This is actually an important distinction to make because many people with chronic insomnia confuse fatigue with sleepiness. As a result, we are more likely to go to bed before we are sufficiently sleepy (instead, we are very fatigued) and this leads to more time awake in bed, and further strengthening of the negative association between the bed and wakefulness (rather than sleep). This perpetuates insomnia.
One reason why CBT-I techniques are so effective is that they help build short-term sleepiness, making it easier to fall asleep and stay asleep — and retrain us to recognize the difference between sleepiness and fatigue.
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