Insomnia is defined by difficulty falling or staying asleep as reported by individuals. It can be transient (less than a week), acute (less than a month), or chronic (longer than a month). Chronic insomnia can cause fatigue, hallucinations, and issues with vision. Insomnia is more common in females and the elderly. It is evaluated through medical history and sleep diaries or partner interviews. While insomnia has always existed, the term originated in the early 17th century to describe the inability to sleep. Lack of sleep can impair thinking, concentration, and memory. People operating machinery should address insomnia to avoid safety issues.