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Chronic Insomnia

By NAFSIO Editorial Team
Reading Time: 5 min
Updated: June 2026

Evidence-Based Information
Based on scientific research

Not a Substitute for
Professional Care

If you are experiencing severe distress or thoughts of self-harm, seek immediate professional support.

Quick Answer (TL;DR)

You are exhausted all day, but the minute your head hits the pillow, your brain turns on like a stadium floodlight. You calculate how many hours of sleep you'll get if you fall asleep right now, which only makes you more anxious.

Signs and Symptoms

Emotional Signs

  • Brain fog and memory issues
  • Irritability and mood swings
  • Anxiety specifically about sleeping
  • Depressive symptoms
  • Decreased motivation

Physical Signs

  • Daytime fatigue and lethargy
  • Tension headaches
  • Gastrointestinal distress
  • Coordination issues
  • Compromised immune system

Behavioural Signs

  • Taking prolonged daytime naps
  • Relying on caffeine to function
  • Using alcohol to try and fall asleep
  • Spending excessive time in bed awake
  • Constantly checking the clock

Root Causes

Etiology // Origins

Root Causes & Triggers

Hyperarousal

An overactive nervous system that refuses to transition from the 'awake' state to the 'rest' state.

Circadian Misalignment

Disruptions to the internal body clock due to shift work, jet lag, or late-night screen time.

Conditioned Arousal

The brain begins to associate the bed with frustration and wakefulness rather than sleep.

Islamic Perspective

"Sleeplessness (Sahar) dries the brain and disrupts the rational faculties."

Ibn Sina (Avicenna)(11th Century (980–1037 CE))

Reflection & Clinical Context

Ibn Sina identified insomnia as a serious medical disorder. He prescribed comprehensive sleep hygiene routines, herbal sedatives like chamomile, and specific diets. Spiritually, Prophet Muhammad (PBUH) provided specific grounding supplications for those who could not sleep.

Written by NAFSIO Editorial Team

Reviewed by NAFSIO Editorial Review Team

Our review board consists of psychology graduates, mental health advocates, and content specialists dedicated to ensuring all information is sourced from reputable medical bodies (WHO, APA, DSM-5-TR) and culturally contextualized for South Asian communities.

NAFSIO provides evidence-based mental health education, independent research, and culturally relevant resources for people in Pakistan and beyond.

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