This is a sleep disorder characterized by trouble staying asleep or falling asleep. 

Cause of Insomnia

  • Stress
  • Medications such as antidepressants, opioids, stimulants, steroids
  • Environmental such as noise, light, or temperature
  • Health conditions such as anxiety, depression, sleep apnea, restless legs syndrome, and thyroid disorders
  • Lifestyle choices including alcohol, caffeine, and tobacco use


Callondoc recommends treating chronic insomnia that persists despite appropriate identification and management of precipitating factors.