---
title: "Primary vs Secondary Insomnia: What’s the Difference?"
description: "Insomnia comes in two forms: chronic and short-term. Knowing the difference might make the difference in getting better sleep. Learn why."
image: https://info.ancsleep.com/hubfs/8-Primary-vs-Secondary-Insomnia-What-s-the-Difference.png
---

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# ANCSLEEP BLOG

# Primary vs Secondary Insomnia: What’s the Difference?

Posted by [Tyler Britton](https://info.ancsleep.com/blog/author/tyler-britton) on Sep 1, 2020 8:00:00 AM

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## ![Primary vs secondary Insomnia - Anchorage Sleeep CEnter](https://info.ancsleep.com/hs-fs/hubfs/8-Primary-vs-Secondary-Insomnia-What-s-the-Difference.png?width=750&name=8-Primary-vs-Secondary-Insomnia-What-s-the-Difference.png)

## What Does Insomnia Look Like?

Insomnia is a sleeping disorder that prevents you from getting enough sleep because:

- You have trouble falling asleep
- You have trouble staying asleep throughout the night
- You wake up much earlier than you want

If you have insomnia you never feel like you are getting enough rest – probably because you aren’t. To say the least, it’s frustrating to not be able to sleep when you want to, and there are a whole host of risks associated with sleep deprivation.

## Overview of Primary vs Secondary Insomnia

There are two types of insomnia: secondary insomnia and primary insomnia. 

**Secondary insomnia** means that you have insomnia as a direct result or symptom of something else, such as a health condition, medication, pain, substance abuse, etc. For example, depression can be an underlying cause for insomnia.

**Primary insomnia** is the opposite of secondary insomnia, and means that your trouble sleeping is not directly related to some other underlying issue.

While these terms are convenient and in many cases clear cut, it’s also easy to see that the line can become blurred. For example, in the case where both insomnia and depression are present, the question becomes, “Which comes first?”

## Overview of Chronic Insomnia vs. Acute Insomnia

Insomnia varies in how long it lasts, and the frequency with which it occurs. Primary and secondary insomnia are further broken up into two descriptors for short and long-term insomnia:

1. Acute insomnia is short-term, such as dealing with insomnia for up to a month, but no more
2. Chronic insomnia is symptomatic long-term (defined as insomnia at least three nights per week for a month or more)

Taking these further descriptors into account, you can have:

- Secondary/acute insomnia – temporary insomnia in response to a temporary illness, stress, etc.
- Primary/acute insomnia – temporary insomnia for no discernable reason
- Secondary/chronic insomnia – chronic insomnia in response to (usually) chronic a chronic life problem such as pain, long term illness, etc.
- Primary/chronic insomnia – chronic insomnia with no discernible cause

## What Causes Short Term (Acute) Insomnia?

[![Treatment for insomnia - Anchorage Sleep Center](https://info.ancsleep.com/hs-fs/hubfs/Treatment%20for%20insomnia%20-%20Anchorage%20Sleep%20Center.jpg?width=1000&name=Treatment%20for%20insomnia%20-%20Anchorage%20Sleep%20Center.jpg)](https://ancsleep.com/contact-us/)

Short term insomnia is usually caused in response to temporary, external factors such as:

- Short term illness
- Jet lag
- [Switching shifts at work](https://info.ancsleep.com/blog/getting-sleep-as-a-shift-worker)
- Temporary regimens of medication
- Travel
- Significant stress (divorce, job loss, death of loved one, moving)

Generally, acute insomnia may clear up once the cause goes away.

## What Causes Long Term (Chronic) Insomnia?

Causes of [chronic insomnia](https://info.ancsleep.com/blog/consequences-of-chronic-sleep-deprivation) include things like:

- Chronic stress
- Chronic anxiety
- Depression
- Chronic pain
- Circadian rhythm disorders
- Dependence on certain medications
- Habitual lifestyle choices
- Chronic substance abuse
- Especially in Alaska, seasonal effects or transitions (light/dark extremes)

## Treatment Options for Insomnia

Insomnia should be treated differently depending on what type of insomnia you have. Acute insomnia will likely go away on its own, especially in the case of secondary/acute insomnia. When the cause goes away, the insomnia should disappear. Where you are able in such a case, you might work on overcoming the root cause to rid yourself of insomnia.

Chronic insomnia treatments may be a little less straightforward, and will likely require some intervention of some sort – usually behavioral therapy. This might include:

- Therapy
- Education on good sleep habits
- Lifestyle changes
- Ways to reduce severity of chronic causes (such as pain treatment)
- Avoiding screens before bedtime

It is not recommended to treat chronic insomnia with over the counter pills, such as melatonin, because they may have undesired side effects and lose their effectiveness over time.

The other reality is that sometimes chronic insomnia is the direct result of choices we make or don’t make.  For example, insomnia might be caused by chronic TV binge watching. Therefore, an easy fix is simply by making the choice to turn off the TV. This also applies to similar behaviors, such as scrolling through social media, working out or eating too close to bedtime and stressing from the day. All of these behaviors have alternative management/treatments other than medication. 

For more information about treating insomnia in Alaska, contact our sleep specialists by taking this free online sleep test.

[![Take a Free Online Sleep Test](https://no-cache.hubspot.com/cta/default/2589155/7aac5edb-65b7-4bef-a8f3-925ec898aff1.png)](https://cta-redirect.hubspot.com/cta/redirect/2589155/7aac5edb-65b7-4bef-a8f3-925ec898aff1)

 Topics: [Insomnia](https://info.ancsleep.com/blog/topic/insomnia)

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- [stroke and sleep (2)](https://info.ancsleep.com/blog/topic/stroke-and-sleep)
- [testosterone and sleep (2)](https://info.ancsleep.com/blog/topic/testosterone-and-sleep)
- [thyroid (2)](https://info.ancsleep.com/blog/topic/thyroid)
- [vitamin deficiency and sleep (2)](https://info.ancsleep.com/blog/topic/vitamin-deficiency-and-sleep)
- [weight loss and sleep (2)](https://info.ancsleep.com/blog/topic/weight-loss-and-sleep)
- [womens sleep (2)](https://info.ancsleep.com/blog/topic/womens-sleep)
- [Academics and sleep (1)](https://info.ancsleep.com/blog/topic/academics-and-sleep)
- [CKD (1)](https://info.ancsleep.com/blog/topic/ckd)
- [Cleaning (1)](https://info.ancsleep.com/blog/topic/cleaning)
- [Cortisol (1)](https://info.ancsleep.com/blog/topic/cortisol)
- [Crohn's Disease (1)](https://info.ancsleep.com/blog/topic/crohns-disease)
- [Dementia and sleep (1)](https://info.ancsleep.com/blog/topic/dementia-and-sleep)
- [Kidney disease (1)](https://info.ancsleep.com/blog/topic/kidney-disease)
- [Neuropathy (1)](https://info.ancsleep.com/blog/topic/neuropathy)
- [New Puppy (1)](https://info.ancsleep.com/blog/topic/new-puppy)
- [Peripheral neuropathy (1)](https://info.ancsleep.com/blog/topic/peripheral-neuropathy)
- [Pulmonology (1)](https://info.ancsleep.com/blog/topic/pulmonology)
- [RLS (1)](https://info.ancsleep.com/blog/topic/rls)
- [Reflux (1)](https://info.ancsleep.com/blog/topic/reflux)
- [SRPE (1)](https://info.ancsleep.com/blog/topic/srpe)
- [Sleep Talking (1)](https://info.ancsleep.com/blog/topic/sleep-talking)
- [Sleep and Eyesight (1)](https://info.ancsleep.com/blog/topic/sleep-and-eyesight)
- [Sleep related painful erections (1)](https://info.ancsleep.com/blog/topic/sleep-related-painful-erections)
- [Ulcerative Colitis (1)](https://info.ancsleep.com/blog/topic/ulcerative-colitis)
- [acid reflux (1)](https://info.ancsleep.com/blog/topic/acid-reflux)
- [addiction and sleep (1)](https://info.ancsleep.com/blog/topic/addiction-and-sleep)
- [adjustable beds (1)](https://info.ancsleep.com/blog/topic/adjustable-beds)
- [ai and sleep (1)](https://info.ancsleep.com/blog/topic/ai-and-sleep)
- [all nighter (1)](https://info.ancsleep.com/blog/topic/all-nighter)
- [altitude (1)](https://info.ancsleep.com/blog/topic/altitude)
- [alzheimers and sleep (1)](https://info.ancsleep.com/blog/topic/alzheimers-and-sleep)
- [anemia and fatigue (1)](https://info.ancsleep.com/blog/topic/anemia-and-fatigue)
- [antioxidants (1)](https://info.ancsleep.com/blog/topic/antioxidants)
- [antipsychotics (1)](https://info.ancsleep.com/blog/topic/antipsychotics)
- [aromatherapy and sleep (1)](https://info.ancsleep.com/blog/topic/aromatherapy-and-sleep)
- [arthritis and sleep (1)](https://info.ancsleep.com/blog/topic/arthritis-and-sleep)
- [artificial intelligence and sleep (1)](https://info.ancsleep.com/blog/topic/artificial-intelligence-and-sleep)
- [autism and sleep (1)](https://info.ancsleep.com/blog/topic/autism-and-sleep)
- [back pain (1)](https://info.ancsleep.com/blog/topic/back-pain)
- [back pain and sleep (1)](https://info.ancsleep.com/blog/topic/back-pain-and-sleep)
- [bipap (1)](https://info.ancsleep.com/blog/topic/bipap)
- [bipolar disorder and sleep (1)](https://info.ancsleep.com/blog/topic/bipolar-disorder-and-sleep)
- [breastfeeding and sleep (1)](https://info.ancsleep.com/blog/topic/breastfeeding-and-sleep)
- [burnout (1)](https://info.ancsleep.com/blog/topic/burnout)
- [caffeine withdrawal (1)](https://info.ancsleep.com/blog/topic/caffeine-withdrawal)
- [cbti (1)](https://info.ancsleep.com/blog/topic/cbti)
- [cerebral palsy and sleep (1)](https://info.ancsleep.com/blog/topic/cerebral-palsy-and-sleep)
- [chronic kidney disease (1)](https://info.ancsleep.com/blog/topic/chronic-kidney-disease)
- [climate and sleep (1)](https://info.ancsleep.com/blog/topic/climate-and-sleep)
- [cluster headache and sleep (1)](https://info.ancsleep.com/blog/topic/cluster-headache-and-sleep)
- [college students (1)](https://info.ancsleep.com/blog/topic/college-students)
- [cosleeping (1)](https://info.ancsleep.com/blog/topic/cosleeping)
- [cpap alternatives (1)](https://info.ancsleep.com/blog/topic/cpap-alternatives)
- [daytime fatigue (1)](https://info.ancsleep.com/blog/topic/daytime-fatigue)
- [decision-making and sleep (1)](https://info.ancsleep.com/blog/topic/decision-making-and-sleep)
- [desert sleep (1)](https://info.ancsleep.com/blog/topic/desert-sleep)
- [dialysis and fatigue (1)](https://info.ancsleep.com/blog/topic/dialysis-and-fatigue)
- [digestion and sleep (1)](https://info.ancsleep.com/blog/topic/digestion-and-sleep)
- [doomscrolling and sleep (1)](https://info.ancsleep.com/blog/topic/doomscrolling-and-sleep)
- [drowsy teen driving (1)](https://info.ancsleep.com/blog/topic/drowsy-teen-driving)
- [dry climate and sleep (1)](https://info.ancsleep.com/blog/topic/dry-climate-and-sleep)
- [eczema and sleep (1)](https://info.ancsleep.com/blog/topic/eczema-and-sleep)
- [epworth sleep scale (1)](https://info.ancsleep.com/blog/topic/epworth-sleep-scale)
- [essential oils (1)](https://info.ancsleep.com/blog/topic/essential-oils)
- [estrogen and sleep (1)](https://info.ancsleep.com/blog/topic/estrogen-and-sleep)
- [excessive daytime sleepiness (1)](https://info.ancsleep.com/blog/topic/excessive-daytime-sleepiness)
- [face shape and sleep (1)](https://info.ancsleep.com/blog/topic/face-shape-and-sleep)
- [family sleep health (1)](https://info.ancsleep.com/blog/topic/family-sleep-health)
- [fasting and sleep (1)](https://info.ancsleep.com/blog/topic/fasting-and-sleep)
- [fibroids and sleep (1)](https://info.ancsleep.com/blog/topic/fibroids-and-sleep)
- [fibromyalgia (1)](https://info.ancsleep.com/blog/topic/fibromyalgia)
- [fibromyalgia and sleep (1)](https://info.ancsleep.com/blog/topic/fibromyalgia-and-sleep)
- [focus (1)](https://info.ancsleep.com/blog/topic/focus)
- [focus and sleep (1)](https://info.ancsleep.com/blog/topic/focus-and-sleep)
- [glp1 and sleep (1)](https://info.ancsleep.com/blog/topic/glp1-and-sleep)
- [gout (1)](https://info.ancsleep.com/blog/topic/gout)
- [grief (1)](https://info.ancsleep.com/blog/topic/grief)
- [grief and sleep (1)](https://info.ancsleep.com/blog/topic/grief-and-sleep)
- [gut health and sleep (1)](https://info.ancsleep.com/blog/topic/gut-health-and-sleep)
- [heart failure (1)](https://info.ancsleep.com/blog/topic/heart-failure)
- [heart health and sleep (1)](https://info.ancsleep.com/blog/topic/heart-health-and-sleep)
- [herbal remedies for sleep (1)](https://info.ancsleep.com/blog/topic/herbal-remedies-for-sleep)
- [high blood pressure and sleep (1)](https://info.ancsleep.com/blog/topic/high-blood-pressure-and-sleep)
- [hot flashes and sleep (1)](https://info.ancsleep.com/blog/topic/hot-flashes-and-sleep)
- [hypervigilence and sleep (1)](https://info.ancsleep.com/blog/topic/hypervigilence-and-sleep)
- [hypoglycemia (1)](https://info.ancsleep.com/blog/topic/hypoglycemia)
- [inflammation (1)](https://info.ancsleep.com/blog/topic/inflammation)
- [irritable bowel syndrome (1)](https://info.ancsleep.com/blog/topic/irritable-bowel-syndrome)
- [late night (1)](https://info.ancsleep.com/blog/topic/late-night)
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- [leg swelling (1)](https://info.ancsleep.com/blog/topic/leg-swelling)
- [light therapy (1)](https://info.ancsleep.com/blog/topic/light-therapy)
- [liver disease (1)](https://info.ancsleep.com/blog/topic/liver-disease)
- [metabolic syndrome and sleep (1)](https://info.ancsleep.com/blog/topic/metabolic-syndrome-and-sleep)
- [microsleep (1)](https://info.ancsleep.com/blog/topic/microsleep)
- [middle age (1)](https://info.ancsleep.com/blog/topic/middle-age)
- [midnight awakenings (1)](https://info.ancsleep.com/blog/topic/midnight-awakenings)
- [migraine (1)](https://info.ancsleep.com/blog/topic/migraine)
- [morning fatigue (1)](https://info.ancsleep.com/blog/topic/morning-fatigue)
- [mouthguards and sleep (1)](https://info.ancsleep.com/blog/topic/mouthguards-and-sleep)
- [multiple sclerosis (1)](https://info.ancsleep.com/blog/topic/multiple-sclerosis)
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- [nicotine (1)](https://info.ancsleep.com/blog/topic/nicotine)
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- [night time cramps (1)](https://info.ancsleep.com/blog/topic/night-time-cramps)
- [nighttime affirmations (1)](https://info.ancsleep.com/blog/topic/nighttime-affirmations)
- [nighttime awakenings (1)](https://info.ancsleep.com/blog/topic/nighttime-awakenings)
- [nighttime hives (1)](https://info.ancsleep.com/blog/topic/nighttime-hives)
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- [nighttime worry (1)](https://info.ancsleep.com/blog/topic/nighttime-worry)
- [ocd and sleep (1)](https://info.ancsleep.com/blog/topic/ocd-and-sleep)
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- [oxytocin and sleep (1)](https://info.ancsleep.com/blog/topic/oxytocin-and-sleep)
- [parent (1)](https://info.ancsleep.com/blog/topic/parent)
- [parenting (1)](https://info.ancsleep.com/blog/topic/parenting)
- [peripheral vascular disease and sleep (1)](https://info.ancsleep.com/blog/topic/peripheral-vascular-disease-and-sleep)
- [phones and sleep (1)](https://info.ancsleep.com/blog/topic/phones-and-sleep)
- [physical activity (1)](https://info.ancsleep.com/blog/topic/physical-activity)
- [pilates and sleep (1)](https://info.ancsleep.com/blog/topic/pilates-and-sleep)
- [plmd (1)](https://info.ancsleep.com/blog/topic/plmd)
- [poor sleep (1)](https://info.ancsleep.com/blog/topic/poor-sleep)
- [posture and sleep (1)](https://info.ancsleep.com/blog/topic/posture-and-sleep)
- [progesterone and sleep (1)](https://info.ancsleep.com/blog/topic/progesterone-and-sleep)
- [protein and sleep (1)](https://info.ancsleep.com/blog/topic/protein-and-sleep)
- [psych (1)](https://info.ancsleep.com/blog/topic/psych)
- [reading and sleep (1)](https://info.ancsleep.com/blog/topic/reading-and-sleep)
- [recovery and sleep (1)](https://info.ancsleep.com/blog/topic/recovery-and-sleep)
- [remote workers (1)](https://info.ancsleep.com/blog/topic/remote-workers)
- [reproductivity and sleep (1)](https://info.ancsleep.com/blog/topic/reproductivity-and-sleep)
- [retirement and sleep (1)](https://info.ancsleep.com/blog/topic/retirement-and-sleep)
- [revenge bedtime procrastination (1)](https://info.ancsleep.com/blog/topic/revenge-bedtime-procrastination)
- [school and sleep (1)](https://info.ancsleep.com/blog/topic/school-and-sleep)
- [sciatica and sleep (1)](https://info.ancsleep.com/blog/topic/sciatica-and-sleep)
- [sedentary lifestyle and sleep (1)](https://info.ancsleep.com/blog/topic/sedentary-lifestyle-and-sleep)
- [sids (1)](https://info.ancsleep.com/blog/topic/sids)
- [sjrogrens and sleep (1)](https://info.ancsleep.com/blog/topic/sjrogrens-and-sleep)
- [sleep and appetite (1)](https://info.ancsleep.com/blog/topic/sleep-and-appetite)
- [sleep and empathy (1)](https://info.ancsleep.com/blog/topic/sleep-and-empathy)
- [sleep and executive functioning (1)](https://info.ancsleep.com/blog/topic/sleep-and-executive-functioning)
- [sleep and mood (1)](https://info.ancsleep.com/blog/topic/sleep-and-mood)
- [sleep and outlook (1)](https://info.ancsleep.com/blog/topic/sleep-and-outlook)
- [sleep and self-perception (1)](https://info.ancsleep.com/blog/topic/sleep-and-self-perception)
- [sleep and stroke (1)](https://info.ancsleep.com/blog/topic/sleep-and-stroke)
- [sleep and temperature (1)](https://info.ancsleep.com/blog/topic/sleep-and-temperature)
- [sleep and trauma (1)](https://info.ancsleep.com/blog/topic/sleep-and-trauma)
- [sleep and work (1)](https://info.ancsleep.com/blog/topic/sleep-and-work)
- [sleep doctors (1)](https://info.ancsleep.com/blog/topic/sleep-doctors)
- [sleep drive (1)](https://info.ancsleep.com/blog/topic/sleep-drive)
- [sleep inertia (1)](https://info.ancsleep.com/blog/topic/sleep-inertia)
- [sleep influencers (1)](https://info.ancsleep.com/blog/topic/sleep-influencers)
- [sleep score (1)](https://info.ancsleep.com/blog/topic/sleep-score)
- [sleepwear (1)](https://info.ancsleep.com/blog/topic/sleepwear)
- [snacks (1)](https://info.ancsleep.com/blog/topic/snacks)
- [snooze (1)](https://info.ancsleep.com/blog/topic/snooze)
- [social media and sleep (1)](https://info.ancsleep.com/blog/topic/social-media-and-sleep)
- [somniphobia (1)](https://info.ancsleep.com/blog/topic/somniphobia)
- [stimulants and sleep (1)](https://info.ancsleep.com/blog/topic/stimulants-and-sleep)
- [substance abuse and sleep (1)](https://info.ancsleep.com/blog/topic/substance-abuse-and-sleep)
- [supplements (1)](https://info.ancsleep.com/blog/topic/supplements)
- [teeth grinding at night (1)](https://info.ancsleep.com/blog/topic/teeth-grinding-at-night)
- [tension headache and sleep (1)](https://info.ancsleep.com/blog/topic/tension-headache-and-sleep)
- [tmj and sleep (1)](https://info.ancsleep.com/blog/topic/tmj-and-sleep)
- [untreated sleep apnea (1)](https://info.ancsleep.com/blog/topic/untreated-sleep-apnea)
- [vaping and sleep (1)](https://info.ancsleep.com/blog/topic/vaping-and-sleep)
- [weight gain and sleep (1)](https://info.ancsleep.com/blog/topic/weight-gain-and-sleep)
- [weighted blanket and sleep (1)](https://info.ancsleep.com/blog/topic/weighted-blanket-and-sleep)
- [wfh (1)](https://info.ancsleep.com/blog/topic/wfh)
- [worry window (1)](https://info.ancsleep.com/blog/topic/worry-window)
- [yawn (1)](https://info.ancsleep.com/blog/topic/yawn)
- [yawning (1)](https://info.ancsleep.com/blog/topic/yawning)

[see all](https://info.ancsleep.com/blog/primary-vs-secondary-insomnia-whats-the-difference#)

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