533857079,"http_code":200,"src_unparsed":"com,healthline!www,\/health\/chronic-insomnia s443","src_root_hash":"11478817528691466898","history_drop_reason":null,"meta_title":"Chronic Insomnia: Treatment, Causes, Symptoms, and More","meta_descriptions":["Chronic insomnia refers to difficulty sleeping for an extended period, usually at least 3 months. Learn about symptoms, causes, treatment options, and more."],"attrs_boilerpipe_text":"Chronic insomnia refers to sleep problems that last at least 3 times per week for 3 months. Causes range from sleep habits to medical conditions. Medications, therapy, and lifestyle changes may help.\nInsomnia is a sleep disorder that refers to trouble falling asleep, trouble staying asleep, or both.\nAcute insomnia lasts for shorter periods of time, and may resolve on its own. However, if you experience chronic insomnia, or sleep problems that last for months at a time, it is best to contact a doctor for an accurate diagnosis and treatment plan.\nRead on to learn more about chronic insomnia, including the type and symptoms, causes, treatment options, and more.\nThere are\ntwo main types\nof chronic insomnia: primary and secondary. Both refer to insomnia that usually happens at least 3 times per week for at least 3 months.\nPrimary insomnia isn’t due to other medical conditions or medications, but the exact cause is unclear.\nSecondary insomnia is caused by an underlying condition or environmental situation. This means that it could happen due to your sleeping condition, such as sleeping in a room that is too bright or noisy, or as a result of a medical condition.\nChronic insomnia can cause symptoms at night\nas well as\nduring the day. It can interfere with your ability to go on with your daily tasks.\nSymptoms may include:\ntrouble falling asleep\nwaking up throughout the night\ntrouble staying asleep or trouble returning to sleep\nwaking up too early\ndaytime sleepiness or grogginess\nnot feeling rested after a night’s sleep\nirritability\ndepression\ndifficulty concentrating\nproblems with memory\nincrease in mistakes and accidents\nChronic insomnia is due to an underlying medical condition. Certain medications and stimulants can cause chronic insomnia, along with lifestyle patterns.\nMedical conditions\nChronic insomnia can be\ncaused by\na number of long-term medical conditions,\nincluding\n:\nrespiratory conditions,\nincluding\n:\nasthma\nchronic obstructive pulmonary disease (COPD)\nsleep apnea\ndiabetes\nrestless leg syndrome\nmenopause\nstress\nanxiety\ndepression\nbipolar disorder\nAlzheimer’s disease\nParkinson’s disease\nMedications and stimulants\nFor some people, certain medications and stimulants may cause chronic insomnia. Examples include:\nalcohol\nantidepressants\nbeta-blockers\ncaffeine\nnicotine\nstimulant laxatives\nLifestyle behaviors\nCertain lifestyle behaviors may lead to chronic insomnia. These include:\nrotating shift work\nfrequent travel across multiple time zones, leading to\njet lag\nnot getting enough physical activity or exercise\nfrequent daytime napping\nproblems with the sleeping environment, such as sleeping in a room that is too bright or noisy\nThere are several things that you can do at home to treat or prevent chronic insomnia.\nOne important option for treatment is known as\nsleep hygiene\n. This refers to making the room as comfortable as possible and following a routine before bed to help improve your ability to fall asleep and stay asleep.\nTips that may help include:\navoiding caffeine, alcohol, or cigarette use,\nespecially\nright before bed\ngetting enough regular physical activity or exercise\navoiding taking naps\navoiding eating large meals right before bed\ntrying to go to bed and get up at the same time every day\navoiding looking at\nsmartphones or other screens\nright before bed\nkeeping your bedroom dark and at a comfortable temperature\nIf insomnia does not resolve with home remedies, it’s best to contact a doctor. The doctor can help determine if there is an underlying condition causing your insomnia, in which case you may need to directly treat that medical condition.\nYour doctor can also recommend treatments that may help directly address chronic insomnia.\nCognitive behavioral therapy (CBT)\nCBT\ncan be an effective method\nfor treating chronic insomnia. It involves providing education on sleep and better sleep habits, while teaching behavior modifications to help improve your ability to sleep.\nSome of the strategies of CBT that are specifically focused on insomnia, known as\nCBT-I\n, include:\nCognitive techniques:\nUsing journaling to write down worries or concerns before going to bed may help keep a person from actively attempting to work them out while also trying to sleep.\nStimulus control:\nThis entails altering behaviors that condition your mind to fight sleep. Setting a sleep and wake time routine is part of this strategy. Other examples are using your bed only for sleep and sex, and leaving your bedroom if you’re unable to fall asleep within a set number of minutes.\nSleep restriction:\nThis therapy involves limiting the amount of time you spend in bed, including avoiding naps. The goal is to deprive you of enough sleep so that you’re tired at bedtime. Your time in bed is gradually increased as your sleep improves.\nRelaxation techniques:\nBreathing exercises, yoga, guided meditation, and other techniques may help reduce muscle tension and control your breathing and heart rate so that you’re able to relax.\nMedications\nThere are a number of prescription medications and over-the-counter (OTC) sleep aids that may help you get to sleep or remain asleep.\nWhile effective, doctors don’t typically recommend using\nsleeping pills\nlong term because of the side effects, which\ncan include\ndaytime sleepiness, memory problems, and more. However, they may recommend them for short term use.\nSome of the prescription medications that doctors may recommend\ninclude\n:\nzolpidem (Ambien)\neszopiclone (Lunesta)\nzaleplon (Sonata)\ndoxepin (Silenor)\nramelteon (Rozerem)\nsuvorexant (\nBelsomra\n)\ntemazepam (Restoril)\nOTC sleep aid options may include\ndiphenhydramine (Benadryl)\nother antihistamines\nmelatonin\nAlways speak with your doctor before taking an OTC sleep aid, including natural remedies, such as melatonin. Just like prescription drugs, OTC and natural sleep aids can cause unwanted side effects and interfere with other medications.\nIf your chronic insomnia is caused by an underlying medical condition, treating the condition may cure your insomnia.\nChronic health conditions that cause insomnia can be managed with changes in treatment, in turn managing or preventing insomnia.\nTaking steps to improve sleep hygiene may also cure chronic insomnia. It’s best to talk with your doctor if insomnia symptoms do not improve with home remedies or OTC treatments.\nChronic insomnia refers to difficulty falling asleep or staying asleep, usually at least three nights per week for at least 3 months.\nThe exact cause of primary chronic insomnia is unclear. Secondary chronic insomnia happens due to an underlying condition or problems with sleep hygiene.\nExamples of conditions that can cause chronic insomnia include sleep apnea, restless leg syndrome, diabetes, asthma, stress, anxiety, and depression.\nImproving sleep hygiene, avoiding caffeine and alcohol, and avoiding taking naps may help. Doctors may also recommend medical treatments for the underlying cause, medications to help with sleep, and cognitive behavioral therapy (CBT).\nContact a doctor if you frequently have trouble falling asleep or staying asleep. Your doctor can help determine whether this is due to a medical condition or other cause, and they can advise on remedies and treatments that may help.","attrs_markdown":"- Health Conditions\n  Health Conditions\n  \n  [All](https:\/\/www.healthline.com\/directory\/topics)\n  \n  - [Breast Cancer](https:\/\/www.healthline.com\/breast-cancer)\n  - [Cancer Care](https:\/\/www.healthline.com\/cancer-care)\n  - [Caregiving for Alzheimer's Disease](https:\/\/www.healthline.com\/alzheimers-disease)\n  - [Chronic Kidney Disease](https:\/\/www.healthline.com\/ckd)\n  - [Chronic Obstructive Pulmonary Disease (COPD)](https:\/\/www.healthline.com\/copd)\n  - [Digestive Health](https:\/\/www.healthline.com\/digestive-health)\n  - [Eye Health](https:\/\/www.healthline.com\/eye-health)\n  - [Heart Health](https:\/\/www.healthline.com\/heart-health)\n  - [Menopause](https:\/\/www.healthline.com\/menopause)\n  - [Mental Health](https:\/\/www.healthline.com\/mental-health)\n  - [Migraine](https:\/\/www.healthline.com\/migraine)\n  - 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Join Bezzy on the web or mobile app.\n  \n  [All](https:\/\/www.bezzy.com\/?utm_source=healthline&utm_medium=nav-bar-connections)\n  \n  - [![](https:\/\/media.post.rvohealth.io\/wp-content\/uploads\/2022\/01\/Bezzy-Inflammatory-Bowel-Disease.png) Inflammatory Bowel Disease](https:\/\/www.bezzyibd.com\/?utm_source=healthline&utm_medium=hl-nav-bar-connections)\n  - [![](https:\/\/media.post.rvohealth.io\/wp-content\/uploads\/2022\/01\/Bezzy-Multiple-Sclerosis.png) Multiple Sclerosis](https:\/\/www.bezzyms.com\/?utm_source=healthline&utm_medium=hl-nav-bar-connections)\n  - [![](https:\/\/media.post.rvohealth.io\/wp-content\/uploads\/2024\/11\/Bezzy-DEP-Icon-Circle.png) Depression](https:\/\/www.bezzydepression.com\/?utm_source=healthline&utm_medium=hl-nav-bar-connections)\n  - [![](https:\/\/media.post.rvohealth.io\/wp-content\/uploads\/2025\/01\/Bezzy-MIG-Icon-Circle.png) Migraine](https:\/\/www.bezzymigraine.com\/?utm_source=healthline&utm_medium=hl-nav-bar-connections)\n  - [![](https:\/\/media.post.rvohealth.io\/wp-content\/uploads\/2024\/12\/Bezzy-T2D-Icon-Circle.png) Type 2 Diabetes](https:\/\/www.bezzyt2d.com\/?utm_source=healthline&utm_medium=hl-nav-bar-connections)\n  - [![](https:\/\/media.post.rvohealth.io\/wp-content\/uploads\/2022\/04\/Bezzy-PsO.png) Psoriasis](https:\/\/www.bezzypsoriasis.com\/?utm_source=healthline&utm_medium=hl-nav-bar-connections)\n  \n  Follow us on social media\n  \n  Can't get enough? Connect with us for all things health.\n\nSubscribe\n\n[Nutrition](https:\/\/www.healthline.com\/nutrition)\n\n- Meal Kits\n  - [Overview](https:\/\/www.healthline.com\/nutrition\/meal-kits)\n  - [Diets](https:\/\/www.healthline.com\/nutrition\/meal-kits\/diets)\n  - [Meal Kits](https:\/\/www.healthline.com\/nutrition\/meal-kits\/meal-kit-reviews)\n  - [Prepared Meals](https:\/\/www.healthline.com\/nutrition\/meal-kits\/prepared-meal-reviews)\n  - [Comparisons](https:\/\/www.healthline.com\/nutrition\/meal-kits\/comparisons)\n  - [Grocery Delivery](https:\/\/www.healthline.com\/nutrition\/meal-kits\/grocery-delivery)\n- [Special Diets](https:\/\/www.healthline.com\/nutrition\/diets)\n- [Healthy Eating](https:\/\/www.healthline.com\/nutrition\/food-and-nutrients)\n- [Food Freedom](https:\/\/www.healthline.com\/nutrition\/food-freedom)\n- [Conditions](https:\/\/www.healthline.com\/nutrition\/nutrition-for-conditions)\n- [Feel Good Food](https:\/\/www.healthline.com\/nutrition\/feel-good-food)\n- [Products](https:\/\/www.healthline.com\/reviews\/nutrition-products)\n- [Vitamins & Supplements](https:\/\/www.healthline.com\/nutrition\/vitamins-and-supplements)\n- [Sustainability](https:\/\/www.healthline.com\/program\/the-sustainable-table)\n- [Weight Management](https:\/\/www.healthline.com\/nutrition\/weight-management)\n\nExplore more in\n\n- Treatment\n- Types\n- Prognosis\n- Symptoms\n- Diagnosis\n- Causes & Risk Factors\n- Management\n- Diet\n- Related Conditions\n- Complications\n\nInsomnia\n\n#### Related Hubs\n[![Sleep Health](https:\/\/media.post.rvohealth.io\/wp-content\/uploads\/2025\/04\/Sleep-health.png)Sleep Health Routines and tips for healthier sleep](https:\/\/www.healthline.com\/sleep)\n\n[![Sleep Disorders](https:\/\/media.post.rvohealth.io\/wp-content\/uploads\/2025\/04\/Sleep-health-sleep-disorders.png)Sleep Disorders Here's all you need to know about sleep disorders, irregular sleep schedules, insomnia, when to see a specialist, and more.](https:\/\/www.healthline.com\/sleep\/disorders)\n#### Related Topics\n- ### Treatment\n  Treatment\n  \n  #### Related Hub\n  [![Medication & Treatments](https:\/\/media.post.rvohealth.io\/wp-content\/uploads\/2025\/04\/Sleep-health-medication.png)Medication & Treatments A guide to medications and treatments for sleep management](https:\/\/www.healthline.com\/sleep\/treatment)\n  \n  #### Related Articles\n  - [Treatment](https:\/\/www.healthline.com\/health\/sleep\/how-to-cure-insomnia-in-12-minutes)\n  - [Treatment](https:\/\/www.healthline.com\/health\/insomnia-treatments)\n  - [Chronic](https:\/\/www.healthline.com\/health\/chronic-insomnia)\n  - [Specialists](https:\/\/www.healthline.com\/health\/insomnia-doctors)\n- ### Types\n  Types\n  \n  #### Related Articles\n  - [Types](https:\/\/www.healthline.com\/health\/types-of-insomnia)\n  - [Paradoxical Insomnia](https:\/\/www.healthline.com\/health\/insomnia\/paradoxical-insomnia)\n  - [Sporadic Fatal](https:\/\/www.healthline.com\/health\/insomnia\/sporadic-fatal-insomnia)\n  - [Middle](https:\/\/www.healthline.com\/health\/insomnia\/middle-insomnia)\n- ### Prognosis\n  Prognosis\n  \n  #### Related Articles\n  - [Outlook](https:\/\/www.healthline.com\/health\/insomnia\/infographic-facts-stats-on-insomnia)\n- ### Symptoms\n  Symptoms\n  \n  #### Related Articles\n  - [Effects on the Body](https:\/\/www.healthline.com\/health\/insomnia-concerns)\n  - [Difficulty Sleeping](https:\/\/www.healthline.com\/health\/sleeping-difficulty)\n- ### Diagnosis\n  Diagnosis\n  \n  #### Related Articles\n  - [Diagnosis](https:\/\/www.healthline.com\/health\/insomnia\/do-i-have-insomnia)\n  - [Waking Up Too Early](https:\/\/www.healthline.com\/health\/waking-up-too-early)\n  - [Typical Time to Fall Asleep](https:\/\/www.healthline.com\/health\/healthy-sleep\/how-long-does-it-take-to-fall-asleep)\n  - [Light Sleepers](https:\/\/www.healthline.com\/health\/light-sleeper)\n  - [In Men](https:\/\/www.healthline.com\/health\/insomnia-in-men)\n- ### Causes & Risk Factors\n  Causes & Risk Factors\n  \n  #### Related Articles\n  - [Causes and Risk Factors](https:\/\/www.healthline.com\/health\/insomnia-causes)\n  - [After Surgery](https:\/\/www.healthline.com\/health\/insomnia-after-surgery)\n  - [Vaccines](https:\/\/www.healthline.com\/health\/vaccinations\/can-vaccines-cause-insomnia)\n  - [Hormones](https:\/\/www.healthline.com\/health\/insomnia\/hormonal-insomnia-symptoms)\n  - [Anxiety-Induced](https:\/\/www.healthline.com\/health\/anxiety-insomnia)\n  - [Dehydration](https:\/\/www.healthline.com\/health\/insomnia\/dehydration-insomnia-symptoms)\n  - [In Teenagers](https:\/\/www.healthline.com\/health\/insomnia\/insomnia-in-teens)\n  - [Neurological Conditions](https:\/\/www.healthline.com\/health\/insomnia\/insomnia-neurological-causes)\n  - [Genetics](https:\/\/www.healthline.com\/health\/is-insomnia-genetic)\n  - [In Women](https:\/\/www.healthline.com\/health\/insomnia\/causes-of-insomnia-in-females)\n- ### Management\n  Management\n  \n  #### Related Hub\n  [![Tools for Sleep](https:\/\/media.post.rvohealth.io\/wp-content\/uploads\/2025\/04\/Sleep-health-better-tools-for-better-sleep.png)Tools for Sleep Products, apps, and more to help you sleep](https:\/\/www.healthline.com\/sleep\/sleep-tools)\n  \n  #### Related Articles\n  - [Taking Atihistamines](https:\/\/www.healthline.com\/health\/healthy-sleep\/antihistamine-for-sleep)\n  - [Noises for Sleep](https:\/\/www.healthline.com\/health\/pink-noise-sleep)\n  - [Postpartum](https:\/\/www.healthline.com\/health\/postpartum-insomnia)\n  - [Talking with a Doctor](https:\/\/www.healthline.com\/health\/insomnia\/insomnia-doctors-appointment-tips)\n  - [Best Weighted Blankets](https:\/\/www.healthline.com\/health\/choose-right-size-weighted-blanket)\n- ### Diet\n  Diet\n  \n  #### Related Articles\n  - [Drinks to Help Sleep](https:\/\/www.healthline.com\/nutrition\/drinks-that-help-you-sleep)\n- ### Related Conditions\n  Related Conditions\n  \n  #### Related Articles\n  - [Menopause-Related Insomnia](https:\/\/www.healthline.com\/health\/menopause\/menopause-and-insomnia)\n  - [PMS Insomnia](https:\/\/www.healthline.com\/health\/insomnia\/pms-insomnia)\n  - [High Blood Pressure](https:\/\/www.healthline.com\/health\/high-blood-pressure\/can-high-blood-pressure-cause-insomnia)\n  - [OCD](https:\/\/www.healthline.com\/health\/ocd\/ocd-and-insomnia)\n  - [Sleep Apnea](https:\/\/www.healthline.com\/health\/insomnia-vs-sleep-apnea)\n- ### Complications\n  Complications\n  \n  #### Related Articles\n  - [Heart Health](https:\/\/www.healthline.com\/health\/insomnia\/how-insomnia-affects-your-heart)\n\n# What Is Chronic Insomnia and How Can You Treat It?\n![](https:\/\/i0.wp.com\/post.healthline.com\/wp-content\/uploads\/2022\/05\/Thomas-Johnson-500x500-Bio1.png?w=105&h=105)\n\n[Medically reviewed]() by [Thomas Johnson, PA-C]() — Written by [Adrienne Santos-Longhurst]() —  [Updated on April 22, 2025]()\n\n- [Types](https:\/\/www.healthline.com\/health\/chronic-insomnia#types)\n- [Symptoms](https:\/\/www.healthline.com\/health\/chronic-insomnia#symptoms)\n- [Causes](https:\/\/www.healthline.com\/health\/chronic-insomnia#causes)\n- [Home remedies](https:\/\/www.healthline.com\/health\/chronic-insomnia#home-remedies)\n- [Medical treatments](https:\/\/www.healthline.com\/health\/chronic-insomnia#medical-treatments)\n- [Cure](https:\/\/www.healthline.com\/health\/chronic-insomnia#cure)\n- [The bottom line](https:\/\/www.healthline.com\/health\/chronic-insomnia#the-bottom-line)\n\nChronic insomnia refers to sleep problems that last at least 3 times per week for 3 months. Causes range from sleep habits to medical conditions. Medications, therapy, and lifestyle changes may help.\n\nInsomnia is a sleep disorder that refers to trouble falling asleep, trouble staying asleep, or both.\n\nAcute insomnia lasts for shorter periods of time, and may resolve on its own. However, if you experience chronic insomnia, or sleep problems that last for months at a time, it is best to contact a doctor for an accurate diagnosis and treatment plan.\n\nRead on to learn more about chronic insomnia, including the type and symptoms, causes, treatment options, and more.\n\n## [Types of chronic insomnia]()\nThere are [two main types](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK526136\/) of chronic insomnia: primary and secondary. Both refer to insomnia that usually happens at least 3 times per week for at least 3 months.\n\nPrimary insomnia isn’t due to other medical conditions or medications, but the exact cause is unclear.\n\nSecondary insomnia is caused by an underlying condition or environmental situation. This means that it could happen due to your sleeping condition, such as sleeping in a room that is too bright or noisy, or as a result of a medical condition.\n\n**»Learn more:**[Insomnia Causes and Risk Factors](https:\/\/www.healthline.com\/health\/insomnia-causes)\n\n## [Symptoms of chronic insomnia]()\nChronic insomnia can cause symptoms at night [as well as](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK526136\/) during the day. It can interfere with your ability to go on with your daily tasks.\n\nSymptoms may include:\n\n- trouble falling asleep\n- waking up throughout the night\n- trouble staying asleep or trouble returning to sleep\n- [waking up too early](https:\/\/www.healthline.com\/health\/waking-up-too-early)\n- daytime sleepiness or grogginess\n- not feeling rested after a night’s sleep\n- irritability\n- depression\n- difficulty concentrating\n- problems with memory\n- increase in mistakes and accidents\n\n**»Learn more:**[Insomnia Causes and Risk Factors](https:\/\/www.healthline.com\/health\/insomnia-causes)\n\n## [Causes of chronic insomnia]()\nChronic insomnia is due to an underlying medical condition. Certain medications and stimulants can cause chronic insomnia, along with lifestyle patterns.\n\n### Medical conditions\nChronic insomnia can be [caused by](https:\/\/www.nhs.uk\/conditions\/insomnia\/) a number of long-term medical conditions, [including](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK526136\/):\n\n- respiratory conditions,\n  [including](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK526136\/)\n  :\n  - [asthma](https:\/\/www.healthline.com\/health\/asthma)\n  - [chronic obstructive pulmonary disease (COPD)](https:\/\/www.healthline.com\/health\/copd)\n  - sleep apnea\n- [diabetes](https:\/\/www.healthline.com\/health\/diabetes)\n- [restless leg syndrome](https:\/\/www.healthline.com\/health\/restless-leg-syndrome)\n- [menopause](https:\/\/www.nia.nih.gov\/health\/menopause\/sleep-problems-and-menopause-what-can-i-do)\n- stress\n- [anxiety](https:\/\/www.healthline.com\/health\/anxiety)\n- [depression](https:\/\/www.healthline.com\/health\/depression\/facts-statistics-infographic)\n- [bipolar disorder](https:\/\/www.healthline.com\/health\/bipolar-disorder)\n- [Alzheimer’s disease](https:\/\/www.healthline.com\/health\/alzheimers-disease)\n- [Parkinson’s disease](https:\/\/www.healthline.com\/health\/parkinsons)\n### Medications and stimulants\nFor some people, certain medications and stimulants may cause chronic insomnia. Examples include:\n\n- alcohol\n- antidepressants\n- beta-blockers\n- caffeine\n- nicotine\n- stimulant laxatives\n### Lifestyle behaviors\nCertain lifestyle behaviors may lead to chronic insomnia. These include:\n\n- rotating shift work\n- frequent travel across multiple time zones, leading to [jet lag](https:\/\/www.healthline.com\/health\/jet-lag)\n- not getting enough physical activity or exercise\n- frequent daytime napping\n- problems with the sleeping environment, such as sleeping in a room that is too bright or noisy\n\n**»Learn more:**[Insomnia Causes and Risk Factors](https:\/\/www.healthline.com\/health\/insomnia-causes)\n\n## [Home remedies for chronic insomnia]()\nThere are several things that you can do at home to treat or prevent chronic insomnia.\n\nOne important option for treatment is known as [sleep hygiene](https:\/\/www.healthline.com\/health\/sleep-hygiene). This refers to making the room as comfortable as possible and following a routine before bed to help improve your ability to fall asleep and stay asleep.\n\nTips that may help include:\n\n- avoiding caffeine, alcohol, or cigarette use,\n  [especially](https:\/\/www.nhlbi.nih.gov\/health\/insomnia\/treatment)\n  right before bed\n- getting enough regular physical activity or exercise\n- avoiding taking naps\n- avoiding eating large meals right before bed\n- trying to go to bed and get up at the same time every day\n- avoiding looking at [smartphones or other screens](https:\/\/www.nhs.uk\/conditions\/insomnia\/) right before bed\n- keeping your bedroom dark and at a comfortable temperature\n\n**»Learn more:**[Insomnia Causes and Risk Factors](https:\/\/www.healthline.com\/health\/insomnia-causes)\n\n## [Medical treatments for chronic insomnia]()\nIf insomnia does not resolve with home remedies, it’s best to contact a doctor. The doctor can help determine if there is an underlying condition causing your insomnia, in which case you may need to directly treat that medical condition.\n\nYour doctor can also recommend treatments that may help directly address chronic insomnia.\n\n### Cognitive behavioral therapy (CBT)\nCBT [can be an effective method](https:\/\/www.nhlbi.nih.gov\/health\/insomnia\/treatment) for treating chronic insomnia. It involves providing education on sleep and better sleep habits, while teaching behavior modifications to help improve your ability to sleep.\n\nSome of the strategies of CBT that are specifically focused on insomnia, known as [CBT-I](https:\/\/www.healthline.com\/health\/insomnia\/cognitive-behavioral-therapy-for-insomnia), include:\n\n- **Cognitive techniques:** Using journaling to write down worries or concerns before going to bed may help keep a person from actively attempting to work them out while also trying to sleep.\n- **Stimulus control:** This entails altering behaviors that condition your mind to fight sleep. Setting a sleep and wake time routine is part of this strategy. Other examples are using your bed only for sleep and sex, and leaving your bedroom if you’re unable to fall asleep within a set number of minutes.\n- **Sleep restriction:** This therapy involves limiting the amount of time you spend in bed, including avoiding naps. The goal is to deprive you of enough sleep so that you’re tired at bedtime. Your time in bed is gradually increased as your sleep improves.\n- **Relaxation techniques:**\n- Breathing exercises, yoga, guided meditation, and other techniques may help reduce muscle tension and control your breathing and heart rate so that you’re able to relax.\n### Medications\nThere are a number of prescription medications and over-the-counter (OTC) sleep aids that may help you get to sleep or remain asleep.\n\nWhile effective, doctors don’t typically recommend using [sleeping pills](https:\/\/www.healthline.com\/health\/insomnia-treatments) long term because of the side effects, which [can include](https:\/\/www.nhs.uk\/medicines\/zolpidem\/side-effects-of-zolpidem\/) daytime sleepiness, memory problems, and more. However, they may recommend them for short term use.\n\nSome of the prescription medications that doctors may recommend [include](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK526136\/):\n\n- zolpidem (Ambien)\n- eszopiclone (Lunesta)\n- zaleplon (Sonata)\n- doxepin (Silenor)\n- ramelteon (Rozerem)\n- suvorexant ([Belsomra](https:\/\/www.healthline.com\/health\/drugs\/belsomra))\n- temazepam (Restoril)\n\nOTC sleep aid options may include\n\n- diphenhydramine (Benadryl)\n- other antihistamines\n- [melatonin](https:\/\/www.healthline.com\/nutrition\/melatonin-and-sleep)\n\nAlways speak with your doctor before taking an OTC sleep aid, including natural remedies, such as melatonin. Just like prescription drugs, OTC and natural sleep aids can cause unwanted side effects and interfere with other medications.\n\n**»MORE:**[Download helpful tips to manage excessive daytime sleepiness.](https:\/\/www.healthline.com\/health\/tips-to-manage-excessive-daytime-sleepiness?rvo_aff=1&rvo_brandid=Healthline&rvo_prodid=a7d67aae-7e47-42dd-8b34-f279782a1def&rvo_subid=TBD&utm_medium=treatmentandcare_download&utm_source=hl&rvo_subid2=+where&rvo_sys=mar)\n\n## [Is there a cure for chronic insomnia?]()\nIf your chronic insomnia is caused by an underlying medical condition, treating the condition may cure your insomnia.\n\nChronic health conditions that cause insomnia can be managed with changes in treatment, in turn managing or preventing insomnia.\n\nTaking steps to improve sleep hygiene may also cure chronic insomnia. It’s best to talk with your doctor if insomnia symptoms do not improve with home remedies or OTC treatments.\n\n## [The bottom line]()\nChronic insomnia refers to difficulty falling asleep or staying asleep, usually at least three nights per week for at least 3 months.\n\nThe exact cause of primary chronic insomnia is unclear. Secondary chronic insomnia happens due to an underlying condition or problems with sleep hygiene.\n\nExamples of conditions that can cause chronic insomnia include sleep apnea, restless leg syndrome, diabetes, asthma, stress, anxiety, and depression.\n\nImproving sleep hygiene, avoiding caffeine and alcohol, and avoiding taking naps may help. Doctors may also recommend medical treatments for the underlying cause, medications to help with sleep, and cognitive behavioral therapy (CBT).\n\nContact a doctor if you frequently have trouble falling asleep or staying asleep. Your doctor can help determine whether this is due to a medical condition or other cause, and they can advise on remedies and treatments that may help.\n\n### How we reviewed this article:\nSources\n\nHistory\n\nHealthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical journals and associations. We only use quality, credible sources to ensure content accuracy and integrity. You can learn more about how we ensure our content is accurate and current by reading our [editorial policy](https:\/\/www.healthline.com\/about\/process).\n\n- Insomnia. (2024).  \n  <https:\/\/www.nhs.uk\/conditions\/insomnia\/>\n- Insomnia: Treatment. (2022).  \n  <https:\/\/www.nhlbi.nih.gov\/health\/insomnia\/treatment>\n- McNamara S, et al. (2025). Chronic insomnia.  \n  <https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK526136\/>\n- Side effects of zolpidem. (2023).  \n  <https:\/\/www.nhs.uk\/medicines\/zolpidem\/side-effects-of-zolpidem\/>\n- Sleep problems and menopause: What can I do? (2021).  \n  <https:\/\/www.nia.nih.gov\/health\/menopause\/sleep-problems-and-menopause-what-can-i-do>\n\nShare this article\n\n![](https:\/\/i0.wp.com\/post.healthline.com\/wp-content\/uploads\/2022\/05\/Thomas-Johnson-500x500-Bio1.png?w=105&h=105)\n\n[Medically reviewed]() by [Thomas Johnson, PA-C]() — Written by [Adrienne Santos-Longhurst]() —  [Updated on April 22, 2025]()\n\n© 2026 Healthline Media LLC. All rights reserved. Healthline Media is an RVO Health Company. Our website services, content, and products are for informational purposes only. Healthline Media does not provide medical advice, diagnosis, or treatment. [See additional information](https:\/\/www.healthline.com\/additional-information).\n\n- [About Us](https:\/\/www.healthline.com\/about)\n- [Contact Us](https:\/\/www.healthline.com\/about\/contact-us)\n- [Privacy Policy](https:\/\/www.healthline.com\/privacy-policy)\n- Privacy Settings\n- [Advertising Policy](https:\/\/www.healthline.com\/advertising-policy)\n- [Health Topics](https:\/\/www.healthline.com\/directory\/topics)\n\n- [Sitemap](https:\/\/www.healthline.com\/sitemap)\n- [Medical Affairs](https:\/\/www.healthline.com\/medical-team)\n- [Content Integrity](https:\/\/www.healthline.com\/about\/content-integrity)\n- [Newsletters](https:\/\/www.healthline.com\/newsletter-signup)\n- © 2026 Healthline Media LLC. All rights reserved. Healthline Media is an RVO Health Company. Our website services, content, and products are for informational purposes only. Healthline Media does not provide medical advice, diagnosis, or treatment. [See additional information](https:\/\/www.healthline.com\/additional-information).\n\n© 2026 Healthline Media LLC. All rights reserved. Healthline Media is an RVO Health Company. Our website services, content, and products are for informational purposes only. Healthline Media does not provide medical advice, diagnosis, or treatment. [See additional information](https:\/\/www.healthline.com\/additional-information).\n\n[About](https:\/\/www.healthlinemedia.com\/?utm_source=healthline.com&utm_medium=site&utm_campaign=footer&utm_content=about)[Careers](https:\/\/rvohealth.com\/careers)[Advertise with us](https:\/\/www.healthlinemedia.com\/advertise?utm_source=healthline.com&utm_medium=site&utm_campaign=footer&utm_content=advertise)\n\nOUR BRANDS\n\n[Healthline](https:\/\/www.healthline.com\/)[Medical News Today](https:\/\/www.medicalnewstoday.com\/)[Greatist](https:\/\/greatist.com\/)[Psych Central](https:\/\/psychcentral.com\/)[Bezzy](https:\/\/bezzy.com\/)\n\n![](http:\/\/b.scorecardresearch.com\/p?c1=2&c2=38584006&cv=3.9&cj=1&comscorekw=main)","attrs_readable_markdown":"Chronic insomnia refers to sleep problems that last at least 3 times per week for 3 months. Causes range from sleep habits to medical conditions. Medications, therapy, and lifestyle changes may help.\n\nInsomnia is a sleep disorder that refers to trouble falling asleep, trouble staying asleep, or both.\n\nAcute insomnia lasts for shorter periods of time, and may resolve on its own. However, if you experience chronic insomnia, or sleep problems that last for months at a time, it is best to contact a doctor for an accurate diagnosis and treatment plan.\n\nRead on to learn more about chronic insomnia, including the type and symptoms, causes, treatment options, and more.\n\nThere are [two main types](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK526136\/) of chronic insomnia: primary and secondary. Both refer to insomnia that usually happens at least 3 times per week for at least 3 months.\n\nPrimary insomnia isn’t due to other medical conditions or medications, but the exact cause is unclear.\n\nSecondary insomnia is caused by an underlying condition or environmental situation. This means that it could happen due to your sleeping condition, such as sleeping in a room that is too bright or noisy, or as a result of a medical condition.\n\nChronic insomnia can cause symptoms at night [as well as](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK526136\/) during the day. It can interfere with your ability to go on with your daily tasks.\n\nSymptoms may include:\n\n- trouble falling asleep\n- waking up throughout the night\n- trouble staying asleep or trouble returning to sleep\n- [waking up too early](https:\/\/www.healthline.com\/health\/waking-up-too-early)\n- daytime sleepiness or grogginess\n- not feeling rested after a night’s sleep\n- irritability\n- depression\n- difficulty concentrating\n- problems with memory\n- increase in mistakes and accidents\n\nChronic insomnia is due to an underlying medical condition. Certain medications and stimulants can cause chronic insomnia, along with lifestyle patterns.\n\nMedical conditions\n\nChronic insomnia can be [caused by](https:\/\/www.nhs.uk\/conditions\/insomnia\/) a number of long-term medical conditions, [including](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK526136\/):\n\n- respiratory conditions,\n  [including](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK526136\/)\n  :\n  - [asthma](https:\/\/www.healthline.com\/health\/asthma)\n  - [chronic obstructive pulmonary disease (COPD)](https:\/\/www.healthline.com\/health\/copd)\n  - sleep apnea\n- [diabetes](https:\/\/www.healthline.com\/health\/diabetes)\n- [restless leg syndrome](https:\/\/www.healthline.com\/health\/restless-leg-syndrome)\n- [menopause](https:\/\/www.nia.nih.gov\/health\/menopause\/sleep-problems-and-menopause-what-can-i-do)\n- stress\n- [anxiety](https:\/\/www.healthline.com\/health\/anxiety)\n- [depression](https:\/\/www.healthline.com\/health\/depression\/facts-statistics-infographic)\n- [bipolar disorder](https:\/\/www.healthline.com\/health\/bipolar-disorder)\n- [Alzheimer’s disease](https:\/\/www.healthline.com\/health\/alzheimers-disease)\n- [Parkinson’s disease](https:\/\/www.healthline.com\/health\/parkinsons)\n\nMedications and stimulants\n\nFor some people, certain medications and stimulants may cause chronic insomnia. Examples include:\n\n- alcohol\n- antidepressants\n- beta-blockers\n- caffeine\n- nicotine\n- stimulant laxatives\n\nLifestyle behaviors\n\nCertain lifestyle behaviors may lead to chronic insomnia. These include:\n\n- rotating shift work\n- frequent travel across multiple time zones, leading to [jet lag](https:\/\/www.healthline.com\/health\/jet-lag)\n- not getting enough physical activity or exercise\n- frequent daytime napping\n- problems with the sleeping environment, such as sleeping in a room that is too bright or noisy\n\nThere are several things that you can do at home to treat or prevent chronic insomnia.\n\nOne important option for treatment is known as [sleep hygiene](https:\/\/www.healthline.com\/health\/sleep-hygiene). This refers to making the room as comfortable as possible and following a routine before bed to help improve your ability to fall asleep and stay asleep.\n\nTips that may help include:\n\n- avoiding caffeine, alcohol, or cigarette use,\n  [especially](https:\/\/www.nhlbi.nih.gov\/health\/insomnia\/treatment)\n  right before bed\n- getting enough regular physical activity or exercise\n- avoiding taking naps\n- avoiding eating large meals right before bed\n- trying to go to bed and get up at the same time every day\n- avoiding looking at [smartphones or other screens](https:\/\/www.nhs.uk\/conditions\/insomnia\/) right before bed\n- keeping your bedroom dark and at a comfortable temperature\n\nIf insomnia does not resolve with home remedies, it’s best to contact a doctor. The doctor can help determine if there is an underlying condition causing your insomnia, in which case you may need to directly treat that medical condition.\n\nYour doctor can also recommend treatments that may help directly address chronic insomnia.\n\nCognitive behavioral therapy (CBT)\n\nCBT [can be an effective method](https:\/\/www.nhlbi.nih.gov\/health\/insomnia\/treatment) for treating chronic insomnia. It involves providing education on sleep and better sleep habits, while teaching behavior modifications to help improve your ability to sleep.\n\nSome of the strategies of CBT that are specifically focused on insomnia, known as [CBT-I](https:\/\/www.healthline.com\/health\/insomnia\/cognitive-behavioral-therapy-for-insomnia), include:\n\n- **Cognitive techniques:** Using journaling to write down worries or concerns before going to bed may help keep a person from actively attempting to work them out while also trying to sleep.\n- **Stimulus control:** This entails altering behaviors that condition your mind to fight sleep. Setting a sleep and wake time routine is part of this strategy. Other examples are using your bed only for sleep and sex, and leaving your bedroom if you’re unable to fall asleep within a set number of minutes.\n- **Sleep restriction:** This therapy involves limiting the amount of time you spend in bed, including avoiding naps. The goal is to deprive you of enough sleep so that you’re tired at bedtime. Your time in bed is gradually increased as your sleep improves.\n- **Relaxation techniques:**\n- Breathing exercises, yoga, guided meditation, and other techniques may help reduce muscle tension and control your breathing and heart rate so that you’re able to relax.\n\nMedications\n\nThere are a number of prescription medications and over-the-counter (OTC) sleep aids that may help you get to sleep or remain asleep.\n\nWhile effective, doctors don’t typically recommend using [sleeping pills](https:\/\/www.healthline.com\/health\/insomnia-treatments) long term because of the side effects, which [can include](https:\/\/www.nhs.uk\/medicines\/zolpidem\/side-effects-of-zolpidem\/) daytime sleepiness, memory problems, and more. However, they may recommend them for short term use.\n\nSome of the prescription medications that doctors may recommend [include](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK526136\/):\n\n- zolpidem (Ambien)\n- eszopiclone (Lunesta)\n- zaleplon (Sonata)\n- doxepin (Silenor)\n- ramelteon (Rozerem)\n- suvorexant ([Belsomra](https:\/\/www.healthline.com\/health\/drugs\/belsomra))\n- temazepam (Restoril)\n\nOTC sleep aid options may include\n\n- diphenhydramine (Benadryl)\n- other antihistamines\n- [melatonin](https:\/\/www.healthline.com\/nutrition\/melatonin-and-sleep)\n\nAlways speak with your doctor before taking an OTC sleep aid, including natural remedies, such as melatonin. Just like prescription drugs, OTC and natural sleep aids can cause unwanted side effects and interfere with other medications.\n\nIf your chronic insomnia is caused by an underlying medical condition, treating the condition may cure your insomnia.\n\nChronic health conditions that cause insomnia can be managed with changes in treatment, in turn managing or preventing insomnia.\n\nTaking steps to improve sleep hygiene may also cure chronic insomnia. It’s best to talk with your doctor if insomnia symptoms do not improve with home remedies or OTC treatments.\n\nChronic insomnia refers to difficulty falling asleep or staying asleep, usually at least three nights per week for at least 3 months.\n\nThe exact cause of primary chronic insomnia is unclear. Secondary chronic insomnia happens due to an underlying condition or problems with sleep hygiene.\n\nExamples of conditions that can cause chronic insomnia include sleep apnea, restless leg syndrome, diabetes, asthma, stress, anxiety, and depression.\n\nImproving sleep hygiene, avoiding caffeine and alcohol, and avoiding taking naps may help. Doctors may also recommend medical treatments for the underlying cause, medications to help with sleep, and cognitive behavioral therapy (CBT).\n\nContact a doctor if you frequently have trouble falling asleep or staying asleep. Your doctor can help determine whether this is due to a medical condition or other cause, and they can advise on remedies and treatments that may help.","meta_canonical":null}

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URL	https://www.healthline.com/health/chronic-insomnia
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Meta Title	Chronic Insomnia: Treatment, Causes, Symptoms, and More
Meta Description	Chronic insomnia refers to difficulty sleeping for an extended period, usually at least 3 months. Learn about symptoms, causes, treatment options, and more.
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Boilerpipe Text	Chronic insomnia refers to sleep problems that last at least 3 times per week for 3 months. Causes range from sleep habits to medical conditions. Medications, therapy, and lifestyle changes may help. Insomnia is a sleep disorder that refers to trouble falling asleep, trouble staying asleep, or both. Acute insomnia lasts for shorter periods of time, and may resolve on its own. However, if you experience chronic insomnia, or sleep problems that last for months at a time, it is best to contact a doctor for an accurate diagnosis and treatment plan. Read on to learn more about chronic insomnia, including the type and symptoms, causes, treatment options, and more. There are two main types of chronic insomnia: primary and secondary. Both refer to insomnia that usually happens at least 3 times per week for at least 3 months. Primary insomnia isn’t due to other medical conditions or medications, but the exact cause is unclear. Secondary insomnia is caused by an underlying condition or environmental situation. This means that it could happen due to your sleeping condition, such as sleeping in a room that is too bright or noisy, or as a result of a medical condition. Chronic insomnia can cause symptoms at night as well as during the day. It can interfere with your ability to go on with your daily tasks. Symptoms may include: trouble falling asleep waking up throughout the night trouble staying asleep or trouble returning to sleep waking up too early daytime sleepiness or grogginess not feeling rested after a night’s sleep irritability depression difficulty concentrating problems with memory increase in mistakes and accidents Chronic insomnia is due to an underlying medical condition. Certain medications and stimulants can cause chronic insomnia, along with lifestyle patterns. Medical conditions Chronic insomnia can be caused by a number of long-term medical conditions, including : respiratory conditions, including : asthma chronic obstructive pulmonary disease (COPD) sleep apnea diabetes restless leg syndrome menopause stress anxiety depression bipolar disorder Alzheimer’s disease Parkinson’s disease Medications and stimulants For some people, certain medications and stimulants may cause chronic insomnia. Examples include: alcohol antidepressants beta-blockers caffeine nicotine stimulant laxatives Lifestyle behaviors Certain lifestyle behaviors may lead to chronic insomnia. These include: rotating shift work frequent travel across multiple time zones, leading to jet lag not getting enough physical activity or exercise frequent daytime napping problems with the sleeping environment, such as sleeping in a room that is too bright or noisy There are several things that you can do at home to treat or prevent chronic insomnia. One important option for treatment is known as sleep hygiene . This refers to making the room as comfortable as possible and following a routine before bed to help improve your ability to fall asleep and stay asleep. Tips that may help include: avoiding caffeine, alcohol, or cigarette use, especially right before bed getting enough regular physical activity or exercise avoiding taking naps avoiding eating large meals right before bed trying to go to bed and get up at the same time every day avoiding looking at smartphones or other screens right before bed keeping your bedroom dark and at a comfortable temperature If insomnia does not resolve with home remedies, it’s best to contact a doctor. The doctor can help determine if there is an underlying condition causing your insomnia, in which case you may need to directly treat that medical condition. Your doctor can also recommend treatments that may help directly address chronic insomnia. Cognitive behavioral therapy (CBT) CBT can be an effective method for treating chronic insomnia. It involves providing education on sleep and better sleep habits, while teaching behavior modifications to help improve your ability to sleep. Some of the strategies of CBT that are specifically focused on insomnia, known as CBT-I , include: Cognitive techniques: Using journaling to write down worries or concerns before going to bed may help keep a person from actively attempting to work them out while also trying to sleep. Stimulus control: This entails altering behaviors that condition your mind to fight sleep. Setting a sleep and wake time routine is part of this strategy. Other examples are using your bed only for sleep and sex, and leaving your bedroom if you’re unable to fall asleep within a set number of minutes. Sleep restriction: This therapy involves limiting the amount of time you spend in bed, including avoiding naps. The goal is to deprive you of enough sleep so that you’re tired at bedtime. Your time in bed is gradually increased as your sleep improves. Relaxation techniques: Breathing exercises, yoga, guided meditation, and other techniques may help reduce muscle tension and control your breathing and heart rate so that you’re able to relax. Medications There are a number of prescription medications and over-the-counter (OTC) sleep aids that may help you get to sleep or remain asleep. While effective, doctors don’t typically recommend using sleeping pills long term because of the side effects, which can include daytime sleepiness, memory problems, and more. However, they may recommend them for short term use. Some of the prescription medications that doctors may recommend include : zolpidem (Ambien) eszopiclone (Lunesta) zaleplon (Sonata) doxepin (Silenor) ramelteon (Rozerem) suvorexant ( Belsomra ) temazepam (Restoril) OTC sleep aid options may include diphenhydramine (Benadryl) other antihistamines melatonin Always speak with your doctor before taking an OTC sleep aid, including natural remedies, such as melatonin. Just like prescription drugs, OTC and natural sleep aids can cause unwanted side effects and interfere with other medications. If your chronic insomnia is caused by an underlying medical condition, treating the condition may cure your insomnia. Chronic health conditions that cause insomnia can be managed with changes in treatment, in turn managing or preventing insomnia. Taking steps to improve sleep hygiene may also cure chronic insomnia. It’s best to talk with your doctor if insomnia symptoms do not improve with home remedies or OTC treatments. Chronic insomnia refers to difficulty falling asleep or staying asleep, usually at least three nights per week for at least 3 months. The exact cause of primary chronic insomnia is unclear. Secondary chronic insomnia happens due to an underlying condition or problems with sleep hygiene. Examples of conditions that can cause chronic insomnia include sleep apnea, restless leg syndrome, diabetes, asthma, stress, anxiety, and depression. Improving sleep hygiene, avoiding caffeine and alcohol, and avoiding taking naps may help. Doctors may also recommend medical treatments for the underlying cause, medications to help with sleep, and cognitive behavioral therapy (CBT). Contact a doctor if you frequently have trouble falling asleep or staying asleep. Your doctor can help determine whether this is due to a medical condition or other cause, and they can advise on remedies and treatments that may help.
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[Sustainability](https://www.healthline.com/program/the-sustainable-table) - [Weight Management](https://www.healthline.com/nutrition/weight-management) Explore more in - Treatment - Types - Prognosis - Symptoms - Diagnosis - Causes & Risk Factors - Management - Diet - Related Conditions - Complications Insomnia #### Related Hubs [![Sleep Health](https://media.post.rvohealth.io/wp-content/uploads/2025/04/Sleep-health.png)Sleep Health Routines and tips for healthier sleep](https://www.healthline.com/sleep) [![Sleep Disorders](https://media.post.rvohealth.io/wp-content/uploads/2025/04/Sleep-health-sleep-disorders.png)Sleep Disorders Here's all you need to know about sleep disorders, irregular sleep schedules, insomnia, when to see a specialist, and more.](https://www.healthline.com/sleep/disorders) #### Related Topics - ### Treatment Treatment #### Related Hub [![Medication & Treatments](https://media.post.rvohealth.io/wp-content/uploads/2025/04/Sleep-health-medication.png)Medication & Treatments A guide to medications and treatments for sleep management](https://www.healthline.com/sleep/treatment) #### Related Articles - 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[Types](https://www.healthline.com/health/chronic-insomnia#types) - [Symptoms](https://www.healthline.com/health/chronic-insomnia#symptoms) - [Causes](https://www.healthline.com/health/chronic-insomnia#causes) - [Home remedies](https://www.healthline.com/health/chronic-insomnia#home-remedies) - [Medical treatments](https://www.healthline.com/health/chronic-insomnia#medical-treatments) - [Cure](https://www.healthline.com/health/chronic-insomnia#cure) - [The bottom line](https://www.healthline.com/health/chronic-insomnia#the-bottom-line) Chronic insomnia refers to sleep problems that last at least 3 times per week for 3 months. Causes range from sleep habits to medical conditions. Medications, therapy, and lifestyle changes may help. Insomnia is a sleep disorder that refers to trouble falling asleep, trouble staying asleep, or both. Acute insomnia lasts for shorter periods of time, and may resolve on its own. However, if you experience chronic insomnia, or sleep problems that last for months at a time, it is best to contact a doctor for an accurate diagnosis and treatment plan. Read on to learn more about chronic insomnia, including the type and symptoms, causes, treatment options, and more. ## [Types of chronic insomnia]() There are [two main types](https://www.ncbi.nlm.nih.gov/books/NBK526136/) of chronic insomnia: primary and secondary. Both refer to insomnia that usually happens at least 3 times per week for at least 3 months. Primary insomnia isn’t due to other medical conditions or medications, but the exact cause is unclear. Secondary insomnia is caused by an underlying condition or environmental situation. This means that it could happen due to your sleeping condition, such as sleeping in a room that is too bright or noisy, or as a result of a medical condition. »Learn more:[Insomnia Causes and Risk Factors](https://www.healthline.com/health/insomnia-causes) ## [Symptoms of chronic insomnia]() Chronic insomnia can cause symptoms at night [as well as](https://www.ncbi.nlm.nih.gov/books/NBK526136/) during the day. It can interfere with your ability to go on with your daily tasks. Symptoms may include: - trouble falling asleep - waking up throughout the night - trouble staying asleep or trouble returning to sleep - [waking up too early](https://www.healthline.com/health/waking-up-too-early) - daytime sleepiness or grogginess - not feeling rested after a night’s sleep - irritability - depression - difficulty concentrating - problems with memory - increase in mistakes and accidents »Learn more:[Insomnia Causes and Risk Factors](https://www.healthline.com/health/insomnia-causes) ## [Causes of chronic insomnia]() Chronic insomnia is due to an underlying medical condition. Certain medications and stimulants can cause chronic insomnia, along with lifestyle patterns. ### Medical conditions Chronic insomnia can be [caused by](https://www.nhs.uk/conditions/insomnia/) a number of long-term medical conditions, [including](https://www.ncbi.nlm.nih.gov/books/NBK526136/): - respiratory conditions, [including](https://www.ncbi.nlm.nih.gov/books/NBK526136/) : - [asthma](https://www.healthline.com/health/asthma) - [chronic obstructive pulmonary disease (COPD)](https://www.healthline.com/health/copd) - sleep apnea - [diabetes](https://www.healthline.com/health/diabetes) - [restless leg syndrome](https://www.healthline.com/health/restless-leg-syndrome) - [menopause](https://www.nia.nih.gov/health/menopause/sleep-problems-and-menopause-what-can-i-do) - stress - [anxiety](https://www.healthline.com/health/anxiety) - [depression](https://www.healthline.com/health/depression/facts-statistics-infographic) - [bipolar disorder](https://www.healthline.com/health/bipolar-disorder) - [Alzheimer’s disease](https://www.healthline.com/health/alzheimers-disease) - [Parkinson’s disease](https://www.healthline.com/health/parkinsons) ### Medications and stimulants For some people, certain medications and stimulants may cause chronic insomnia. Examples include: - alcohol - antidepressants - beta-blockers - caffeine - nicotine - stimulant laxatives ### Lifestyle behaviors Certain lifestyle behaviors may lead to chronic insomnia. These include: - rotating shift work - frequent travel across multiple time zones, leading to [jet lag](https://www.healthline.com/health/jet-lag) - not getting enough physical activity or exercise - frequent daytime napping - problems with the sleeping environment, such as sleeping in a room that is too bright or noisy »Learn more:[Insomnia Causes and Risk Factors](https://www.healthline.com/health/insomnia-causes) ## [Home remedies for chronic insomnia]() There are several things that you can do at home to treat or prevent chronic insomnia. One important option for treatment is known as [sleep hygiene](https://www.healthline.com/health/sleep-hygiene). This refers to making the room as comfortable as possible and following a routine before bed to help improve your ability to fall asleep and stay asleep. Tips that may help include: - avoiding caffeine, alcohol, or cigarette use, [especially](https://www.nhlbi.nih.gov/health/insomnia/treatment) right before bed - getting enough regular physical activity or exercise - avoiding taking naps - avoiding eating large meals right before bed - trying to go to bed and get up at the same time every day - avoiding looking at [smartphones or other screens](https://www.nhs.uk/conditions/insomnia/) right before bed - keeping your bedroom dark and at a comfortable temperature »Learn more:[Insomnia Causes and Risk Factors](https://www.healthline.com/health/insomnia-causes) ## [Medical treatments for chronic insomnia]() If insomnia does not resolve with home remedies, it’s best to contact a doctor. The doctor can help determine if there is an underlying condition causing your insomnia, in which case you may need to directly treat that medical condition. Your doctor can also recommend treatments that may help directly address chronic insomnia. ### Cognitive behavioral therapy (CBT) CBT [can be an effective method](https://www.nhlbi.nih.gov/health/insomnia/treatment) for treating chronic insomnia. It involves providing education on sleep and better sleep habits, while teaching behavior modifications to help improve your ability to sleep. Some of the strategies of CBT that are specifically focused on insomnia, known as [CBT-I](https://www.healthline.com/health/insomnia/cognitive-behavioral-therapy-for-insomnia), include: - Cognitive techniques: Using journaling to write down worries or concerns before going to bed may help keep a person from actively attempting to work them out while also trying to sleep. - Stimulus control: This entails altering behaviors that condition your mind to fight sleep. Setting a sleep and wake time routine is part of this strategy. Other examples are using your bed only for sleep and sex, and leaving your bedroom if you’re unable to fall asleep within a set number of minutes. - Sleep restriction: This therapy involves limiting the amount of time you spend in bed, including avoiding naps. The goal is to deprive you of enough sleep so that you’re tired at bedtime. Your time in bed is gradually increased as your sleep improves. - Relaxation techniques: - Breathing exercises, yoga, guided meditation, and other techniques may help reduce muscle tension and control your breathing and heart rate so that you’re able to relax. ### Medications There are a number of prescription medications and over-the-counter (OTC) sleep aids that may help you get to sleep or remain asleep. While effective, doctors don’t typically recommend using [sleeping pills](https://www.healthline.com/health/insomnia-treatments) long term because of the side effects, which [can include](https://www.nhs.uk/medicines/zolpidem/side-effects-of-zolpidem/) daytime sleepiness, memory problems, and more. However, they may recommend them for short term use. Some of the prescription medications that doctors may recommend [include](https://www.ncbi.nlm.nih.gov/books/NBK526136/): - zolpidem (Ambien) - eszopiclone (Lunesta) - zaleplon (Sonata) - doxepin (Silenor) - ramelteon (Rozerem) - suvorexant ([Belsomra](https://www.healthline.com/health/drugs/belsomra)) - temazepam (Restoril) OTC sleep aid options may include - diphenhydramine (Benadryl) - other antihistamines - [melatonin](https://www.healthline.com/nutrition/melatonin-and-sleep) Always speak with your doctor before taking an OTC sleep aid, including natural remedies, such as melatonin. Just like prescription drugs, OTC and natural sleep aids can cause unwanted side effects and interfere with other medications. »MORE:[Download helpful tips to manage excessive daytime sleepiness.](https://www.healthline.com/health/tips-to-manage-excessive-daytime-sleepiness?rvo_aff=1&rvo_brandid=Healthline&rvo_prodid=a7d67aae-7e47-42dd-8b34-f279782a1def&rvo_subid=TBD&utm_medium=treatmentandcare_download&utm_source=hl&rvo_subid2=+where&rvo_sys=mar) ## [Is there a cure for chronic insomnia?]() If your chronic insomnia is caused by an underlying medical condition, treating the condition may cure your insomnia. Chronic health conditions that cause insomnia can be managed with changes in treatment, in turn managing or preventing insomnia. Taking steps to improve sleep hygiene may also cure chronic insomnia. It’s best to talk with your doctor if insomnia symptoms do not improve with home remedies or OTC treatments. ## [The bottom line]() Chronic insomnia refers to difficulty falling asleep or staying asleep, usually at least three nights per week for at least 3 months. The exact cause of primary chronic insomnia is unclear. Secondary chronic insomnia happens due to an underlying condition or problems with sleep hygiene. Examples of conditions that can cause chronic insomnia include sleep apnea, restless leg syndrome, diabetes, asthma, stress, anxiety, and depression. Improving sleep hygiene, avoiding caffeine and alcohol, and avoiding taking naps may help. Doctors may also recommend medical treatments for the underlying cause, medications to help with sleep, and cognitive behavioral therapy (CBT). Contact a doctor if you frequently have trouble falling asleep or staying asleep. Your doctor can help determine whether this is due to a medical condition or other cause, and they can advise on remedies and treatments that may help. ### How we reviewed this article: Sources History Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical journals and associations. We only use quality, credible sources to ensure content accuracy and integrity. You can learn more about how we ensure our content is accurate and current by reading our [editorial policy](https://www.healthline.com/about/process). - Insomnia. (2024). <https://www.nhs.uk/conditions/insomnia/> - Insomnia: Treatment. (2022). <https://www.nhlbi.nih.gov/health/insomnia/treatment> - McNamara S, et al. (2025). Chronic insomnia. <https://www.ncbi.nlm.nih.gov/books/NBK526136/> - Side effects of zolpidem. (2023). <https://www.nhs.uk/medicines/zolpidem/side-effects-of-zolpidem/> - Sleep problems and menopause: What can I do? (2021). <https://www.nia.nih.gov/health/menopause/sleep-problems-and-menopause-what-can-i-do> Share this article ![](https://i0.wp.com/post.healthline.com/wp-content/uploads/2022/05/Thomas-Johnson-500x500-Bio1.png?w=105&h=105) [Medically reviewed]() by [Thomas Johnson, PA-C]() — Written by [Adrienne Santos-Longhurst]() — [Updated on April 22, 2025]() © 2026 Healthline Media LLC. All rights reserved. Healthline Media is an RVO Health Company. Our website services, content, and products are for informational purposes only. Healthline Media does not provide medical advice, diagnosis, or treatment. 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[See additional information](https://www.healthline.com/additional-information). © 2026 Healthline Media LLC. All rights reserved. Healthline Media is an RVO Health Company. Our website services, content, and products are for informational purposes only. Healthline Media does not provide medical advice, diagnosis, or treatment. [See additional information](https://www.healthline.com/additional-information). 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Readable Markdown	Chronic insomnia refers to sleep problems that last at least 3 times per week for 3 months. Causes range from sleep habits to medical conditions. Medications, therapy, and lifestyle changes may help. Insomnia is a sleep disorder that refers to trouble falling asleep, trouble staying asleep, or both. Acute insomnia lasts for shorter periods of time, and may resolve on its own. However, if you experience chronic insomnia, or sleep problems that last for months at a time, it is best to contact a doctor for an accurate diagnosis and treatment plan. Read on to learn more about chronic insomnia, including the type and symptoms, causes, treatment options, and more. There are [two main types](https://www.ncbi.nlm.nih.gov/books/NBK526136/) of chronic insomnia: primary and secondary. Both refer to insomnia that usually happens at least 3 times per week for at least 3 months. Primary insomnia isn’t due to other medical conditions or medications, but the exact cause is unclear. Secondary insomnia is caused by an underlying condition or environmental situation. This means that it could happen due to your sleeping condition, such as sleeping in a room that is too bright or noisy, or as a result of a medical condition. Chronic insomnia can cause symptoms at night [as well as](https://www.ncbi.nlm.nih.gov/books/NBK526136/) during the day. It can interfere with your ability to go on with your daily tasks. Symptoms may include: - trouble falling asleep - waking up throughout the night - trouble staying asleep or trouble returning to sleep - [waking up too early](https://www.healthline.com/health/waking-up-too-early) - daytime sleepiness or grogginess - not feeling rested after a night’s sleep - irritability - depression - difficulty concentrating - problems with memory - increase in mistakes and accidents Chronic insomnia is due to an underlying medical condition. Certain medications and stimulants can cause chronic insomnia, along with lifestyle patterns. Medical conditions Chronic insomnia can be [caused by](https://www.nhs.uk/conditions/insomnia/) a number of long-term medical conditions, [including](https://www.ncbi.nlm.nih.gov/books/NBK526136/): - respiratory conditions, [including](https://www.ncbi.nlm.nih.gov/books/NBK526136/) : - [asthma](https://www.healthline.com/health/asthma) - [chronic obstructive pulmonary disease (COPD)](https://www.healthline.com/health/copd) - sleep apnea - [diabetes](https://www.healthline.com/health/diabetes) - [restless leg syndrome](https://www.healthline.com/health/restless-leg-syndrome) - [menopause](https://www.nia.nih.gov/health/menopause/sleep-problems-and-menopause-what-can-i-do) - stress - [anxiety](https://www.healthline.com/health/anxiety) - [depression](https://www.healthline.com/health/depression/facts-statistics-infographic) - [bipolar disorder](https://www.healthline.com/health/bipolar-disorder) - [Alzheimer’s disease](https://www.healthline.com/health/alzheimers-disease) - [Parkinson’s disease](https://www.healthline.com/health/parkinsons) Medications and stimulants For some people, certain medications and stimulants may cause chronic insomnia. Examples include: - alcohol - antidepressants - beta-blockers - caffeine - nicotine - stimulant laxatives Lifestyle behaviors Certain lifestyle behaviors may lead to chronic insomnia. These include: - rotating shift work - frequent travel across multiple time zones, leading to [jet lag](https://www.healthline.com/health/jet-lag) - not getting enough physical activity or exercise - frequent daytime napping - problems with the sleeping environment, such as sleeping in a room that is too bright or noisy There are several things that you can do at home to treat or prevent chronic insomnia. One important option for treatment is known as [sleep hygiene](https://www.healthline.com/health/sleep-hygiene). This refers to making the room as comfortable as possible and following a routine before bed to help improve your ability to fall asleep and stay asleep. Tips that may help include: - avoiding caffeine, alcohol, or cigarette use, [especially](https://www.nhlbi.nih.gov/health/insomnia/treatment) right before bed - getting enough regular physical activity or exercise - avoiding taking naps - avoiding eating large meals right before bed - trying to go to bed and get up at the same time every day - avoiding looking at [smartphones or other screens](https://www.nhs.uk/conditions/insomnia/) right before bed - keeping your bedroom dark and at a comfortable temperature If insomnia does not resolve with home remedies, it’s best to contact a doctor. The doctor can help determine if there is an underlying condition causing your insomnia, in which case you may need to directly treat that medical condition. Your doctor can also recommend treatments that may help directly address chronic insomnia. Cognitive behavioral therapy (CBT) CBT [can be an effective method](https://www.nhlbi.nih.gov/health/insomnia/treatment) for treating chronic insomnia. It involves providing education on sleep and better sleep habits, while teaching behavior modifications to help improve your ability to sleep. Some of the strategies of CBT that are specifically focused on insomnia, known as [CBT-I](https://www.healthline.com/health/insomnia/cognitive-behavioral-therapy-for-insomnia), include: - Cognitive techniques: Using journaling to write down worries or concerns before going to bed may help keep a person from actively attempting to work them out while also trying to sleep. - Stimulus control: This entails altering behaviors that condition your mind to fight sleep. Setting a sleep and wake time routine is part of this strategy. Other examples are using your bed only for sleep and sex, and leaving your bedroom if you’re unable to fall asleep within a set number of minutes. - Sleep restriction: This therapy involves limiting the amount of time you spend in bed, including avoiding naps. The goal is to deprive you of enough sleep so that you’re tired at bedtime. Your time in bed is gradually increased as your sleep improves. - Relaxation techniques: - Breathing exercises, yoga, guided meditation, and other techniques may help reduce muscle tension and control your breathing and heart rate so that you’re able to relax. Medications There are a number of prescription medications and over-the-counter (OTC) sleep aids that may help you get to sleep or remain asleep. While effective, doctors don’t typically recommend using [sleeping pills](https://www.healthline.com/health/insomnia-treatments) long term because of the side effects, which [can include](https://www.nhs.uk/medicines/zolpidem/side-effects-of-zolpidem/) daytime sleepiness, memory problems, and more. However, they may recommend them for short term use. Some of the prescription medications that doctors may recommend [include](https://www.ncbi.nlm.nih.gov/books/NBK526136/): - zolpidem (Ambien) - eszopiclone (Lunesta) - zaleplon (Sonata) - doxepin (Silenor) - ramelteon (Rozerem) - suvorexant ([Belsomra](https://www.healthline.com/health/drugs/belsomra)) - temazepam (Restoril) OTC sleep aid options may include - diphenhydramine (Benadryl) - other antihistamines - [melatonin](https://www.healthline.com/nutrition/melatonin-and-sleep) Always speak with your doctor before taking an OTC sleep aid, including natural remedies, such as melatonin. Just like prescription drugs, OTC and natural sleep aids can cause unwanted side effects and interfere with other medications. If your chronic insomnia is caused by an underlying medical condition, treating the condition may cure your insomnia. Chronic health conditions that cause insomnia can be managed with changes in treatment, in turn managing or preventing insomnia. Taking steps to improve sleep hygiene may also cure chronic insomnia. It’s best to talk with your doctor if insomnia symptoms do not improve with home remedies or OTC treatments. Chronic insomnia refers to difficulty falling asleep or staying asleep, usually at least three nights per week for at least 3 months. The exact cause of primary chronic insomnia is unclear. Secondary chronic insomnia happens due to an underlying condition or problems with sleep hygiene. Examples of conditions that can cause chronic insomnia include sleep apnea, restless leg syndrome, diabetes, asthma, stress, anxiety, and depression. Improving sleep hygiene, avoiding caffeine and alcohol, and avoiding taking naps may help. Doctors may also recommend medical treatments for the underlying cause, medications to help with sleep, and cognitive behavioral therapy (CBT). Contact a doctor if you frequently have trouble falling asleep or staying asleep. Your doctor can help determine whether this is due to a medical condition or other cause, and they can advise on remedies and treatments that may help.
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