Primary insomnia is basically the condition you have when no other “causes” for the sleeplessness are there, or can be found. Once all the other medical, medication, substance or sleep disorder (sleep apnea) causes are eliminated, this is what’s left. If the insomnia was “caused” by some depression or anxiety without a real medical issue present – than this is what you have.
Co-morbid or secondary insomnia is a type that is brought on or amplified by the use of some other factor – and it could be almost anything. Medications, nicotine, caffeine, alcohol, illicit drugs, pain, stress, rheumatoid arthritis, hyperthyroidism, brain trauma, anything. It’s important that we get these medical issue resolved first, or the insomnia issue may never go away.
The important lesson here is to find out whether the cause of your insomnia has got a third-party contributor –something that can be controlled. I’d say that things like “jet lag” are pretty hard to control, and so that would be considered short-term, primary insomnia. Something like taking amphetamines or your arthritis causing pain all night would be co-morbid.
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