{"id":3832,"date":"2021-09-16T23:44:35","date_gmt":"2021-09-17T06:44:35","guid":{"rendered":"https:\/\/www.brightside.com\/?p=3832"},"modified":"2022-06-30T14:32:10","modified_gmt":"2022-06-30T21:32:10","slug":"what-is-insomnia","status":"publish","type":"post","link":"https:\/\/www.brightside.com\/blog\/what-is-insomnia\/","title":{"rendered":"Insomnia: What Are the Different Types of Insomnia?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Every now and then you might find yourself tossing and turning, waking up in the middle of the night, or getting up way too early in the morning. While this is normal on occasion, it might be a sign of insomnia if it becomes a regular occurrence.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Insomnia is a common sleep disorder that looks different from person to person. Insomnia can be a symptom of anxiety and depression, or it can develop on its own unrelated to other medical concerns. There are multiple types of insomnia, and understanding them can help you have a better grasp on what you can do about it.<\/span><\/p>\n<h2><strong>What is Insomnia?<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">According to the American Academy of Sleep Medicine\u2019s ICSD-3 manual, insomnia is a \u201cpersistent difficulty with sleep initiation, duration, consolidation or quality.\u201d\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Essentially, it is a sleep disorder that can make it hard to fall or stay asleep. It often results in tiredness upon waking, lower energy levels throughout the day, poor moods, and a decrease in productivity in work or school. Over time, it can even lead to physical health concerns.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This sleep disorder may be associated with another medical concern, or it may even be the primary problem.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Symptoms of insomnia include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Difficulty falling asleep<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Waking up throughout the night<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Waking too early in the morning<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Feeling sleepy during the day<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Feeling unsatisfied by sleep<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Irritability throughout the day<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Difficulty focusing<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Increased errors or accidents<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Other medical conditions linked with insomnia include depression, anxiety, chronic pain, cancer, diabetes, heart disease, asthma, sleep apnea, gastroesophageal reflux disease (GERD), and thyroid disorder.<\/span><\/p>\n<h2><strong>Main Types of Insomnia\u00a0<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">Insomnia can last for a brief period of time, or it can become ongoing persistently for weeks or months.\u00a0<\/span><\/p>\n<h3><strong>Acute Insomnia<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">Acute, or short-term, insomnia is something that many people are likely to experience at some point in their lives. Short-term insomnia may last for a few days or as long as about three months.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It\u2019s often caused by an external stressor in one\u2019s life, such as a traumatic event, marital or relationship problems, financial and work-related stressors, or drug and alcohol usage. More recently, the COVID-19 pandemic has been the cause of short-term stress and insomnia for many individuals.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The symptoms of acute insomnia may fade on their own as you deal with the stressors that are causing it. This is why it\u2019s so important to make stress management a part of your nightly ritual. With that said, if short-term insomnia persists, it can develop into chronic insomnia.<\/span><\/p>\n<h3><strong>Chronic Insomnia<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">Chronic insomnia is characterized by a long-term pattern of difficulty sleeping. Insomnia is considered chronic if it lasts for longer than three months and you exhibit symptoms at least three nights per week.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Many chronic insomnia cases are <\/span><a href=\"https:\/\/medlineplus.gov\/insomnia.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">secondary<\/span><\/a><span style=\"font-weight: 400;\">, meaning there is another condition or side effect that is causing it. Many underlying causes include irregular sleep schedules or poor sleep routines, underlying physical problems, certain medications, and mental health disorders such as <\/span><a href=\"https:\/\/www.brightside.com\/blog\/9-ways-to-improve-your-sleep-to-help-with-depression\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">depression<\/span><\/a><span style=\"font-weight: 400;\"> and anxiety.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Sometimes chronic insomnia is the primary problem, meaning it is not caused by another condition. Chronic insomnia\u2019s cause is not well understood, but persistent stress, negative emotions, jet lag and shift work can all be factors.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Chronic insomnia can also affect how well your heart, brain and other body parts work. Ongoing insomnia can increase the risk of certain health conditions or cause existing conditions to worsen. These conditions include breathing problems, heart problems, and thoughts of suicide. If insomnia is keeping you awake, you could have an increased risk of issues like high blood pressure and obesity.<\/span><\/p>\n<h2><strong>Other Presentations of Insomnia<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">If you talk to a provider about your insomnia, it will likely be categorized as chronic or acute anxiety, as listed above. However, beyond its \u201cacute\u201d or \u201cchronic\u201d diagnosis, your insomnia may additionally fall under one of the following subcategories. These subtypes can help you better understand the underlying cause of your insomnia.\u00a0\u00a0<\/span><\/p>\n<h3><strong>Sleep Onset Insomnia<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">Sleep onset insomnia describes difficulty falling asleep whenever you lay in bed. You may toss, turn, change clothes or blankets, set the room temperature, and more &#8212; but you still just can\u2019t fall asleep. Most people with sleep onset insomnia are unable to fall asleep even after a half hour of laying in bed.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Difficulty falling asleep can be <\/span><a href=\"https:\/\/www.news-medical.net\/health\/Causes-of-Sleep-Onset-Insomnia.aspx\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">attributed to a number of external forces<\/span><\/a><span style=\"font-weight: 400;\">, such as life stressors, loud and noisy environments, poor sleep hygiene, eating a large meal before bed, or even lack of adequate exercise.<\/span><\/p>\n<h3><strong>Sleep Maintenance Insomnia<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">This type of insomnia describes the inability to stay asleep throughout the night. It usually means waking up at some time in the middle of the night and being unable to fall back to sleep for at least 20-30 minutes.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The causes of sleep maintenance insomnia are similar to those of sleep onset insomnia, though this may also be caused by bad nightmares.\u00a0<\/span><\/p>\n<h3><strong>Early Morning Awakenings<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">While many experts view this as a component of sleep maintenance rather than a type of insomnia, it refers to awakening in the morning earlier than you plan. Not getting the desired amount of sleep can have some negative effects on your mood and cognition throughout the day.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There is a strong link between <\/span><a href=\"https:\/\/www.health.harvard.edu\/staying-healthy\/too-early-to-get-up-too-late-to-get-back-to-sleep\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">depression and chronic early awakening<\/span><\/a><span style=\"font-weight: 400;\">. Other mental health disorders like anxiety or panic disorder can have a negative impact on your sleep as well.\u00a0<\/span><\/p>\n<h3><strong>Comorbid Insomnia<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">This is when insomnia co-exists with another medical or mental health condition. Common coexisting conditions include anxiety, depression, gastrointestinal problems, or physical pains. Insomnia may also have a bi-directional relationship with a number of these same things, as well. This means that these conditions worsen insomnia, and insomnia worsens the symptoms of these conditions in turn.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Most cases of insomnia fall into this category, as there is almost always some kind of underlying condition that is causing your insomnia to occur. This is in contrast to <\/span><a href=\"https:\/\/stanfordhealthcare.org\/medical-conditions\/sleep\/insomnia\/types.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">primary insomnia<\/span><\/a><span style=\"font-weight: 400;\">, which is present with no evidence of other medical or psychological conditions.<\/span><\/p>\n<h2><strong>Insomnia and Mental Health Disorders<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">Mental health disorders can often be a cause of comorbid insomnia. Nearly<\/span> <a href=\"https:\/\/www.nami.org\/About-Mental-Illness\/Common-with-Mental-Illness\/Sleep-Disorders\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">half of all insomnia cases<\/span><\/a> <span style=\"font-weight: 400;\">exist alongside depression, stress, and anxiety.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As with many instances of comorbid insomnia, there is a bi-directional relationship between insomnia and disorders such as anxiety and depression. Insomnia isn\u2019t only a symptom of mental health disorders. Recent studies have suggested that insomnia can also contribute to the development of mental health disorders.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For example, while anxiety can cause you to have trouble falling asleep, insomnia may put you at a <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/17682658\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">higher risk<\/span><\/a><span style=\"font-weight: 400;\"> for developing an anxiety disorder.<\/span><\/p>\n<h2><strong>Treatments for Insomnia<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">Sometimes, alleviating your insomnia symptoms is as simple as making a few lifestyle changes. Along with prescription or over-the-counter medication if you have a sleep problem, there are also professional treatment methods that you can undergo for effective relief.<\/span><\/p>\n<h3><strong>Cognitive Behavioral Therapy for Insomnia (CBT-I)<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">Cognitive behavioral therapy, or CBT, is an evidence-based therapy that teaches tools that can help patients manage the symptoms of mental disorders like anxiety and depression. However, it\u2019s often recommended as the first line of treatment for people with insomnia, especially when chronic.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Through CBT-I, the goal is to control or eliminate negative thoughts or actions that are affecting your sleep hygiene. Techniques like stimulus control therapy aim to coach you through setting consistent bedtimes or leaving the room if you can\u2019t sleep for 20 minutes. Also, relaxation techniques can be used to help you wind down before bed and ease yourself into a better headspace for sound sleeping.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">CBT is an active process for the patient that requires them to apply the tools they learn in regular therapy sessions in their day-to-day lives.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You can <\/span><a href=\"https:\/\/www.brightside.com\/therapy\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">speak with a medical provider<\/span><\/a><span style=\"font-weight: 400;\"> to see if CBT-I is an effective process for treating your acute or chronic insomnia.<\/span><\/p>\n<h3><strong>Lifestyle Changes<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">For infrequent insomnia, you may be able to make a few adjustments to your sleeping schedule. Computers, TVs, video games, smartphones, or other screens just before bed can interfere with your sleep cycle.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A good practice is to reduce your screen time before bed, turning off electronic devices at least 30 minutes before going to bed. Similarly, you can try enhancing your sleeping environment by making sure it\u2019s quiet, dark, and cool.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Additionally, maintaining good sleep habits is crucial. You should try setting a consistent sleep-wake cycle and try to prioritize getting at least seven to nine hours of sleep. Furthermore, avoiding caffeine late in the day is also strongly recommended.<\/span><\/p>\n<h3><strong>Medication<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">Benzodiazepine sedatives such as Ambien and Lunesta may be prescribed as sleeping aids to help manage short-term insomnia, but these medications can be habit inducing over time.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In some cases, medical providers will prescribe antidepressants to help manage insomnia in patients with a history of depression, anxiety, or other mood disorders. Antidepressants are comparatively less habit forming than benzodiazepines. When antidepressants are used to manage insomnia, it\u2019s because providers are attempting to manage the underlying cause of that insomnia\u2014anxiety and depression.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Because of the bi-directional relationship between mental health disorders and insomnia, some people experiencing insomnia may find that antidepressants can help manage both conditions.\u00a0\u00a0<\/span><\/p>\n<h2><strong>In Summary<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">Insomnia is a common sleep disorder that refers to the inability to fall asleep or stay asleep. While everyone may toss and turn every now and then, insomnia is a more persistent issue that can have mental and physical side effects when left unaddressed.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are two main types of insomnia: acute and chronic. Acute insomnia is usually caused by a major change or life event and often subsides once those stressors have been alleviated. Chronic insomnia lasts for more than three months and is often a secondary condition to a mental or physical condition.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Subtypes of insomnia include sleep onset insomnia, sleep maintenance insomnia, early awakening insomnia, and co-morbid insomnia, the latter of which describes almost all cases.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you\u2019re having trouble sleeping at night because stress and anxiety is getting the best of you, you\u2019re not alone. Getting the help you need can be challenging, but <\/span><a href=\"https:\/\/www.brightside.com\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Brightside<\/span><\/a><span style=\"font-weight: 400;\"> is here to help you make your first steps.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">After taking a brief free assessment, you\u2019ll be matched with a therapist or psychiatric provider who will craft a treatment plan that\u2019s just right.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Click <\/span><a href=\"https:\/\/app.brightside.com\/#\/evaluation\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">here<\/span><\/a><span style=\"font-weight: 400;\"> to take the first steps towards a good night\u2019s rest.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Sources:<\/span><\/p>\n<p><a href=\"https:\/\/medlineplus.gov\/insomnia.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">&#8220;Insomnia\u201d | MedlinePlus<\/span><\/a><\/p>\n<p><a href=\"https:\/\/www.health.harvard.edu\/staying-healthy\/too-early-to-get-up-too-late-to-get-back-to-sleep\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Too Early to Get Up, Too Late to Get Back to Sleep | Harvard Health<\/span><\/a><\/p>\n<p><a href=\"https:\/\/www.nami.org\/About-Mental-Illness\/Common-with-Mental-Illness\/Sleep-Disorders\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Sleep Disorders | NAMI<\/span><\/a><\/p>\n<p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/17682658\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Chronic insomnia as a risk factor for developing anxiety and depression | PubMed<\/span><\/a><\/p>\n<p><a href=\"https:\/\/stanfordhealthcare.org\/medical-conditions\/sleep\/insomnia\/types.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Types of Insomnia | Stanford Health<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Every now and then you might find yourself tossing and turning, waking up in the middle of the night, or getting up way too early in the morning. While this is normal on occasion, it might be a sign of insomnia if it becomes a regular occurrence.\u00a0 Insomnia is a common sleep disorder that looks [&hellip;]<\/p>\n","protected":false},"author":18,"featured_media":3834,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[16,21],"tags":[],"class_list":["post-3832","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-anxiety","category-depression"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.0 (Yoast SEO v26.0) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Insomnia: What Are the Different Types of Insomnia? - Brightside<\/title>\n<meta name=\"description\" content=\"Insomnia is more than just having trouble falling asleep. 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There are many different categories that can help you better understand underlying causes and treatment strategies.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.brightside.com\/blog\/what-is-insomnia\/\" \/>\n<meta property=\"og:site_name\" content=\"Brightside\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/brightsidehealth\" \/>\n<meta property=\"article:published_time\" content=\"2021-09-17T06:44:35+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-06-30T21:32:10+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.brightside.com\/wp-content\/uploads\/2021\/09\/insomnia1500-1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1500\" \/>\n\t<meta property=\"og:image:height\" content=\"1000\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Ashley Kane\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@withbrightside\" \/>\n<meta name=\"twitter:site\" content=\"@withbrightside\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Ashley Kane\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":[\"Article\",\"BlogPosting\"],\"@id\":\"https:\/\/www.brightside.com\/blog\/what-is-insomnia\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.brightside.com\/blog\/what-is-insomnia\/\"},\"author\":{\"name\":\"Ashley Kane\",\"@id\":\"https:\/\/www.brightside.com\/#\/schema\/person\/a0c19079108070ce40a60ee389811930\"},\"headline\":\"Insomnia: What Are the Different Types of Insomnia?\",\"datePublished\":\"2021-09-17T06:44:35+00:00\",\"dateModified\":\"2022-06-30T21:32:10+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.brightside.com\/blog\/what-is-insomnia\/\"},\"wordCount\":1765,\"publisher\":{\"@id\":\"https:\/\/www.brightside.com\/#organization\"},\"image\":{\"@id\":\"https:\/\/www.brightside.com\/blog\/what-is-insomnia\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.brightside.com\/wp-content\/uploads\/2021\/09\/insomnia1500-1.jpg\",\"articleSection\":[\"Anxiety\",\"Depression\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.brightside.com\/blog\/what-is-insomnia\/\",\"url\":\"https:\/\/www.brightside.com\/blog\/what-is-insomnia\/\",\"name\":\"Insomnia: What Are the Different Types of Insomnia? - Brightside\",\"isPartOf\":{\"@id\":\"https:\/\/www.brightside.com\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.brightside.com\/blog\/what-is-insomnia\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.brightside.com\/blog\/what-is-insomnia\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.brightside.com\/wp-content\/uploads\/2021\/09\/insomnia1500-1.jpg\",\"datePublished\":\"2021-09-17T06:44:35+00:00\",\"dateModified\":\"2022-06-30T21:32:10+00:00\",\"description\":\"Insomnia is more than just having trouble falling asleep. 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