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Types of Insomnia

Types of Insomnia – ClaraWell Learning Resource

Types of Insomnia

Types of Insomnia

Not all insomnia looks the same. Some people can’t fall asleep. Others wake up often—or far too early. The causes vary, and so do the patterns. These cards explain the most common types of insomnia to help you understand your experience more clearly.

If you’re starting to notice changes in your sleep or nighttime patterns, ClaraWell™ offers a helpful free insomnia screener to help you gain clarity and insight.

🕰️ Acute vs. Chronic Insomnia

Acute insomnia is short-term. It might last days or a few weeks—often triggered by stress, travel, or change. Chronic insomnia lasts three months or longer and tends to repeat over time. Both are valid and can affect daily life.

⏳ Sleep-Onset Insomnia

This type makes it hard to fall asleep. Your body may be tired, but your brain stays busy. It’s often linked to anxiety, stress, or overstimulation late in the day.

🌙 Sleep-Maintenance Insomnia

This refers to waking up in the middle of the night—and having trouble falling back asleep. It can leave you feeling like your rest was broken into pieces, even if you were in bed for hours.

🌅 Early-Morning Awakening

You fall asleep just fine—but wake up too early and can’t get back to sleep. This pattern is sometimes connected to mood disorders, hormonal shifts, or sleep drive timing.

🧩 Primary vs. Secondary Insomnia

Primary insomnia stands on its own. Secondary insomnia is caused by something else—like pain, medication, or a health condition. Many people experience both over time.

🔗 Comorbid Insomnia

This type happens alongside another condition—like depression, anxiety, ADHD, or chronic illness. The insomnia and the condition can fuel each other, making sleep recovery more complex. Learn more about anxiety and insomnia.

👶 Behavioral Insomnia

This often shows up in children and teens—but adults experience it too. It’s linked to learned sleep patterns, bedtime resistance, or an overreliance on conditions (like screens or specific rituals) that make independent sleep difficult.

🔄 Mixed-Pattern Insomnia

Some people experience more than one type of insomnia—difficulty falling asleep, plus early waking, or broken sleep throughout the night. The pattern may shift from week to week or even night to night. In some cases, circadian rhythm issues play a role.

📆 Transient Insomnia

This is short-lived and usually tied to a temporary stressor, event, or change in routine. If it’s happening more than occasionally, though, it may point to something deeper worth addressing.

📉 Why Your “Type” Can Shift Over Time

Insomnia isn’t fixed. Your pattern can evolve with age, life stage, stress levels, or health changes. What matters most is understanding your current experience—and giving yourself permission to adjust and adapt as needed.

Curious if your sleep struggles might be a sign of insomnia? ClaraWell’s free screener helps assess your risk and gives clarity around common patterns.

Take the Insomnia Risk Screener
ClaraWell™ meets you where you are—helping you map your insomnia type with clarity and care.

Frequently Asked Questions

Are there different types of insomnia?
Yes. Insomnia isn’t one-size-fits-all. Some people struggle to fall asleep, others wake up often, and some wake up too early. These different patterns—like sleep-onset insomnia or early-morning awakening—help guide treatment and understanding.
What causes the different types of insomnia?
Each type of insomnia can have different root causes. For example, trouble falling asleep is often linked to stress or anxiety, while waking early may be related to mood changes. Our article on what causes insomnia dives deeper into these links.
Can someone have more than one type of insomnia?
Absolutely. Mixed-pattern insomnia is common—where a person might have trouble falling asleep some nights and wake up too early on others. These patterns can shift over time depending on lifestyle, stress, or health conditions.
Does my insomnia type change how it should be treated?
Often, yes. Knowing your pattern helps target the right support. For example, someone with sleep-maintenance insomnia might focus on sleep hygiene and limiting nighttime disruptions, while sleep-onset issues may benefit from calming routines or CBT-I techniques.
Is it possible to not fit into any one type?
Yes. Insomnia can be fluid and change from week to week. That’s why ClaraWell’s screener and resources aim to understand your current pattern, not box you into a single definition.
Medically Reviewed
Last reviewed on May 10, 2025