This term is exclusive for people with chronic insomnia, or people with a form of neurodivergence that has insomnia as a lasting symptom. Insomnia can lead to mood swings, depression, an increased risk of disease, stress, concentration issues, irritability, anxiety, memory issues, fatigue, etc. Some of these things have the potential to affect a person’s gender and/or their perception of it. For example, one might not have the energy to notice their gender.