Among the classifications of insomnia, intractable insomnia is a common disease, and it is more difficult to treat than secondary insomnia. Persistent insomnia is often caused by psychological factors, and the main clinical manifestations are difficulty in falling asleep and maintaining sleep, daytime fatigue, difficulty in falling asleep at night the more you want to fall asleep as soon as possible, aggravating psychological conflicts, generating tension and anxiety, emotional instability, excessive worry, and self-conscious suffering leading to insomnia, forming a vicious circle. Insomnia as a symptom is quite common, and scholars in China speculate that the prevalence rate in the population is about 10% to 20%. In fact, insomnia is not an isolated symptom, if it is a persistent, long-term insomnia, 80% of it may be caused by anxiety disorders. Some psychological studies have found that persistent insomnia is mainly caused by the insomniac’s allergic emotional reaction to the phenomenon of falling asleep, sleep quality, sound disturbance during sleep, early awakening, and excessive anxiety and tension before falling asleep. According to clinical data, 97% of persistent insomnia is anxiety insomnia and depressive insomnia. Anxiety is often the first cause of insomnia in men; and depression is often the first cause of insomnia in women. Men’s anxiety mainly comes from career, responsibility and competitive pressure; women’s depression tends to develop during adolescence, maternity and menopause. Insomnia patients with anxiety and depression tendencies must see insomnia as a symptom of anxiety and depression, systematic anti-anxiety and antidepressant drug treatment, anxiety and depression symptoms a reduction, sleep will naturally improve. Relying solely on sleeping pills to control insomnia not only fails to effectively eliminate insomnia, but also makes the patient’s own not-so-serious anxiety and depression tendency develop into a painful anxiety disorder. The effective way to eliminate persistent insomnia is not to control but to treat it; the proper way to treat insomnia is not only to treat the symptoms but also to remove the causes. By receiving anti-anxiety and antidepressant medication today, you can completely get rid of the pain of insomnia for decades or even a lifetime, and save decades or even a lifetime of sleeping pills. Why should we not do that?