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Symptoms of Insomnia Difficulty falling asleep at night Waking up frequently during the night Trouble returning to sleep after waking Waking up too early and being unable to fall back asleep Feeling tired or unrefreshed even after a full nights sleep Daytime sleepiness or fatigue Mood disturbances such as irritability, anxiety, or depression Difficulty concentrating, remembering, or focusing Increased errors or accidents due to lack of alertness Insomnia can occur at any age, and can affect anyone, but it is more prevalent in adults, especially women and the elderly