Insomnia

Persistent difficulty falling asleep, staying asleep, or waking too early, at least three nights a week for three months, with daytime impairment.

Category: Conditions

What is insomnia?

Occasional bad nights are normal. Insomnia disorder is a sustained pattern with daytime consequences: fatigue, poor concentration, irritability, and worry about sleep itself.

Calm illustrative image for the term Insomnia

Key things to know

Worry about sleep often maintains the problem. Effort to force sleep increases arousal, which makes sleep harder. This loop is a primary treatment target.

  • Clinical threshold: three or more bad nights a week, for three months, with daytime impact.
  • Worry about sleep is part of the disorder: effort to force sleep pushes it away.
  • CBT-I beats sleeping pills for long-term results.
  • Alcohol fragments sleep; it is not a sleep aid.
  • Chronic insomnia raises depression risk, so it is worth treating early.

What helps

The first-line treatment is CBT for insomnia (CBT-I), which outperforms sleeping pills over the long term. Persistent insomnia also raises the risk of depression, so it is worth treating early.

How SelfMind can help

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This entry is educational information, not medical advice, a diagnosis, or a treatment plan. For assessment and treatment, consult a qualified mental health professional. If you are in crisis, see our crisis resources. In India, Tele-MANAS is free at 14416, 24x7.