Symptoms of Insomnia

You may have insomnia if you:

Have difficulty falling asleep—Normally, it should take no more than about 30 minutes to fall asleep once in bed.

Have difficulty staying asleep—You wake up frequently during the night with difficulty going back to sleep.

Wake up too early—Waking early in the morning may be normal for “early risers.” It could be a problem, though, if this is not normal for you or if it is reducing your needed sleep time.

Feel nonrefreshed after sleep and tired during the day—This may indicate that you are waking up during the night or not getting an adequate total number of hours of sleep.

Feel restless or anxious as bedtime approaches—You may be anticipating insomnia and worrying about it.


Insomnia: symptoms. National Sleep Foundation website. Available at:{1A323282-4502-46BF-89D7-85FC7E10DCF4}&notoc=1 . Accessed May 14, 2007

Morenthaler T, Kramer M, Alessi C, et al. Practice parameters for the psychological and behavioral treatment of insomnia: an update. An American Academy of Sleep Medicine report. Sleep. 2006;29:1415-1419.

National Center on Sleep Disorders Research website. Available at: .

National Heart, Lung, and Blood Institute website. Available at: .

National Sleep Foundation website. Available at: .

Your guide to healthy sleep. National Center on Sleep Disorders Research. National Heart, Lung, and Blood Institute website. November 2005. NIH Publication No. 06-5271. Accessed May 1, 2007. Available at: .

Last reviewed May 2007 by Janet H. Greenhut, MD, MPH

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.

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