Insomnia
Regular difficulty falling asleep, staying asleep or waking too early, leaving you tired during the day.
Quick Summary
Trouble falling or staying asleep, waking early, feeling unrefreshed, daytime tiredness, irritability and poor concentration.
Good sleep habits, cognitive behavioural therapy for insomnia (CBT-I) and short-term medicines in some cases.
Stress, anxiety, depression, irregular schedules, screens at night, caffeine, alcohol and medical conditions.
Overview
Short-term insomnia often follows stress and settles on its own. Long-term insomnia lasts three months or more.
Sleeping pills aren't a long-term answer and can be habit-forming. CBT-I is the most effective long-term treatment.
Symptoms
Difficulty sleeping
Taking a long time to fall asleep.
Daytime tiredness
Low energy and sleepiness.
Poor concentration
And memory.
Irritability
Mood changes.
Causes & Risk Factors
Biological Causes
Stress, habits, mental and physical health problems, and medicines.
Key Risk Factors
- Stress and worry The most common trigger.
- Habits Late screens, caffeine, irregular bedtimes, daytime naps.
- Health conditions Pain, depression, sleep apnoea and acid reflux.
Management & Treatment
01. Sleep habits
Regular bedtime and wake time, dark quiet room, no screens before bed.
02. CBT-I
Structured therapy to change sleep-related thoughts and habits.
03. Medicines
Short-term only, if prescribed.
Frequently Asked Questions
How much sleep do adults need?
Are sleeping pills safe?
Sources and further reading
Last updated 21 October 2026. For more detail, see these trusted health organisations.
- Insomnia(opens in a new tab) · MedlinePlus, US National Library of Medicine
- Insomnia(opens in a new tab) · NHS