Sleep-onset insomniaoccurs when people have difficulty falling asleep, even when they are tired.
Sleep maintenance insomniarefers to difficulty staying asleep during the night.
Mixed insomniais a hybrid condition characterized by sleep-onsetandsleep maintenance insomnia symptoms.
SLEEP ONSET INSOMNIA
Initial onset insomnia tends to be anxiety related.
Insomnia is a common sleep disorder that can make it hard to ÿall asleep, hard to stay asleep, or cause you to wake up too early and not be able to Āet back to sleep. You may still feel tired when you wake up. Insomnia can sap not only your energy level and mood but also your health, work performance and quality of life.
Sleep-Onset Insomnia (Initial Insomnia): This type involves difficulty falling asleep at the beginning of the night. It's often associated with stress and anxiety, where worries and an overactive mind hinder the ability to initiate sleep
SLEEP MAINTENANCE - MIDDLE INSOMNIA
Sleep Maintenance or Middle insomnia is usually medical.
Sleep Maintenance Insomnia (Middle Insomnia): Characterized by difficulty staying asleep, leading to frequent awakenings during the night. This form can be related to medical conditions such as sleep apnea, restless legs syndrome, or other health issues that disrupt sleep continuity.
LATE OR TERMINAL INSOMNIA
Late or terminal insomnia is depression related.
Terminal insomnia — also called “late insomnia” — is what you have when you can fall asleep easily soon after you go to bed... but then wake up too early in the morning. For some reason your brain thinks “sleep time” is over, but you’ve only had three to five hours or less. And you can’t go back to sleep no matter what you do.
Late Insomnia (Terminal Insomnia): Involves waking up too early in the morning and being unable to return to sleep. This pattern is often linked to depression, particularly melancholic depression, where early morning awakenings are a common symptom.
HYPERSOMNIA / EXCESSIVE DAYTIME SLEEPINESS
Difficulty waking up easily in the morning can be referred to by several terms, depending on the underlying causes or specific symptoms:
Sleep Inertia: This is a state of grogginess and impaired alertness upon waking. It’s normal to experience some sleep inertia, but if it’s severe or prolonged, it may interfere with morning functioning.
Delayed Sleep-Wake Phase Disorder (DSWPD): A circadian rhythm disorder where your natural sleep-wake cycle is delayed, making it difficult to fall asleep and wake up at conventional times.
Hypersomnia: A condition characterized by excessive sleepiness during the day, despite adequate or extended nighttime sleep. It can include difficulty waking up in the morning.
Dysania: An informal term (not a medical diagnosis) often used to describe a chronic inability to get out of bed in the morning.
Sleep Apnea: A sleep disorder where breathing repeatedly stops and starts during sleep, leading to poor-quality rest and difficulty waking up.
Non-Restorative Sleep: If your sleep doesn’t feel refreshing, it could be due to underlying issues like insomnia, restless legs syndrome, or other sleep disorders, making it harder to wake up.
