Insomnia is a common sleep disorder that can make it hard to fall asleep, hard to stay asleep, or cause you to wake up too early and not be able to get back to sleep. You may still feel tired when you wake up. Insomnia can sap not only your energy level and mood but also your health, work performance and quality of life.

How much sleep is enough varies from person to person, but most adults need seven to eight hours a night. At some point, many adults experience short-term (acute) insomnia, which lasts for days or weeks. It’s usually the result of stress or a traumatic event. But some people have long-term (chronic) insomnia that lasts for a month or more. Insomnia may be the primary problem, or it may be associated with other medical conditions or medications.

You don’t have to put up with sleepless nights. Simple changes in your daily habits can often help.

Symptoms

People with insomnia often don’t feel refreshed when they wake up from sleeping, either. This can lead to fatigue and other symptoms. People who experience insomnia usually report at least one of these symptoms:

  • Difficulty falling asleep at night
  • Waking up during the night
  • Waking up too early
  • Not feeling well-rested after a night’s sleep
  • Daytime tiredness or sleepiness
  • Irritability, depression or anxiety
  • Difficulty paying attention, focusing on tasks or remembering
  • Increased errors or accidents
  • Ongoing worries about sleep

Causes

Insomnia may be the primary problem, or it may be associated with other conditions. Treating the underlying cause can resolve the insomnia, but sometimes it can last for years.

Short-term insomnia, or acute insomnia, may be caused by a number of things including:

  • Stress
  • An upsetting or traumatic event
  • Physical pain
  • Jet lag
  • Certain medications

Chronic insomnia lasts for at least 3 months and can be primary or secondary. Primary insomnia has no known cause. Secondary insomnia occurs with another condition that can include:

  • Medical conditions that make it harder to sleep, such as arthritis or back pain
  • Psychological issues, such as anxiety or depression
  • Substance use
  • Sleep apnea
  • Diabetes