Primary insomnia is difficulty getting to sleep or staying asleep, or having non-refreshing sleep for at least 1 month without any known physical or mental condition.
See also: Insomnia concerns
Insomnia is caused by many different things. The most common causes of insomnia are:
About 25% of elderly people and about 10% of people in general have insomnia.
Secondary insomnia is insomnia caused by a medical condition. Depression is a very common cause of secondary insomnia. Often, insomnia is the symptom for which people with depression seek medical help.
Goetz, CG. Textbook of Clinical Neurology. 2nd ed. St. Louis, Mo: WB Saunders; 2003: 1207-1210.
Rakel P, ed. Conn’s Current Therapy 2005. 57th ed. Philadelphia, Pa: WB Saunders; 2005:34-39.