What Is Maintenance Insomnia? Causes, Symptoms & Treatment Guide

Maintenance insomnia is a condition where people wake up during the night and struggle to fall back asleep. Learn its causes like stress, pain, age, sleep environment, and effective treatments, including CBT-I, medications, and healthy bedtime routines.

11 Feb 2026 19:13 IST

People often think of insomnia as simply a sleep disorder, but it has many different forms. Some people have trouble falling asleep, others wake up early in the morning, and others wake up in the middle of the night. This sleeplessness is called maintenance insomnia. Let's understand its causes and causes.

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Stress and Anxiety

The most common causes of maintenance insomnia are stress and anxiety. Waking up suddenly in the middle of the night can be due to daily activities, work stress, or the stress of sleeplessness. Nightmares, PTSD, or mental health issues can also contribute to insomnia.

Body Pain

Insomnia is directly linked to pain, which can disrupt sleep. In addition to chronic problems, temporary problems like back pain can also trigger insomnia.

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Age and Gender

As we age, conditions like neuropathy, urinary problems, and acid reflux increase and can contribute to insomnia. A 2015 study in the USA found that women approaching menopause are at higher risk of developing maintenance insomnia due to hormonal changes.

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Unsuitable Sleep Environment

Sometimes, surroundings can disrupt sleep, such as excessive noise, light, cold or heat, an uncomfortable bed, or a partner's loud snoring.

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Maintenance Insomnia Treatment Options

Cognitive Behavioral Therapy for Insomnia (CBT-I): This addresses thinking patterns, habits, and behaviors. It typically involves six to eight sessions.

Medications: Your doctor may recommend medication for a short period of time, depending on your patient's condition.
A Proper Bedtime Routine: Your bedtime routine should be relaxing. Turn off digital devices 30-60 minutes before bed. You can also try deep breathing and muscle relaxation techniques.

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Things to Avoid in Maintenance Insomnia:

Drinking caffeinated beverages, such as coffee or energy drinks, late in the evening can worsen insomnia.
Avoid napping during the day. This can disrupt your sleep-wake cycle.

The information provided in this article is for educational and informational purposes only. It is not intended as medical advice, diagnosis, or treatment. Always consult a qualified healthcare professional or doctor for any sleep-related issues or medical conditions. The author and publisher are not responsible for any health decisions made based on this content.

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