Yes. Most people think insomnia is trouble falling asleep — sleep onset insomnia. But there also can be middle-of-the-night awakening — sleep maintenance insomnia — as well as early morning awakenings. Many people have both trouble falling asleep and trouble staying asleep. A lot of people never seek treatment because they don’t think that they can change their sleep pattern. Perhaps they have normalized it. Or they may discuss it with a health care provider who isn’t trained in treating sleep disorders. I think the sooner treatment is sought the better; effective treatment will help to prevent a sleep issue from becoming chronic.