If you have ongoing issues falling or staying asleep, Elevate medical recommends scheduling a comprehensive health evaluation as soon as possible. Common signs you may need treatment for insomnia include: Chronic fatigue Mood swings Difficulty concentrating and focusing Waking up too early in the morning Irritability and mood swings Exhaustion If your lack of sleep causes behavioral issues like anger or aggression, don’t delay an evaluation. The medical team takes time to review your lifestyle, health history, and existing health to rule out underlying medical conditions causing acute or chronic insomnia.