I have difficulty falling asleep.
ad-dor-men-TAR-mi — five syllables, stress on fourth. Reflexive infinitive of 'addormentarsi'.
Report insomnia to a doctor. Sleep problems lasting more than 4 weeks warrant professional assessment.
'Ho difficoltà ad addormentarmi' = I have difficulty falling asleep. 'Insonnia' is the medical term. Types: difficulty falling asleep ('insonnia iniziale'), waking in the night ('insonnia di mantenimento'), early morning waking ('risveglio precoce'). Causes: stress, anxiety, depression, sleep apnoea, medication, caffeine, poor sleep hygiene.
Mi sveglio più volte durante la notte.
I wake up several times during the night.
Sleep maintenance insomnia — different treatment approach than difficulty falling asleep
Non dormo più di quattro ore per notte.
I sleep no more than four hours per night.
Severe insomnia — risk of cognitive impairment, mood disorder, and health consequences
Mio marito russa fortissimo e mi sveglia.
My husband snores very loudly and wakes me up.
Partner snoring — may signal sleep apnoea in the partner, needs assessment
Sleep disorders affect an estimated 12 million Italians. Italian 'centri del sonno' (sleep centres) are specialist units for complex insomnia and sleep apnoea diagnosis. CBT-I (Cognitive Behavioral Therapy for Insomnia) is the recommended first-line treatment in Italian psychiatric guidelines but is not widely available. The AIMS ('Associazione Italiana Medicina del Sonno') promotes sleep medicine in Italy. Melatonin supplements (≤1mg) are OTC in Italian pharmacies.