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| Meta Title | Types of Insomnia: How to Tell Them Apart and How to Treat Them | |||||||||
| Meta Description | There are different types of insomnia, and all of them can interfere with your ability to function during the day. Left untreated, insomnia can increase your risk of depression and other serious conditions. | |||||||||
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| Boilerpipe Text | Insomnia
is a sleep disorder that makes it hard to fall or stay asleep. It leads to daytime sleepiness and a lack of feeling rested when you wake up.
Stress
,
menopause
, and certain physical and mental health conditions are common causes of insomnia.
Each type of insomnia is characterized by its duration, effects on sleep, and underlying causes.
Acute insomnia
Acute insomnia is short-term insomnia that typically lasts
3 to 14 days
. It’s the most common type of insomnia, with up to 30 percent of the population experiencing it annually.
Acute insomnia is also referred to as adjustment insomnia because it typically occurs when you experience a stressful event, such as the death of a loved one or starting a new job.
Along with stress, acute insomnia can also be caused by:
environmental factors that disrupt your sleep, such as noise or light
sleeping in an unfamiliar bed or surroundings, such as a hotel or new home
physical discomfort, such as pain or being unable to assume a comfortable position
certain medications
illness
jet lag
Chronic insomnia
Insomnia is considered chronic if you have trouble sleeping for at least 3 days per week for at least 3 months. It occurs in around
10 percent
of the population.
Chronic insomnia
can be
primary or secondary
. Primary chronic insomnia, which is also called idiopathic insomnia, doesn’t have an obvious cause or underlying medical condition — it develops on its own.
Secondary insomnia, also called comorbid insomnia, is more common. It’s chronic insomnia that occurs with another condition, such as
sleep apnea
.
chronic medical conditions, such as:
diabetes
Parkinson’s disease
hyperthyroidism
obstructive
and
central sleep apnea
mental health conditions, such as:
depression
anxiety
attention deficit hyperactivity disorder
post-traumatic stress disorder
medications
, including:
chemotherapy
drugs
antidepressants
beta-blockers
caffeine
and other stimulants, such as:
alcohol
nicotine
other drugs
lifestyle factors, including:
frequent travel and jet lag
rotating shift work
napping
Onset insomnia
Onset insomnia involves having trouble initiating sleep. This type of insomnia can be short-term or chronic.
Any of the causes of acute and chronic insomnia can make it difficult to fall asleep.
Psychological or psychiatric conditions
are the most common causes, including stress, anxiety, or depression.
Caffeine and other stimulants can also prevent you from falling asleep.
Maintenance insomnia
Maintenance insomnia is difficulty staying asleep or waking up too early and having trouble getting back to sleep.
This type of insomnia causes you to worry about not being able to fall back asleep and not getting enough sleep. This interferes with sleep further, creating a vicious cycle.
Maintenance insomnia can be caused by mental health conditions, such as depression. Other medical conditions that can cause you to wake up include:
gastroesophageal reflux disease
sleep apnea
asthma
and other respiratory conditions
restless leg syndrome
periodic limb movement disorder
Behavioral insomnia of childhood
Behavioral insomnia of childhood (BIC) affects up to
30 percent
of children. It’s divided into three subtypes:
BIC sleep-onset:
This type results from special conditions at bedtime, such as learning to go to sleep by being rocked or having a parent nearby as a child falls asleep.
BIC limit-setting:
This type involves a child’s refusal to go to bed and repeated attempts to put off going to sleep. Examples of this behavior are asking for a drink, to go to the bathroom, or for a parent to read them another story. A child may also refuse to go back to sleep after they wake up.
BIC combined type:
This is a combination of sleep-onset and limit-setting BIC.
BIC can usually be resolved with a few behavioral changes, such as creating a healthy sleep routine or learning self-soothing or relaxation techniques.
See a doctor if insomnia is making it hard for you to function during the day or if it lasts more than a couple of weeks. A doctor can help determine the cause of your insomnia and the most effective way to treat it.
How is insomnia diagnosed?
Diagnosing insomnia may include a
physical examination
and a review of your medical history to check for signs of an underlying condition.
You may also be asked to track your sleep patterns and symptoms in a sleep diary. A doctor may refer you for a
sleep study
to check for other sleep disorders.
What are the risks and side effects of insomnia?
Insomnia can cause a number of risks and side effects that affect your mental and physical health and impact your ability to function.
decreased performance at work or school
increased risk of accidents
increased risk of depression and other mental health conditions
increased risk
of chronic medical conditions, such as
heart disease
and metabolic syndrome
How do you treat insomnia?
Treatment for insomnia varies depending on the cause.
Treatment for chronic insomnia may require addressing any underlying condition that’s causing your insomnia. A doctor may recommend cognitive
behavioral therapy
for insomnia (CBT-I), which is now the
first-line treatment
for insomnia.
Overall, it’s important to learn how to reduce your sleep-related anxiety and any negative behaviors around sleep.
Each of the different types of insomnia can interfere with your ability to function during the day.
Acute, chronic, onset, maintenance, and behavioral insomnia of childhood are the types of insomnia. Each is associated with sleeping difficulty.
The type that you might have may depend on the cause, its duration, and how it’s affecting your sleep. See a doctor if your insomnia is affecting your daily life for more than a couple of weeks.
Left untreated, chronic insomnia can increase your risk of depression and other serious conditions. | |||||||||
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Explore more in
- Treatment
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- Diagnosis
- Causes & Risk Factors
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- Diet
- Related Conditions
- Complications
Insomnia
#### Related Hubs
[Sleep Health Routines and tips for healthier sleep](https://www.healthline.com/sleep)
[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 A guide to medications and treatments for sleep management](https://www.healthline.com/sleep/treatment)
#### Related Articles
- [Treatment](https://www.healthline.com/health/sleep/how-to-cure-insomnia-in-12-minutes)
- [Treatment](https://www.healthline.com/health/insomnia-treatments)
- [Chronic](https://www.healthline.com/health/chronic-insomnia)
- [Specialists](https://www.healthline.com/health/insomnia-doctors)
- ### Types
Types
#### Related Articles
- [Types](https://www.healthline.com/health/types-of-insomnia)
- [Paradoxical Insomnia](https://www.healthline.com/health/insomnia/paradoxical-insomnia)
- [Sporadic Fatal](https://www.healthline.com/health/insomnia/sporadic-fatal-insomnia)
- [Middle](https://www.healthline.com/health/insomnia/middle-insomnia)
- ### Prognosis
Prognosis
#### Related Articles
- [Outlook](https://www.healthline.com/health/insomnia/infographic-facts-stats-on-insomnia)
- ### Symptoms
Symptoms
#### Related Articles
- [Effects on the Body](https://www.healthline.com/health/insomnia-concerns)
- [Difficulty Sleeping](https://www.healthline.com/health/sleeping-difficulty)
- ### Diagnosis
Diagnosis
#### Related Articles
- [Diagnosis](https://www.healthline.com/health/insomnia/do-i-have-insomnia)
- [Waking Up Too Early](https://www.healthline.com/health/waking-up-too-early)
- [Typical Time to Fall Asleep](https://www.healthline.com/health/healthy-sleep/how-long-does-it-take-to-fall-asleep)
- [Light Sleepers](https://www.healthline.com/health/light-sleeper)
- [In Men](https://www.healthline.com/health/insomnia-in-men)
- ### Causes & Risk Factors
Causes & Risk Factors
#### Related Articles
- [Causes and Risk Factors](https://www.healthline.com/health/insomnia-causes)
- [After Surgery](https://www.healthline.com/health/insomnia-after-surgery)
- [Vaccines](https://www.healthline.com/health/vaccinations/can-vaccines-cause-insomnia)
- [Hormones](https://www.healthline.com/health/insomnia/hormonal-insomnia-symptoms)
- [Anxiety-Induced](https://www.healthline.com/health/anxiety-insomnia)
- [Dehydration](https://www.healthline.com/health/insomnia/dehydration-insomnia-symptoms)
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- ### Management
Management
#### Related Hub
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- [Best Weighted Blankets](https://www.healthline.com/health/choose-right-size-weighted-blanket)
- ### Diet
Diet
#### Related Articles
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- ### Related Conditions
Related Conditions
#### Related Articles
- [Menopause-Related Insomnia](https://www.healthline.com/health/menopause/menopause-and-insomnia)
- [PMS Insomnia](https://www.healthline.com/health/insomnia/pms-insomnia)
- [High Blood Pressure](https://www.healthline.com/health/high-blood-pressure/can-high-blood-pressure-cause-insomnia)
- [OCD](https://www.healthline.com/health/ocd/ocd-and-insomnia)
- [Sleep Apnea](https://www.healthline.com/health/insomnia-vs-sleep-apnea)
- ### Complications
Complications
#### Related Articles
- [Heart Health](https://www.healthline.com/health/insomnia/how-insomnia-affects-your-heart)
# Different Types of Insomnia Explained

[Medically reviewed]() by [Thomas Johnson, PA-C]() — Written by [Adrienne Santos-Longhurst]() — [Updated on September 11, 2024]()
- [Types](https://www.healthline.com/health/types-of-insomnia#types)
- [When to see a doctor](https://www.healthline.com/health/types-of-insomnia#when-to-see-a-doctor)
- [FAQ](https://www.healthline.com/health/types-of-insomnia#faq)
- [Takeaway](https://www.healthline.com/health/types-of-insomnia#takeaway)
### Key takeaways
- Types of insomnia include onset insomnia (trouble falling asleep), maintenance insomnia (trouble staying asleep), and behavioral insomnia of childhood. Insomnia may be acute or chronic.
- Acute insomnia is short-term and often related to stress or changes in your environment, while chronic insomnia lasts for at least 3 months and may be a result of underlying health conditions or medications.
- If insomnia is affecting your daily life for more than a couple of weeks, it’s a good idea to get medical advice to determine the cause and find the most effective treatment, as untreated chronic insomnia can lead to other health issues.
[Insomnia](https://www.healthline.com/health/insomnia-concerns) is a sleep disorder that makes it hard to fall or stay asleep. It leads to daytime sleepiness and a lack of feeling rested when you wake up.
Approximately [10 to 15 percent](https://www.ncbi.nlm.nih.gov/books/NBK526136/) of the general population experiences insomnia, but it’s considerably more common in [post and perimenopausal people](https://www.healthline.com/health/menopause/menopause-and-insomnia) and [older adults](https://www.healthline.com/health/sleep/sleep-disorders-in-the-elderly). It can last a few days or weeks or continue long term.
[Stress](https://www.healthline.com/health/stress), [menopause](https://www.healthline.com/health/menopause), and certain physical and mental health conditions are common causes of insomnia.
## [Types of insomnia]()
Each type of insomnia is characterized by its duration, effects on sleep, and underlying causes.
### Acute insomnia
Acute insomnia is short-term insomnia that typically lasts [3 to 14 days](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7071368/). It’s the most common type of insomnia, with up to 30 percent of the population experiencing it annually.
Acute insomnia is also referred to as adjustment insomnia because it typically occurs when you experience a stressful event, such as the death of a loved one or starting a new job.
Along with stress, acute insomnia can also be caused by:
- environmental factors that disrupt your sleep, such as noise or light
- sleeping in an unfamiliar bed or surroundings, such as a hotel or new home
- physical discomfort, such as pain or being unable to assume a comfortable position
- certain medications
- illness
- [jet lag](https://www.healthline.com/health/jet-lag)
### Chronic insomnia
Insomnia is considered chronic if you have trouble sleeping for at least 3 days per week for at least 3 months. It occurs in around [10 percent](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7071368/) of the population.
[Chronic insomnia](https://www.healthline.com/health/chronic-insomnia) can be [primary or secondary](https://www.dukehealth.org/treatments/sleep-disorders/insomnia). Primary chronic insomnia, which is also called idiopathic insomnia, doesn’t have an obvious cause or underlying medical condition — it develops on its own.
Secondary insomnia, also called comorbid insomnia, is more common. It’s chronic insomnia that occurs with another condition, such as [sleep apnea](https://www.healthline.com/health/insomnia-vs-sleep-apnea).
Chronic insomnia is [commonly associated with](https://sleepeducation.org/sleep-disorders/insomnia/):
- chronic medical conditions, such as:
- [diabetes](https://www.healthline.com/health/diabetes)
- [Parkinson’s disease](https://www.healthline.com/health/parkinsons)
- [hyperthyroidism](https://www.healthline.com/health/hyperthyroidism)
- [obstructive](https://www.healthline.com/health/sleep/obstructive-sleep-apnea) and [central sleep apnea](https://www.healthline.com/health/sleep/central-sleep-apnea)
- mental health conditions, such as:
- [depression](https://www.healthline.com/health/insomnia/treating-insomnia-and-depression)
- [anxiety](https://www.healthline.com/health/anxiety-insomnia)
- [attention deficit hyperactivity disorder](https://www.healthline.com/health/adhd)
- [post-traumatic stress disorder](https://www.healthline.com/health/shell-shock-ptsd)
- [medications](https://onlinelibrary.wiley.com/doi/full/10.1111/jsr.13075)
, including:
- [chemotherapy](https://www.healthline.com/health/chemotherapy) drugs
- [antidepressants](https://www.healthline.com/health/depression/medication-list)
- [beta-blockers](https://www.healthline.com/health/beta-blockers-for-anxiety)
- [caffeine](https://www.healthline.com/nutrition/caffeine-side-effects) and other stimulants, such as:
- [alcohol](https://www.healthline.com/health/alcohol/alcohol-insomnia)
- [nicotine](https://www.healthline.com/health/nicotine-and-related-disorders)
- other drugs
- lifestyle factors, including:
- frequent travel and jet lag
- rotating shift work
- [napping](https://www.healthline.com/health/guide-to-power-naps)
### Onset insomnia
Onset insomnia involves having trouble initiating sleep. This type of insomnia can be short-term or chronic.
Any of the causes of acute and chronic insomnia can make it difficult to fall asleep. [Psychological or psychiatric conditions](https://academic.oup.com/milmed/article/186/Supplement_1/246/6119496) are the most common causes, including stress, anxiety, or depression.
According to a [2009 study](https://www.e-jsm.org/journal/view.php?number=97), people with chronic onset insomnia often have another sleep disorder, such as [restless leg syndrome](https://www.healthline.com/health/restless-leg-syndrome) or [periodic limb movement disorder](https://www.healthline.com/health/sleep-disorder-periodic-limb-movement).
Caffeine and other stimulants can also prevent you from falling asleep.
### Maintenance insomnia
Maintenance insomnia is difficulty staying asleep or waking up too early and having trouble getting back to sleep.
This type of insomnia causes you to worry about not being able to fall back asleep and not getting enough sleep. This interferes with sleep further, creating a vicious cycle.
Maintenance insomnia can be caused by mental health conditions, such as depression. Other medical conditions that can cause you to wake up include:
- [gastroesophageal reflux disease](https://www.healthline.com/health/gerd/facts-statistics-infographic)
- sleep apnea
- [asthma](https://www.healthline.com/health/asthma/how-to-sleep-with-asthma-positions) and other respiratory conditions
- restless leg syndrome
- [periodic limb movement disorder](https://www.healthline.com/health/sleep-disorder-periodic-limb-movement)
### Behavioral insomnia of childhood
Behavioral insomnia of childhood (BIC) affects up to [30 percent](https://www.thoracic.org/patients/patient-resources/resources/behavioral-insomnia-childhood.pdf) of children. It’s divided into three subtypes:
- **BIC sleep-onset:** This type results from special conditions at bedtime, such as learning to go to sleep by being rocked or having a parent nearby as a child falls asleep.
- **BIC limit-setting:** This type involves a child’s refusal to go to bed and repeated attempts to put off going to sleep. Examples of this behavior are asking for a drink, to go to the bathroom, or for a parent to read them another story. A child may also refuse to go back to sleep after they wake up.
- **BIC combined type:** This is a combination of sleep-onset and limit-setting BIC.
BIC can usually be resolved with a few behavioral changes, such as creating a healthy sleep routine or learning self-soothing or relaxation techniques.
## [When to see a doctor for insomnia]()
See a doctor if insomnia is making it hard for you to function during the day or if it lasts more than a couple of weeks. A doctor can help determine the cause of your insomnia and the most effective way to treat it.
## [Frequently asked questions]()
### How is insomnia diagnosed?
Diagnosing insomnia may include a [physical examination](https://www.healthline.com/health/physical-examination) and a review of your medical history to check for signs of an underlying condition.
You may also be asked to track your sleep patterns and symptoms in a sleep diary. A doctor may refer you for a [sleep study](https://www.healthline.com/health/polysomnography) to check for other sleep disorders.
### What are the risks and side effects of insomnia?
Insomnia can cause a number of risks and side effects that affect your mental and physical health and impact your ability to function.
[Risks and side effects](https://www.ncbi.nlm.nih.gov/books/NBK19961/) of insomnia include:
- decreased performance at work or school
- increased risk of accidents
- increased risk of depression and other mental health conditions
- [increased risk](https://pdf.sciencedirectassets.com/273577/1-s2.0-S1556407X22X00040/1-s2.0-S1556407X22000224/am.pdf?X-Amz-Security-Token=IQoJb3JpZ2luX2VjEDgaCXVzLWVhc3QtMSJIMEYCIQD215BPKE0GQK5EdAVMKtiN19%2BtNMGCShfcMn7vP%2FHw%2BwIhAKuPP1WSvRomgClS3efyfei9TJrEJWOl%2F0yHQ2YUtQlKKrIFCGEQBRoMMDU5MDAzNTQ2ODY1IgyYDtqwu7wUZQ7590sqjwX7LlY6QfIosEwi04eeVqihZj679H11Icnro9ycQKgZK2Nxv03J0TkV%2FJpP2qtVuDMKzpUtee2QEzkTkhycMOBSsRgXlSUWR1PsS0TSqr6pJzz2N3q2WQJont0Iy9sKoPsO%2B4MxfZNNZJYec0Oa9h%2Fu453%2FuhPLl1KJ8616b%2FnLAXSOBWsOR8lrcV7DjDzBDnMjie0vyv6lb4nm6Yzj0vouDxWzSrLhsqBf1AQLqcM53bRQ3XcunFZJWxVus6Y11vH6n2wN9%2Fx5%2BweDqH0Dd%2BFZ0KVa%2BxUoevmrrNK90bc0c2HhbRAS8xlMorsFn4SrMBOW%2BVC4eSHmJyoNsmdJzGpfLmluMigZQ1ZaWbg0xl8vQT%2B8TSEYI8%2Bpyf5WQnjrs%2FFEl3ZJejr%2Fa6qT0zNPILdHZCMhuG7eGOsmrjZVzyVYOZl9afuHjZ%2FVaZkbq1NZVDrqFbrH1K0OEaWEu%2BJ6t%2B6M4PR9R8PndPuYaMwO9TsOp8H8R0m6BkwcO6tkqLv4gwdGDjghz0AIersnh4jFhzqDBvHG36jF%2BKWUI5qQXjyJ%2FLXVAGBFELyo0k4BXptT59fZaVQ1E%2Bitz9sJE2rDlS3XE7Q6P%2F2Q%2FVRuKvTsLjxVn5txrnO%2FJTh%2Bbj25PgNmjGoP%2FBvVvOXGCR4R2sRGmvVhIDABeI5rUnaUHykaSeXHMmhBqr20lPWHfW%2B09blBfefR0tlRWUTTsZ%2F4uJ4rb2DZrdhPBruzMiAzCrJ2GfF0Iw4xHtCq7e2XofhCpIkk2Yi63TRd6ECWs5U1RxTlhO9Y%2F47RO94WkjsfGa2RXev3M09zC058B5LraCRr9hc4irkqIsj1ZeJXjCwojGbj%2F%2BfwiiupxuqoXmGLxkDWXyFjMMGy%2FLYGOrABQ%2BDFSkboBscRbgg48oE%2Bv9cUl71yV6baJab07vD3UUqkWrTPj9pY6nwfHpZ2ba1XyqWsMZWWTuWYHPZXatBnpGV8%2BwAfZPtArEG1ksDZx2F1bQHMjIBPPq6BwhSTnOSsh9Y6zJw8ZtA4BmEhoX6YFG8FKw%2Bt7jOwH3sz1ZCkLfCFXB6KYAC6WAms3VHLSa04xZbmqBtzlwQPJDoiWSefKHCKyRzURmkJRVIznSWqshs%3D&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Date=20240909T165152Z&X-Amz-SignedHeaders=host&X-Amz-Expires=300&X-Amz-Credential=ASIAQ3PHCVTYQGGSZBZU%2F20240909%2Fus-east-1%2Fs3%2Faws4_request&X-Amz-Signature=3dee1567258554c280caf888e48cd44a155efe00ede5c0ec7b00203305917a60&hash=23711fe3bfa91e4e9c466171b25bd989e32264a0710497565768cd3915dfeda7&host=68042c943591013ac2b2430a89b270f6af2c76d8dfd086a07176afe7c76c2c61&pii=S1556407X22000224&tid=pdf-aed935b1-b185-4584-a04f-21ddc42623bf&sid=73a54de057c22148492a2bc216254953adeegxrqa&type=client) of chronic medical conditions, such as [heart disease](https://www.healthline.com/health/heart-disease) and metabolic syndrome
### How do you treat insomnia?
Treatment for insomnia varies depending on the cause.
You may be able to treat acute insomnia at home with an over-the-counter sleep aid or by [managing your stress](https://www.healthline.com/nutrition/16-ways-relieve-stress-anxiety). Other treatments include [medication and drug management](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8377300/).
Treatment for chronic insomnia may require addressing any underlying condition that’s causing your insomnia. A doctor may recommend cognitive [behavioral therapy](https://www.healthline.com/health/behavioral-therapy) for insomnia (CBT-I), which is now the [first-line treatment](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8808745/) for insomnia.
Overall, it’s important to learn how to reduce your sleep-related anxiety and any negative behaviors around sleep.
## [The takeaway]()
Each of the different types of insomnia can interfere with your ability to function during the day.
Acute, chronic, onset, maintenance, and behavioral insomnia of childhood are the types of insomnia. Each is associated with sleeping difficulty.
The type that you might have may depend on the cause, its duration, and how it’s affecting your sleep. See a doctor if your insomnia is affecting your daily life for more than a couple of weeks.
Left untreated, chronic insomnia can increase your risk of depression and other serious conditions.
### 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).
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[Medically reviewed]() by [Thomas Johnson, PA-C]() — Written by [Adrienne Santos-Longhurst]() — [Updated on September 11, 2024]()
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| Readable Markdown | [Insomnia](https://www.healthline.com/health/insomnia-concerns) is a sleep disorder that makes it hard to fall or stay asleep. It leads to daytime sleepiness and a lack of feeling rested when you wake up.
[Stress](https://www.healthline.com/health/stress), [menopause](https://www.healthline.com/health/menopause), and certain physical and mental health conditions are common causes of insomnia.
Each type of insomnia is characterized by its duration, effects on sleep, and underlying causes.
Acute insomnia
Acute insomnia is short-term insomnia that typically lasts [3 to 14 days](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7071368/). It’s the most common type of insomnia, with up to 30 percent of the population experiencing it annually.
Acute insomnia is also referred to as adjustment insomnia because it typically occurs when you experience a stressful event, such as the death of a loved one or starting a new job.
Along with stress, acute insomnia can also be caused by:
- environmental factors that disrupt your sleep, such as noise or light
- sleeping in an unfamiliar bed or surroundings, such as a hotel or new home
- physical discomfort, such as pain or being unable to assume a comfortable position
- certain medications
- illness
- [jet lag](https://www.healthline.com/health/jet-lag)
Chronic insomnia
Insomnia is considered chronic if you have trouble sleeping for at least 3 days per week for at least 3 months. It occurs in around [10 percent](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7071368/) of the population.
[Chronic insomnia](https://www.healthline.com/health/chronic-insomnia) can be [primary or secondary](https://www.dukehealth.org/treatments/sleep-disorders/insomnia). Primary chronic insomnia, which is also called idiopathic insomnia, doesn’t have an obvious cause or underlying medical condition — it develops on its own.
Secondary insomnia, also called comorbid insomnia, is more common. It’s chronic insomnia that occurs with another condition, such as [sleep apnea](https://www.healthline.com/health/insomnia-vs-sleep-apnea).
- chronic medical conditions, such as:
- [diabetes](https://www.healthline.com/health/diabetes)
- [Parkinson’s disease](https://www.healthline.com/health/parkinsons)
- [hyperthyroidism](https://www.healthline.com/health/hyperthyroidism)
- [obstructive](https://www.healthline.com/health/sleep/obstructive-sleep-apnea) and [central sleep apnea](https://www.healthline.com/health/sleep/central-sleep-apnea)
- mental health conditions, such as:
- [depression](https://www.healthline.com/health/insomnia/treating-insomnia-and-depression)
- [anxiety](https://www.healthline.com/health/anxiety-insomnia)
- [attention deficit hyperactivity disorder](https://www.healthline.com/health/adhd)
- [post-traumatic stress disorder](https://www.healthline.com/health/shell-shock-ptsd)
- [medications](https://onlinelibrary.wiley.com/doi/full/10.1111/jsr.13075)
, including:
- [chemotherapy](https://www.healthline.com/health/chemotherapy) drugs
- [antidepressants](https://www.healthline.com/health/depression/medication-list)
- [beta-blockers](https://www.healthline.com/health/beta-blockers-for-anxiety)
- [caffeine](https://www.healthline.com/nutrition/caffeine-side-effects) and other stimulants, such as:
- [alcohol](https://www.healthline.com/health/alcohol/alcohol-insomnia)
- [nicotine](https://www.healthline.com/health/nicotine-and-related-disorders)
- other drugs
- lifestyle factors, including:
- frequent travel and jet lag
- rotating shift work
- [napping](https://www.healthline.com/health/guide-to-power-naps)
Onset insomnia
Onset insomnia involves having trouble initiating sleep. This type of insomnia can be short-term or chronic.
Any of the causes of acute and chronic insomnia can make it difficult to fall asleep. [Psychological or psychiatric conditions](https://academic.oup.com/milmed/article/186/Supplement_1/246/6119496) are the most common causes, including stress, anxiety, or depression.
Caffeine and other stimulants can also prevent you from falling asleep.
Maintenance insomnia
Maintenance insomnia is difficulty staying asleep or waking up too early and having trouble getting back to sleep.
This type of insomnia causes you to worry about not being able to fall back asleep and not getting enough sleep. This interferes with sleep further, creating a vicious cycle.
Maintenance insomnia can be caused by mental health conditions, such as depression. Other medical conditions that can cause you to wake up include:
- [gastroesophageal reflux disease](https://www.healthline.com/health/gerd/facts-statistics-infographic)
- sleep apnea
- [asthma](https://www.healthline.com/health/asthma/how-to-sleep-with-asthma-positions) and other respiratory conditions
- restless leg syndrome
- [periodic limb movement disorder](https://www.healthline.com/health/sleep-disorder-periodic-limb-movement)
Behavioral insomnia of childhood
Behavioral insomnia of childhood (BIC) affects up to [30 percent](https://www.thoracic.org/patients/patient-resources/resources/behavioral-insomnia-childhood.pdf) of children. It’s divided into three subtypes:
- **BIC sleep-onset:** This type results from special conditions at bedtime, such as learning to go to sleep by being rocked or having a parent nearby as a child falls asleep.
- **BIC limit-setting:** This type involves a child’s refusal to go to bed and repeated attempts to put off going to sleep. Examples of this behavior are asking for a drink, to go to the bathroom, or for a parent to read them another story. A child may also refuse to go back to sleep after they wake up.
- **BIC combined type:** This is a combination of sleep-onset and limit-setting BIC.
BIC can usually be resolved with a few behavioral changes, such as creating a healthy sleep routine or learning self-soothing or relaxation techniques.
See a doctor if insomnia is making it hard for you to function during the day or if it lasts more than a couple of weeks. A doctor can help determine the cause of your insomnia and the most effective way to treat it.
How is insomnia diagnosed?
Diagnosing insomnia may include a [physical examination](https://www.healthline.com/health/physical-examination) and a review of your medical history to check for signs of an underlying condition.
You may also be asked to track your sleep patterns and symptoms in a sleep diary. A doctor may refer you for a [sleep study](https://www.healthline.com/health/polysomnography) to check for other sleep disorders.
What are the risks and side effects of insomnia?
Insomnia can cause a number of risks and side effects that affect your mental and physical health and impact your ability to function.
- decreased performance at work or school
- increased risk of accidents
- increased risk of depression and other mental health conditions
- [increased risk](https://pdf.sciencedirectassets.com/273577/1-s2.0-S1556407X22X00040/1-s2.0-S1556407X22000224/am.pdf?X-Amz-Security-Token=IQoJb3JpZ2luX2VjEDgaCXVzLWVhc3QtMSJIMEYCIQD215BPKE0GQK5EdAVMKtiN19%2BtNMGCShfcMn7vP%2FHw%2BwIhAKuPP1WSvRomgClS3efyfei9TJrEJWOl%2F0yHQ2YUtQlKKrIFCGEQBRoMMDU5MDAzNTQ2ODY1IgyYDtqwu7wUZQ7590sqjwX7LlY6QfIosEwi04eeVqihZj679H11Icnro9ycQKgZK2Nxv03J0TkV%2FJpP2qtVuDMKzpUtee2QEzkTkhycMOBSsRgXlSUWR1PsS0TSqr6pJzz2N3q2WQJont0Iy9sKoPsO%2B4MxfZNNZJYec0Oa9h%2Fu453%2FuhPLl1KJ8616b%2FnLAXSOBWsOR8lrcV7DjDzBDnMjie0vyv6lb4nm6Yzj0vouDxWzSrLhsqBf1AQLqcM53bRQ3XcunFZJWxVus6Y11vH6n2wN9%2Fx5%2BweDqH0Dd%2BFZ0KVa%2BxUoevmrrNK90bc0c2HhbRAS8xlMorsFn4SrMBOW%2BVC4eSHmJyoNsmdJzGpfLmluMigZQ1ZaWbg0xl8vQT%2B8TSEYI8%2Bpyf5WQnjrs%2FFEl3ZJejr%2Fa6qT0zNPILdHZCMhuG7eGOsmrjZVzyVYOZl9afuHjZ%2FVaZkbq1NZVDrqFbrH1K0OEaWEu%2BJ6t%2B6M4PR9R8PndPuYaMwO9TsOp8H8R0m6BkwcO6tkqLv4gwdGDjghz0AIersnh4jFhzqDBvHG36jF%2BKWUI5qQXjyJ%2FLXVAGBFELyo0k4BXptT59fZaVQ1E%2Bitz9sJE2rDlS3XE7Q6P%2F2Q%2FVRuKvTsLjxVn5txrnO%2FJTh%2Bbj25PgNmjGoP%2FBvVvOXGCR4R2sRGmvVhIDABeI5rUnaUHykaSeXHMmhBqr20lPWHfW%2B09blBfefR0tlRWUTTsZ%2F4uJ4rb2DZrdhPBruzMiAzCrJ2GfF0Iw4xHtCq7e2XofhCpIkk2Yi63TRd6ECWs5U1RxTlhO9Y%2F47RO94WkjsfGa2RXev3M09zC058B5LraCRr9hc4irkqIsj1ZeJXjCwojGbj%2F%2BfwiiupxuqoXmGLxkDWXyFjMMGy%2FLYGOrABQ%2BDFSkboBscRbgg48oE%2Bv9cUl71yV6baJab07vD3UUqkWrTPj9pY6nwfHpZ2ba1XyqWsMZWWTuWYHPZXatBnpGV8%2BwAfZPtArEG1ksDZx2F1bQHMjIBPPq6BwhSTnOSsh9Y6zJw8ZtA4BmEhoX6YFG8FKw%2Bt7jOwH3sz1ZCkLfCFXB6KYAC6WAms3VHLSa04xZbmqBtzlwQPJDoiWSefKHCKyRzURmkJRVIznSWqshs%3D&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Date=20240909T165152Z&X-Amz-SignedHeaders=host&X-Amz-Expires=300&X-Amz-Credential=ASIAQ3PHCVTYQGGSZBZU%2F20240909%2Fus-east-1%2Fs3%2Faws4_request&X-Amz-Signature=3dee1567258554c280caf888e48cd44a155efe00ede5c0ec7b00203305917a60&hash=23711fe3bfa91e4e9c466171b25bd989e32264a0710497565768cd3915dfeda7&host=68042c943591013ac2b2430a89b270f6af2c76d8dfd086a07176afe7c76c2c61&pii=S1556407X22000224&tid=pdf-aed935b1-b185-4584-a04f-21ddc42623bf&sid=73a54de057c22148492a2bc216254953adeegxrqa&type=client) of chronic medical conditions, such as [heart disease](https://www.healthline.com/health/heart-disease) and metabolic syndrome
How do you treat insomnia?
Treatment for insomnia varies depending on the cause.
Treatment for chronic insomnia may require addressing any underlying condition that’s causing your insomnia. A doctor may recommend cognitive [behavioral therapy](https://www.healthline.com/health/behavioral-therapy) for insomnia (CBT-I), which is now the [first-line treatment](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8808745/) for insomnia.
Overall, it’s important to learn how to reduce your sleep-related anxiety and any negative behaviors around sleep.
Each of the different types of insomnia can interfere with your ability to function during the day.
Acute, chronic, onset, maintenance, and behavioral insomnia of childhood are the types of insomnia. Each is associated with sleeping difficulty.
The type that you might have may depend on the cause, its duration, and how it’s affecting your sleep. See a doctor if your insomnia is affecting your daily life for more than a couple of weeks.
Left untreated, chronic insomnia can increase your risk of depression and other serious conditions. | |||||||||
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