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URLhttps://www.sleepfoundation.org/insomnia
Last Crawled2026-04-13 04:51:50 (10 hours ago)
First Indexed2018-09-07 16:02:19 (7 years ago)
HTTP Status Code200
Meta TitleInsomnia: Symptoms, Causes, and Treatments
Meta DescriptionInsomnia is a sleep disorder that affects many people. Learn about symptoms, causes, and treatments.
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Skip to content Key Takeaways Insomnia is defined as difficulty either falling or staying asleep that is accompanied by daytime impairments. Nighttime insomnia symptoms can include trouble sleeping and early waking. Daytime insomnia symptoms may include fatigue, impaired memory, and irritability. There is no single established cause of insomnia, and insomnia disorders can often occur alongside other health conditions. Insomnia is one of the most common health concerns among adults. Insomnia causes sleep issues that interfere with daily life and can be debilitating for some people. Many factors may contribute to insomnia, including stress, medications, and an individual’s sleep habits and environment.  Struggling to Stay Awake? Take an At-Home Sleep Test our partner at sleepdoctor.com 10% off Home Sleep Tests Buy Now “Truly grateful for this home sleep test. Fair pricing and improved my sleep!” Dawn G. – Verified Tester Simple and convenient It’s simple and convenient Equipment delivered to your doorstep One overnight test in the comfort of your own bed Uncover sleep apnea Uncovers type of sleep apnea Quietly collects data while you sleep 98% effective in detecting sleep apnea Your browser does not support HTML5 video tag. Affordable & ships fast Affordable and ships fast Arrives in 2-4 business days In-lab sleep tests cost ~$3,000+ (this
one’s $189), HSA/FSA eligible Insomnia is a sleep disorder characterized by difficulty falling asleep, staying asleep, or both, even if you have ample time and a bedroom environment conducive to restful sleep. An insomnia diagnosis requires these sleep troubles to also cause daytime impairments, such as sleepiness or difficulty concentrating. Up to two-thirds of people occasionally experience insomnia symptoms . These bouts of sleeplessness may or may not meet the criteria for a formal diagnosis of insomnia, depending on how long they last and whether they cause distress or interfere with daily functioning. But it is important for anyone who has concerns about their sleep to discuss them with a health professional for proper diagnosis and treatment. A doctor can ask questions to better understand your situation and order tests to determine if an insomnia diagnosis is appropriate. Symptoms of insomnia can overlap with symptoms of other sleep disorders, so it is important to work with a professional rather than attempting to self-diagnose. Insomnia that goes untreated, leading to long-term sleep deprivation, is linked with a number of harmful effects , including lower quality of life and increased risk for substance abuse, chronic pain , heart disease , and diabetes . Say Goodbye to Insomnia Sign up to receive emails about how to improve your sleep,
as well as our comprehensive Better Sleep Guidebook. Risk Factors for Insomnia While there is no single cause of insomnia, studies have identified factors that can put a person at a greater risk for experiencing insomnia . These include, but are not limited to: Being a woman or assigned female at birth Older age Lower socioeconomic status Medical conditions like diabetes and chronic pain Other sleep disorders such as restless legs syndrome and sleep apnea Mood disorders including depression and anxiety   Having an immediate family member with insomnia It is important to note that not everyone who has one or more of these risk factors will have insomnia, and not everyone with insomnia will have one of these risk factors. Doctors generally diagnose insomnia by evaluating a person’s sleep habits and medical history.  Typically, a patient’s description of their symptoms informs their insomnia diagnosis. A doctor may instruct patients to keep a sleep diary for a week or more, which can provide insight about a person’s sleep duration, perceived sleep quality, and lifestyle choices that may contribute to sleep problems. Other self-reporting diagnostic tools, including the Pittsburgh Sleep Quality Index, may be used by medical professionals in a clinical setting to determine the severity of insomnia symptoms.   If a doctor needs to rule out other sleep disorders that could be causing a person’s symptoms, other assessments, such as a sleep study , may be ordered. Treatment for insomnia depends on how long a person has been experiencing sleep issues and any specific factors that are contributing to their sleep loss. If insomnia is associated with another condition, such as sleep apnea or depression, treatment of the other condition often improves sleep. It is important to get help with insomnia sooner than later. For people with short-term insomnia, care may be focused on discussing practices to support sleep hygiene . Temporary use of a prescription sleep aid may be an option if the insomnia is causing high levels of concern or distress. People with insomnia may also benefit from cognitive behavioral therapy for insomnia (CBT-I) . A few treatment approaches are available for people with insomnia that persists for weeks or months. Still have questions? Ask our community! Join our Sleep Care Community — a trusted hub of sleep health professionals, product specialists, and people just like you. Whether you need expert sleep advice for your insomnia or you’re searching for the perfect mattress, we’ve got you covered. Get personalized guidance from the experts who know sleep best. Written By Eric Suni, Contributing Writer Eric Suni has over a decade of experience as a science writer and was previously an information specialist for the National Cancer Institute. Medically Reviewed by Anis Rehman, MD, Internal Medicine Physician MD Dr. Anis Rehman, MD is an American Board of Internal Medicine (ABIM) certified physician in Internal Medicine as well as Endocrinology, Diabetes, and Metabolism who practices in Illinois. He completed his residency at Cleveland Clinic Akron General, and fellowship training at the University of Cincinnati in Ohio. Dr. Rehman has several dozens of research publications in reputable journals and conferences. Learn more about our Editorial Team References 4 Sources Bonnet, M., & Arand, D. (2022, April 15). Risk factors, comorbidities, and consequences of insomnia in adults. In R. Benca (Ed.). UpToDate., Retrieved June 5, 2023, from https://www.uptodate.com/contents/risk-factors-comorbidities-and-consequences-of-insomnia-in-adults American Academy of Sleep Medicine. (2014). The International Classification of Sleep Disorders – Third Edition (ICSD-3). Darien, IL. https://aasm.org/ Bjorøy, I., Jørgensen, V. A., Pallesen, S., & Bjorvatn, B. (2020). The prevalence of insomnia subtypes in relation to demographic characteristics, anxiety, depression, alcohol consumption and use of hypnotics. Frontiers in Psychology, 11, 527. https://pubmed.ncbi.nlm.nih.gov/32265811/ Bonnet, M. H., & Arand, D. L. (2021, June 18). Evaluation and diagnosis of insomnia in adults. In R. Benca (Ed.). UpToDate., Retrieved June 5, 2023, from https://www.uptodate.com/contents/evaluation-and-diagnosis-of-insomnia-in-adults
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[Read Full Bio](https://www.sleepfoundation.org/about-us/eric-suni) Want to read more about all our experts in the field? [Learn About The Editorial Team](https://www.sleepfoundation.org/about-us) \| Medically Reviewed by Anis Rehman, MD ![Anis Rehman, MD](https://www.sleepfoundation.org/wp-content/uploads/2024/04/rehman-150x150.jpg) Anis Rehman, MD Internal Medicine Physician Dr. Anis Rehman, MD is an American Board of Internal Medicine (ABIM) certified physician in Internal Medicine as well as Endocrinology, Diabetes, and Metabolism who practices in Illinois. He completed his residency at Cleveland Clinic Akron General, and fellowship training at the University of Cincinnati in Ohio. Dr. Rehman has several dozens of research publications in reputable journals and conferences. [Read Full Bio](https://www.sleepfoundation.org/about-us/who-we-are#anis_rehman,_md) Want to read more about all our experts in the field? [Learn About The Editorial Team](https://www.sleepfoundation.org/about-us) - [What Is Insomnia?](https://www.sleepfoundation.org/insomnia#what-is-insomnia) - [How Is Insomnia Diagnosed?](https://www.sleepfoundation.org/insomnia#how-is-insomnia-diagnosed) - [Treatments for Insomnia](https://www.sleepfoundation.org/insomnia#treatments-for-insomnia) Key Takeaways - Insomnia is defined as difficulty either falling or staying asleep that is accompanied by daytime impairments. - Nighttime insomnia symptoms can include trouble sleeping and early waking. - Daytime insomnia symptoms may include fatigue, impaired memory, and irritability. - There is no single established cause of insomnia, and insomnia disorders can often occur alongside other health conditions. Insomnia is one of the most common health concerns among adults. Insomnia causes sleep issues that interfere with daily life and can be debilitating for some people. Many factors may contribute to insomnia, including stress, medications, and an individual’s sleep habits and environment. ## Struggling to Stay Awake? Take an At-Home Sleep Test ![A WatchPAT One being worn by someone.](https://www.sleepfoundation.org/wp-content/uploads/2024/04/watchpat-one-on-a-persons-arm-768x768.jpeg) our partner at sleepdoctor.com ### 10% off Home Sleep Tests [Buy Now](https://sleepdoctor.com/cart/41836382290016:1?storefront=false&discount=SF-SSPZ40A7S9MW&cta_location=hst_global) “Truly grateful for this home sleep test. Fair pricing and improved my sleep!” Dawn G. – Verified Tester ![](https://www.sleepfoundation.org/wp-content/uploads/2024/04/watchpat-one-worn-during-sleep-female-150x150.jpeg) ### Simple and convenient ### It’s simple and convenient - Equipment delivered to your doorstep - One overnight test in the comfort of your own bed ![](https://www.sleepfoundation.org/wp-content/uploads/2024/04/watchpat-one-worn-during-sleep-male-150x150.jpeg) ### Uncover sleep apnea ### Uncovers type of sleep apnea - Quietly collects data while you sleep - 98% effective in detecting sleep apnea Your browser does not support HTML5 video tag. ### Affordable & ships fast ### Affordable and ships fast - Arrives in 2-4 business days - In-lab sleep tests cost ~\$3,000+ (this one’s \$189), HSA/FSA eligible ## What Is Insomnia? Insomnia is a sleep disorder characterized by difficulty falling asleep, staying asleep, or both, even if you have ample time and a bedroom environment conducive to restful sleep. An insomnia diagnosis requires these sleep troubles to also cause daytime impairments, such as [sleepiness](https://www.sleepfoundation.org/excessive-sleepiness) or difficulty concentrating. Up to two-thirds of people occasionally experience [insomnia symptoms](https://www.sleepfoundation.org/insomnia/symptoms). These bouts of sleeplessness may or may not meet the criteria for a formal diagnosis of insomnia, depending on how long they last and whether they cause distress or interfere with daily functioning. But it is important for anyone who has concerns about their sleep to discuss them with a health professional for proper diagnosis and treatment. A doctor can ask questions to better understand your situation and order tests to determine if an insomnia diagnosis is appropriate. Symptoms of insomnia can overlap with symptoms of other sleep disorders, so it is important to work with a professional rather than attempting to self-diagnose. Insomnia that goes untreated, leading to long-term sleep deprivation, is linked with a number of harmful effects [Trusted Source](https://www.sleepfoundation.org/about-us/editorial-policy) UpToDateMore than 2 million healthcare providers around the world choose UpToDate to help make appropriate care decisions and drive better health outcomes. UpToDate delivers evidence-based clinical decision support that is clear, actionable, and rich with real-world insights.[View Source](https://www.sleepfoundation.org/insomnia#references-177797) , including lower quality of life and increased risk for substance abuse, [chronic pain](https://www.sleepfoundation.org/physical-health/pain-and-sleep), [heart disease](https://www.sleepfoundation.org/sleep-deprivation/how-sleep-deprivation-affects-your-heart), and [diabetes](https://www.sleepfoundation.org/physical-health/lack-of-sleep-and-diabetes). ### [![Woman with Insomnia lying in bed looking at clock](https://www.sleepfoundation.org/wp-content/uploads/2020/08/Types-of-Insomnia.jpg)Types of Insomnia: Not One Reason for Your Lack of Sleep](https://www.sleepfoundation.org/insomnia/types-of-insomnia) [Can’t Sleep? These Surprising Insomnia Symptoms Might Be to Blame![Early-Morning Shiftwork Affects Overnight Blood Pressure, Increases Risk of Cardiovascular Disease](https://www.sleepfoundation.org/wp-content/uploads/2018/10/Symptoms-of-Insomnia.jpg)](https://www.sleepfoundation.org/insomnia/symptoms) [The Hidden Causes of Insomnia![Woman in bed unable to sleep](https://www.sleepfoundation.org/wp-content/uploads/2021/07/woman-sleeping-insomnia-scaled.jpg)](https://www.sleepfoundation.org/insomnia/what-causes-insomnia) [Can You Die From Not Sleeping? What is Fatal Insomnia?![Worried woman lying in bed with eyes open](https://www.sleepfoundation.org/wp-content/uploads/2021/10/Fatal-Insomnia.jpg)](https://www.sleepfoundation.org/insomnia/fatal-insomnia) [Is Insomnia a Mental Illness? Learn More About the Mental Health Connection![A young man suffering from insomnia sits awake in bed](https://www.sleepfoundation.org/wp-content/uploads/2023/03/insomnia-2.jpg)](https://www.sleepfoundation.org/insomnia/is-insomnia-a-mental-illness) ## Say Goodbye to Insomnia Sign up to receive emails about how to improve your sleep, as well as our comprehensive Better Sleep Guidebook. ![](https://www.sleepfoundation.org/wp-content/uploads/2018/10/Email-Capture-Icon.svg) ### Risk Factors for Insomnia While there is no single cause of insomnia, studies have identified factors that can put a person at a greater risk for experiencing insomnia [Trusted Source](https://www.sleepfoundation.org/about-us/editorial-policy) American Academy of Sleep Medicine (AASM)AASM sets standards and promotes excellence in sleep medicine health care, education, and research.[View Source](https://www.sleepfoundation.org/insomnia#references-164816) . These include, but are not limited to: - Being a [woman or assigned female at birth](https://www.sleepfoundation.org/insomnia/insomnia-women) - Older age - Lower socioeconomic status - Medical conditions like diabetes and chronic pain - Other sleep disorders such as [restless legs syndrome](https://www.sleepfoundation.org/restless-legs-syndrome) and [sleep apnea](https://www.sleepfoundation.org/sleep-apnea) - Mood disorders including depression and anxiety [Trusted Source](https://www.sleepfoundation.org/about-us/editorial-policy) National Library of Medicine, Biotech InformationThe National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information.[View Source](https://www.sleepfoundation.org/insomnia#references-79507) - Having an immediatefamily member with insomnia It is important to note that not everyone who has one or more of these risk factors will have insomnia, and not everyone with insomnia will have one of these risk factors. ### [![Stressed woman rubbing temples](https://www.sleepfoundation.org/wp-content/uploads/2020/09/Stress-and-Insomnia.jpg)The Link Between Stress and Sleepless Nights, Explained](https://www.sleepfoundation.org/insomnia/stress-and-insomnia) [Insomnia in Older Adults: What’s Normal and When to Seek Help![senior sleeping](https://www.sleepfoundation.org/wp-content/uploads/2018/10/senior-sleeping.jpg)](https://www.sleepfoundation.org/insomnia/older-adults) [Women and Insomnia: Uncovering the Hormonal Triggers Behind Sleepless Nights![Woman seated in bed suffering from insomnia](https://www.sleepfoundation.org/wp-content/uploads/2018/10/Insomnia-and-Women.jpg)](https://www.sleepfoundation.org/insomnia/insomnia-women) [Post‑Surgery Insomnia: What’s Normal and When to Be Concerned![stock photo of a man experiencing insomnia in a hospital](https://www.sleepfoundation.org/wp-content/uploads/2022/06/man-in-hospital-bed.jpg)](https://www.sleepfoundation.org/insomnia/insomnia-after-surgery) [Can Working Out Help You Sleep Better? What the Science Says![Woman Exercising Insomnia](https://www.sleepfoundation.org/wp-content/uploads/2021/07/insomnia-exercise-scaled.jpg)](https://www.sleepfoundation.org/insomnia/exercise-and-insomnia) ## How Is Insomnia Diagnosed? Doctors generally diagnose insomnia by evaluating a person’s sleep habits and medical history. Typically, a patient’s description of their symptoms informs their insomnia diagnosis. A doctor may instruct patients to keep a [sleep diary](https://www.sleepfoundation.org/sleep-diary) for a week or more, which can provide insight about a person’s sleep duration, perceived sleep quality, and lifestyle choices that may contribute to sleep problems. Other self-reporting diagnostic tools, including the Pittsburgh Sleep Quality Index, may be used by medical professionals in a clinical setting to determine the severity of insomnia symptoms. If a doctor needs to rule out other sleep disorders that could be causing a person’s symptoms, other assessments, such as a[sleep study](https://www.sleepfoundation.org/sleep-studies/how-does-a-sleep-study-work), may be ordered. ### - [![Diagnosing Insomnia](https://www.sleepfoundation.org/wp-content/uploads/2018/10/Diganosing-Insomnia.jpg)Can’t Sleep? Here’s How Doctors Diagnose Insomnia](https://www.sleepfoundation.org/insomnia/diagnosis) - [![A Woman Trying to Sleep while Her Husband is Snoring](https://www.sleepfoundation.org/wp-content/uploads/2025/05/pexels-kampus-7556636-scaled.jpg)Is it Insomnia or is it This Deadly Sleep Disorder?](https://www.sleepfoundation.org/insomnia/sleep-apnea-vs-insomnia/) - [![A man in awake in bed at night due to insomnia](https://www.sleepfoundation.org/wp-content/uploads/2023/04/anxiety-insomnia.jpg)The Vicious Cycle That’s Stealing Your Sleep and Sanity](https://www.sleepfoundation.org/mental-health/anxiety-vs-insomnia) - [![A woman lies awake in bed.](https://www.sleepfoundation.org/wp-content/uploads/2022/04/shutterstock_1160037781.jpg)Is Your Mind Betraying Your Body? The Strange Case of “Fake” Insomnia](https://www.sleepfoundation.org/insomnia/paradoxical-insomnia) ## Treatments for Insomnia [Treatment for insomnia](https://www.sleepfoundation.org/insomnia/treatment) depends on how long a person has been experiencing sleep issues and any specific factors that are contributing to their sleep loss. If insomnia is associated with another condition, such as sleep apnea or depression, treatment of the other condition often improves sleep. It is important to get help with insomnia sooner than later. For people with short-term insomnia, care may be focused on discussing practices to support [sleep hygiene](https://www.sleepfoundation.org/sleep-hygiene). Temporary use of a prescription [sleep aid](https://www.sleepfoundation.org/sleep-aids) may be an option if the insomnia is causing high levels of concern or distress. People with insomnia may also benefit from [cognitive behavioral therapy for insomnia (CBT-I)](https://sleepdoctor.com/products/cbt-i-sleep-based-program). A few treatment approaches are available for people with insomnia that persists for weeks or months. ### [![Treatments for Insomnia](https://www.sleepfoundation.org/wp-content/uploads/2018/10/Treatments-for-Insomnia.jpg)From Therapy to Medication: a Full Guide to Treating Insomnia](https://www.sleepfoundation.org/insomnia/treatment) [The Insomnia Solution That’s More Effective Than Sleeping Pills![Cognitive Behavioral Therapy for Insomnia (CBT-I): An Overview](https://www.sleepfoundation.org/wp-content/uploads/2018/08/14-NSF-9-L-Woman-sleeping-lying-on-pebbles_2880x1400.jpg)](https://www.sleepfoundation.org/insomnia/treatment/cognitive-behavioral-therapy-insomnia) [Natural Cures for Insomnia: From Acupressure to Yoga![Natural Cures for Insomnia: From Acupressure to Yoga](https://www.sleepfoundation.org/wp-content/uploads/2024/12/Natural-Cures-for-Insomnia.jpg)](https://www.sleepfoundation.org/insomnia/treatment/natural-cures-for-insomnia) [Why Sleep Restriction Is the Key to Unlocking Deeper Sleep![image of a woman writing in a notebook](https://www.sleepfoundation.org/wp-content/uploads/2023/11/woman-writing-in-notebook.jpg)](https://www.sleepfoundation.org/insomnia/treatment/sleep-restriction-therapy) [Our Expert’s Top Tips for Getting Back to Sleep![Stock photo of woman listening to guided meditation before sleep](https://www.sleepfoundation.org/wp-content/uploads/2021/07/Sleep-Meditation.jpg)](https://www.sleepfoundation.org/insomnia/treatment/what-do-when-you-cant-sleep) ### ![](https://www.sleepfoundation.org/wp-content/themes/onecaremedia-child/assets/images/sf-question-bubble.svg) ### Still have questions? Ask our community\! Join our [Sleep Care Community](https://community.sleepfoundation.org/) — a trusted hub of sleep health professionals, product specialists, and people just like you. Whether you need expert sleep advice for your insomnia or you’re searching for the perfect mattress, we’ve got you covered. Get personalized guidance from the experts who know sleep best. [About Our Editorial Team](https://www.sleepfoundation.org/about-us) ![Eric Suni](https://www.sleepfoundation.org/wp-content/uploads/2020/07/Eric-Suni-Headshot-150x150.jpg) Written By ### Eric Suni, Contributing Writer Eric Suni has over a decade of experience as a science writer and was previously an information specialist for the National Cancer Institute. ![Anis Rehman, MD](https://www.sleepfoundation.org/wp-content/uploads/2024/04/rehman-150x150.jpg) Medically Reviewed by ### Anis Rehman, MD, Internal Medicine Physician MD Dr. Anis Rehman, MD is an American Board of Internal Medicine (ABIM) certified physician in Internal Medicine as well as Endocrinology, Diabetes, and Metabolism who practices in Illinois. He completed his residency at Cleveland Clinic Akron General, and fellowship training at the University of Cincinnati in Ohio. Dr. Rehman has several dozens of research publications in reputable journals and conferences. [Learn more about our Editorial Team](https://www.sleepfoundation.org/about-us/who-we-are#team) ## References 4 Sources 1. Bonnet, M., & Arand, D. (2022, April 15). Risk factors, comorbidities, and consequences of insomnia in adults. In R. Benca (Ed.). UpToDate., Retrieved June 5, 2023, from <https://www.uptodate.com/contents/risk-factors-comorbidities-and-consequences-of-insomnia-in-adults> 2. American Academy of Sleep Medicine. (2014). The International Classification of Sleep Disorders – Third Edition (ICSD-3). Darien, IL. <https://aasm.org/> 3. Bjorøy, I., Jørgensen, V. A., Pallesen, S., & Bjorvatn, B. (2020). The prevalence of insomnia subtypes in relation to demographic characteristics, anxiety, depression, alcohol consumption and use of hypnotics. Frontiers in Psychology, 11, 527. <https://pubmed.ncbi.nlm.nih.gov/32265811/> 4. Bonnet, M. H., & Arand, D. L. (2021, June 18). Evaluation and diagnosis of insomnia in adults. In R. Benca (Ed.). UpToDate., Retrieved June 5, 2023, from <https://www.uptodate.com/contents/evaluation-and-diagnosis-of-insomnia-in-adults> ## Other Articles of Interest ### How Sleep Works [How to Lucid Dream?](https://www.sleepfoundation.org/dreams/lucid-dreams) [Recommended Sleep Times](https://www.sleepfoundation.org/how-sleep-works/how-much-sleep-do-we-really-need) [Why Do We Need Sleep?](https://www.sleepfoundation.org/how-sleep-works/why-do-we-need-sleep) [Can You Catch Up On Sleep?](https://www.sleepfoundation.org/how-sleep-works/sleep-debt-and-catch-up-sleep) [What Happens When You Sleep?](https://www.sleepfoundation.org/how-sleep-works/what-happens-when-you-sleep) ### Children, Teens & Sleep [When Do Kids Stop Napping?](https://www.sleepfoundation.org/children-and-sleep/when-do-kids-stop-napping) [Why is Sleep Important For Children?](https://www.sleepfoundation.org/children-and-sleep) [Bedtime Routines for Kids](https://www.sleepfoundation.org/children-and-sleep/bedtime-routine) [How Does Blue Light Affect Kids Sleep?](https://www.sleepfoundation.org/children-and-sleep/how-blue-light-affects-kids-sleep) [Sleep Strategies for Kids](https://www.sleepfoundation.org/children-and-sleep/sleep-strategies-kids) ### Circadian Rhythm Sleep Disorders [Non-24 Sleep Wake Disorder](https://www.sleepfoundation.org/non-24-sleep-wake-disorder) [Shift Work Disorder](https://www.sleepfoundation.org/shift-work-disorder) [Learn About Circadian Rhythm Sleep Disorders](https://www.sleepfoundation.org/circadian-rhythm-sleep-disorders) [Jet Lag](https://www.sleepfoundation.org/travel-and-sleep/jet-lag) ### Sleep Solutions [Best Mattress](https://www.sleepfoundation.org/best-mattress) [Mattress Reviews](https://www.sleepfoundation.org/mattress-reviews) [Best Pillows](https://www.sleepfoundation.org/best-pillows) [Best Mattress for Side Sleepers](https://www.sleepfoundation.org/best-mattress/best-mattress-for-side-sleepers) [Best Mattress for Back Pain](https://www.sleepfoundation.org/best-mattress/best-mattress-for-back-pain) [![Sleep Foundation Logo](https://www.sleepfoundation.org/wp-content/uploads/2025/10/sd-logo-footer.svg)](https://www.sleepfoundation.org/) **Sleep Foundation** and **SleepFoundation.org** are not affiliated with the National Sleep Foundation, an independent nonprofit based in Washington, DC. 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[Skip to content](https://www.sleepfoundation.org/insomnia#post_content) Key Takeaways - Insomnia is defined as difficulty either falling or staying asleep that is accompanied by daytime impairments. - Nighttime insomnia symptoms can include trouble sleeping and early waking. - Daytime insomnia symptoms may include fatigue, impaired memory, and irritability. - There is no single established cause of insomnia, and insomnia disorders can often occur alongside other health conditions. Insomnia is one of the most common health concerns among adults. Insomnia causes sleep issues that interfere with daily life and can be debilitating for some people. Many factors may contribute to insomnia, including stress, medications, and an individual’s sleep habits and environment. ## Struggling to Stay Awake? Take an At-Home Sleep Test ![A WatchPAT One being worn by someone.](https://www.sleepfoundation.org/wp-content/uploads/2024/04/watchpat-one-on-a-persons-arm-768x768.jpeg) our partner at sleepdoctor.com ### 10% off Home Sleep Tests [Buy Now](https://sleepdoctor.com/cart/41836382290016:1?storefront=false&discount=SF-SSPZ40A7S9MW&cta_location=hst_global) “Truly grateful for this home sleep test. Fair pricing and improved my sleep!” Dawn G. – Verified Tester ![](https://www.sleepfoundation.org/wp-content/uploads/2024/04/watchpat-one-worn-during-sleep-female-150x150.jpeg) ### Simple and convenient ### It’s simple and convenient - Equipment delivered to your doorstep - One overnight test in the comfort of your own bed ![](https://www.sleepfoundation.org/wp-content/uploads/2024/04/watchpat-one-worn-during-sleep-male-150x150.jpeg) ### Uncover sleep apnea ### Uncovers type of sleep apnea - Quietly collects data while you sleep - 98% effective in detecting sleep apnea Your browser does not support HTML5 video tag. ### Affordable & ships fast ### Affordable and ships fast - Arrives in 2-4 business days - In-lab sleep tests cost ~\$3,000+ (this one’s \$189), HSA/FSA eligible Insomnia is a sleep disorder characterized by difficulty falling asleep, staying asleep, or both, even if you have ample time and a bedroom environment conducive to restful sleep. An insomnia diagnosis requires these sleep troubles to also cause daytime impairments, such as [sleepiness](https://www.sleepfoundation.org/excessive-sleepiness) or difficulty concentrating. Up to two-thirds of people occasionally experience [insomnia symptoms](https://www.sleepfoundation.org/insomnia/symptoms). These bouts of sleeplessness may or may not meet the criteria for a formal diagnosis of insomnia, depending on how long they last and whether they cause distress or interfere with daily functioning. But it is important for anyone who has concerns about their sleep to discuss them with a health professional for proper diagnosis and treatment. A doctor can ask questions to better understand your situation and order tests to determine if an insomnia diagnosis is appropriate. Symptoms of insomnia can overlap with symptoms of other sleep disorders, so it is important to work with a professional rather than attempting to self-diagnose. Insomnia that goes untreated, leading to long-term sleep deprivation, is linked with a number of harmful effects , including lower quality of life and increased risk for substance abuse, [chronic pain](https://www.sleepfoundation.org/physical-health/pain-and-sleep), [heart disease](https://www.sleepfoundation.org/sleep-deprivation/how-sleep-deprivation-affects-your-heart), and [diabetes](https://www.sleepfoundation.org/physical-health/lack-of-sleep-and-diabetes). ## Say Goodbye to Insomnia Sign up to receive emails about how to improve your sleep, as well as our comprehensive Better Sleep Guidebook. ![](https://www.sleepfoundation.org/wp-content/uploads/2018/10/Email-Capture-Icon.svg) ### Risk Factors for Insomnia While there is no single cause of insomnia, studies have identified factors that can put a person at a greater risk for experiencing insomnia . These include, but are not limited to: - Being a [woman or assigned female at birth](https://www.sleepfoundation.org/insomnia/insomnia-women) - Older age - Lower socioeconomic status - Medical conditions like diabetes and chronic pain - Other sleep disorders such as [restless legs syndrome](https://www.sleepfoundation.org/restless-legs-syndrome) and [sleep apnea](https://www.sleepfoundation.org/sleep-apnea) - Mood disorders including depression and anxiety - Having an immediatefamily member with insomnia It is important to note that not everyone who has one or more of these risk factors will have insomnia, and not everyone with insomnia will have one of these risk factors. Doctors generally diagnose insomnia by evaluating a person’s sleep habits and medical history. Typically, a patient’s description of their symptoms informs their insomnia diagnosis. A doctor may instruct patients to keep a [sleep diary](https://www.sleepfoundation.org/sleep-diary) for a week or more, which can provide insight about a person’s sleep duration, perceived sleep quality, and lifestyle choices that may contribute to sleep problems. Other self-reporting diagnostic tools, including the Pittsburgh Sleep Quality Index, may be used by medical professionals in a clinical setting to determine the severity of insomnia symptoms. If a doctor needs to rule out other sleep disorders that could be causing a person’s symptoms, other assessments, such as a[sleep study](https://www.sleepfoundation.org/sleep-studies/how-does-a-sleep-study-work), may be ordered. [Treatment for insomnia](https://www.sleepfoundation.org/insomnia/treatment) depends on how long a person has been experiencing sleep issues and any specific factors that are contributing to their sleep loss. If insomnia is associated with another condition, such as sleep apnea or depression, treatment of the other condition often improves sleep. It is important to get help with insomnia sooner than later. For people with short-term insomnia, care may be focused on discussing practices to support [sleep hygiene](https://www.sleepfoundation.org/sleep-hygiene). Temporary use of a prescription [sleep aid](https://www.sleepfoundation.org/sleep-aids) may be an option if the insomnia is causing high levels of concern or distress. People with insomnia may also benefit from [cognitive behavioral therapy for insomnia (CBT-I)](https://sleepdoctor.com/products/cbt-i-sleep-based-program). A few treatment approaches are available for people with insomnia that persists for weeks or months. ![](https://www.sleepfoundation.org/wp-content/themes/onecaremedia-child/assets/images/sf-question-bubble.svg) ### Still have questions? Ask our community\! Join our [Sleep Care Community](https://community.sleepfoundation.org/) — a trusted hub of sleep health professionals, product specialists, and people just like you. Whether you need expert sleep advice for your insomnia or you’re searching for the perfect mattress, we’ve got you covered. Get personalized guidance from the experts who know sleep best. ![Eric Suni](https://www.sleepfoundation.org/wp-content/uploads/2020/07/Eric-Suni-Headshot-150x150.jpg) Written By ### Eric Suni, Contributing Writer Eric Suni has over a decade of experience as a science writer and was previously an information specialist for the National Cancer Institute. ![Anis Rehman, MD](https://www.sleepfoundation.org/wp-content/uploads/2024/04/rehman-150x150.jpg) Medically Reviewed by ### Anis Rehman, MD, Internal Medicine Physician MD Dr. Anis Rehman, MD is an American Board of Internal Medicine (ABIM) certified physician in Internal Medicine as well as Endocrinology, Diabetes, and Metabolism who practices in Illinois. He completed his residency at Cleveland Clinic Akron General, and fellowship training at the University of Cincinnati in Ohio. Dr. Rehman has several dozens of research publications in reputable journals and conferences. [Learn more about our Editorial Team](https://www.sleepfoundation.org/about-us/who-we-are#team) ## References 4 Sources 1. Bonnet, M., & Arand, D. (2022, April 15). Risk factors, comorbidities, and consequences of insomnia in adults. In R. Benca (Ed.). UpToDate., Retrieved June 5, 2023, from <https://www.uptodate.com/contents/risk-factors-comorbidities-and-consequences-of-insomnia-in-adults> 2. American Academy of Sleep Medicine. (2014). The International Classification of Sleep Disorders – Third Edition (ICSD-3). Darien, IL. <https://aasm.org/> 3. Bjorøy, I., Jørgensen, V. A., Pallesen, S., & Bjorvatn, B. (2020). The prevalence of insomnia subtypes in relation to demographic characteristics, anxiety, depression, alcohol consumption and use of hypnotics. Frontiers in Psychology, 11, 527. <https://pubmed.ncbi.nlm.nih.gov/32265811/> 4. Bonnet, M. H., & Arand, D. L. (2021, June 18). Evaluation and diagnosis of insomnia in adults. In R. Benca (Ed.). UpToDate., Retrieved June 5, 2023, from <https://www.uptodate.com/contents/evaluation-and-diagnosis-of-insomnia-in-adults>
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