What are the 11 types of Terminal Insomnia? How to treat

What are the 11 types of Terminal Insomnia? How to treat

Definition of Terminal Insomnia:

Terminal insomnia is the world’s most common sleep disorder affecting one in four Americans every year. Insomnia is trouble falling asleep, staying asleep, falling back to sleep, or all three.

You have trouble sleeping and are looking for more insight on why this occurs and how to handle it what insomnia is what causes it what is it symptoms and how to treat it. So Insomnia is basically a difficulty or complete inability to fall asleep or stay asleep for long.

Terminal Insomnia sufferers are not satisfied with their sleep patterns and may find themselves experiencing fatigue, low energy, difficulty in concentrating, mood swings, depression, and lower performance in school or work.

Types of Terminal Insomnia:

There are actually two types of terminal insomnia primary and secondary. Primary insomnia is when the person just has trouble falling asleep without a deeper health issue being the trigger.

Secondary insomnia is when the sufferer experiences sleep problems because of an underlying health condition like asthma, diabetes, depression, body pains, etc.

Consuming drugs and alcohol or psychotropic substances can also result in insomnia. Insomnia can also vary depending on how long it lasts and how often it happens.

Based on that it can either be short-term and lasts only a few days for example or a last long-term which leads to chronic insomnia cases the causes are actually many some are physical whereas others are psychological for example an intense stressful event like changing locations or the death of a loved one can trigger.

Transient acute Insomnia: It lasts less than three months and usually resolves on its own without treatment.

Chronic Insomnia: It is also called insomnia disorder and it usually lasts at least three months and occurs three days or more each week.

Chronic insomnia doesn’t tend to go away on its own. But it does respond well to certain types of treatment and it’s almost always caused by negative psychological associations with the bed and the attempt to sleep.

Other Types of Insomnia:

  1. Adjustment insomnia: It is a type of insomnia that most of us have suffered from at one time or another adjustment insomnia is difficulty sleeping associated with a major life change like moving or starting a new job or getting married or divorced the transition can be positive like having a new baby or negative like the loss of a pet stress anxiety and lack of familiarity are underlying factors in adjustment insomnia which typically resolves on its own once you’ve adapted to the change in your life.
  2. Drug-induced insomnia: It can be caused by certain medications alcohol nicotine and cannabis. Insomnia symptoms are also common during withdrawal from alcohol in cannabis and from many medications like antidepressants.
  3. Comorbid insomnia: This type of insomnia occurs along with other disorders like depression cardiovascular disease or asthma. It can also result from certain medical conditions that cause chronic pain like cancer and arthritis sleep.
  4. Onset insomnia: It describes difficulty falling asleep at the beginning of the night or what’s called sleep onset. This type of insomnia is characterized by a delay in sleep of 30 minutes or more. As per dr. Shelby Harris licensed clinical psychologist in sleep the potential causes of sleep-onset insomnia:
    • Active brain
    • Will get in bed when they haven’t allowed
    • Not fully stressed to relax

5.Middle insomnia: If you suffer from middle insomnia you wake up during the night and can’t get back to sleep. Middle insomnia is sometimes associated with alcohol use and chronic pain hot flashes and night sweats during menopause can disturb sleep too.

6. If you wake up around dawn that’s called late insomnia. When it feels too early to get up and too late to go back to sleep this type of insomnia is often associated with emotional stress circadian rhythm disorders and low blood sugar.

7. Conditioned insomnia is when insomnia becomes a conditioned response to going to bed and it’s usually the mechanism behind chronic insomnia.

What are some of the triggers conditioned insomnia and how does it start

Condition insomnia and adults: The idea is about as you’re getting in bed and your bed is a place where you’ve laid about. You lay awake at night and you’re thinking you’re tossing and turning. You’ve literally conditioned the bed as a place for being awake in thinking and that’s the whole reason behind using stimulus controls. So if you can’t sleep if you’re not falling asleep and you’re not even remotely sleepy get up.

A lot of people who have this conditioned insomnia will notice that when they go away on a vacation or they sleep somewhere else. They actually sleep better in other locations because they haven’t conditioned the bed with night after night of frustration and laying awake and tossing and turning.

8. Behavioral insomnia begins when a child under five is not given a strict bedtime. This can cause sleep difficulties like refusing to go to bed wanting to sleep with a parent or getting up repeatedly during the night untreated. Behavioral insomnia can cause issues beyond sleepiness like poor performance at school and temper tantrums.

9.Idiopathic insomnia describes insomnia with no apparent cause. But recent research has found that this type of insomnia probably does have a cause.

Hyperactivity of the central nervous system: This can be caused by an exaggerated response to stress by the body which remains at a hyper vigilant state making sleep difficult.

10.Paradoxical insomnia sufferers think they spend hours lying awake but the amount of time they spend sleeping is within the normal range.

What are the 11 types of Terminal Insomnia? How to treat

11.Sleep hygiene insomnia refers to poor habits like using electronics before bed at an inconsistent bedtime or drinking alcohol and coffee at the evening nighttime. Exposure to bright light from lamps and electronics can cause insomnia even if you otherwise practice good sleep hygiene.

Terminal Insomnia Symptoms:

Terminal insomnia symptoms inclides:

  • Feeling sleepy during a day
  • Dizziness or feeling fatigue
  • Lack of concentration
  • Medicines that alter mood
  • Cholesterol levels under control can also induce terminal insomnia symptoms in chronic insomnia cases.


  • Chronic anxiety
  • Stress and body pains besides failing to fall asleep in time.

Other symptoms

You may experience sleepiness throughout the day, fatigue, irritability, and problems focusing at work or at school.

So what can you do to lessen your terminal insomnia symptoms? The first step is to treat the underlying cause and eliminate all the things that make you struggle.


  • Fall asleep at the same time each day.
  • Avoid using apps throughout the day and only use your bedroom for resting at night.
  • Do not consume any coffee, chocolate, or tea that contains caffeine just before you go to bed.
  • It’s also tempting to think about work or other stressful matters but this is not the right time to do it.
  • If you want to keep your mind happily distracted and relaxed just read a book.
  • Remove any possible distractions like TV and laptop or noise and heat.
  • Make sure your bedding and pillow are comfortable and make you feel at ease. So you can have a better night’s sleep and as they say sweet dreams.

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