Why can’t I sleep? Nothing helps

Q:  What is causing my insomnia?  This happened suddenly.  I am tired but as I start to doze off, I suddenly jerk awake.  I suspect it’s stress, but right now all’s well with me.  I’m physically active, try to eat right, have a good job, happy with my social life.  I toss and turn for hours and obsess all the time about sleep, but just don’t know what to do.

A:  First, see a doctor to either treat or rule out an underlying medical condition.  From the sound of your description, however, don’t be surprised if you have none.

Considering you have no history of insomnia and describe a healthy lifestyle, you may have psychophysiologic insomnia, one of the most common types. One of its root causes is excessive worry about the idea of sleep, which you are expressing.  Your worries about sleep may be potent enough to put you into a hyperaroused state that is the root cause, or one of the root causes, for your insomnia.

So a reality check is in order. No, your life isn’t “all well” at the moment.  You are describing a significant amount of stress about sleep that likely is fueling your insomnia to at least some degree. Moreover, some stress is in life is normal and healthy — the key is managing it effectively.

It’s likely that your hours and hours of frustration tossing and turning in bed — and those jolts awake just at the moment of falling asleep are the worst, aren’t they — has led to a conditioned negative response to your bed, bedroom, and the idea of sleep.  Again very common.

What you’re doing with respect to sleep hygiene is excellent, and you also sound like you’re leading or trying to lead an overall healthy lifestyle.  What is not in your description is any effective method at stress management or cognitive approach to your worries about sleep.

Ask your doctor about using CBT sleep training methods.  What CBT will give you are the sleep hygiene and good sleep behaviors plus powerful cognitive measures to combat the worry, stress, and anxiety.  By using all these proven, drug-free methods simultaneously, you stand a good chance of restoring better sleep.

Explore posts in the same categories: Insomnia, sleep, stress

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