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Trouble getting to sleep (taking more than 45 minutes to fall asleep) frequent awakenings with inability o fall back asleep. Early morning awakening. Short term insomnia lasts for a few nights to a few weeks, it is usually caused by worrying over a stressful situation. Long term insomnia is a serious sleep disorder, which can last months or even years, it is often caused by general anxiety, medications, depression, chronic pain, or other physical disorders.