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Sleep onset insomnia is difficulty falling asleep — often caused by racing thoughts, anxiety and conditioned arousal.
Quick Answer
Sleep onset insomnia is difficulty falling asleep — often caused by racing thoughts, anxiety and conditioned arousal. Dr. Jitendra Prasad Yadav (NMC 8029, 15+ years of clinical experience) evaluates sleep onset insomnia at Kathmandu Neurology Clinic & Cognitive Center, 117 Lal Durbar Marg, Kathmandu, Bagmati Province 44600, Nepal — evidence-based, medically reviewed.
Sleep onset insomnia is difficulty falling asleep — typically taking >30 minutes to fall asleep. Common causes include racing thoughts, anxiety, conditioned arousal (bed associated with wakefulness) and poor sleep hygiene. It's the most common type of insomnia.
Sleep anxiety
Clock watching
Management is individualized and discussed with benefits, limitations, and follow-up.
Daytime fatigue
Health
Sleep Restriction Therapy: How to Calculate Your Sleep Window
Sleep restriction therapy requires calculating sleep efficiency — a systematic approach to CBT-I that improves insomnia.
Health
Stimulus Control Therapy: Reclaiming Your Bed for Sleep
Stimulus control therapy strengthens the bed-sleep association — using bed only for sleep to break conditioned insomnia.
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Reviewed by Dr. Jitendra Prasad Yadav • Last reviewed: 2026-11-10
Content is educational and aligns with standard medical references; individual evaluation may vary. External links provide context and do not imply endorsement.
Doctor — medically reviewed
Dr. Jitendra Prasad Yadav
Consultant Neurologist & Headache Specialist • MBBS, MD (Internal Medicine), FICN (Neurology), FCNV, FIHM • NMC 8029
This condition guide was medically reviewed by Dr. Jitendra Prasad Yadav.
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