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4 ways to overcome the sleep anxiety of insomnia : NPR

by Andee Tagle
January 15, 2026
in Health
Reading Time: 9 mins read
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Scientific psychologist Steve Orma was in his early 40s when he developed insomnia — problem falling asleep or staying asleep.

He could not cease fixating on it. “I began entering into the mind set most individuals get sucked into. I fearful, ‘What is going on on? Is there one thing flawed with me?'” he says.

That worry of not having the ability to sleep is a phenomenon referred to as “sleep anxiousness,” says Orma, who went on to change into a specialist in insomnia therapy. Left untreated, that anxiousness can stop individuals from really falling asleep.

“The extra you give attention to it, the much less likelihood you will sleep, which then makes you extra anxious. That is the cycle that spins,” he says.

One of the highly effective methods to beat sleep anxiousness is cognitive behavioral remedy for insomnia (CBT-I). It is properly studied, would not depend on sleep medication and has been proven to be efficient for scientific insomnia. Orma used this therapy to heal his sleep, and it is now the principle focus of his remedy observe.

A man looks at his phone in bed.

Sometimes, a CBT-I program lasts about six to eight weeks, and every week, you and a supplier work on a method to reset sleep behaviors and restructure your considering round relaxation.

However you do not have to be in an official program to profit from CBT-I. Whether or not you are coping with some sleep stress or simply the occasional off-night, these CBT-I practices can assist.

Get up on the identical time every single day

Having a constant wake-up time helps your physique know when it is time to get sleepy, says Aric Prather, a sleep scientist and the writer of The Sleep Prescription: 7 Days to Unlocking Your Finest Relaxation. The sleepy cues are managed by your circadian rhythm, or your physique’s inside clock. A set wake-up time retains your inside clock ticking on time.

Prather makes use of the analogy of a “sleep balloon.” Once you get up, your sleep balloon is empty. Your balloon fills up with sleepiness all through the day. As soon as it is full, you are feeling able to sleep. Waking up on the identical time every single day, even on weekends, retains your sleep cues constant.

Deal with a wind-down time, not a bedtime 

As an alternative of attempting to pressure your self to go to mattress at a selected time, regardless that you are not sleepy, give attention to winding down for mattress earlier, says Dr. Ravi Aysola, director of the Sleep Issues Heart on the College of California, Los Angeles.

Decide a time to transition from daytime actions to nighttime actions. This will seem like unplugging from screens, placing on snug garments and dimming the lights in your house.

He says having a wind-down time as an alternative of a strict bedtime can assist reduce the sensation that you could get to sleep instantly — and might scale back the anxiousness that may happen when you do not.

A yellow analog alarm clock stands on a plump white pillow in a space with dim lighting. The hands on the clock show 12:55.

Schedule your “fear time”

If all of your stress comes flooding in at bedtime, put some devoted “fear time” in your calendar throughout the sunlight hours, says Prather. “Use your mind house while you’re extra rested to do some worrying.”

That approach, in case your mind begins to float to tax season, youngster care troubles or that large mess within the storage whilst you’re in mattress, “you will have a approach of claiming, ‘I did this worrying already,'” he says.

Strive taking simply 10 or quarter-hour on the identical time every day to put in writing out what’s bothering you. It could possibly assist your mind chill out when your head hits the pillow, Prather says.

Be conscious when monitoring sleep

Managing sleep anxiousness means additionally being cognizant of how a lot data you are taking in about your sleep.

The prevalence of sleep-tracking units and wearables has led to the appearance of orthosomnia, a sort of insomnia developed from anxiousness over wanting to attain excellent sleep knowledge, says Aysola. 

Sleep trackers can provide you useful details about the way you slept, but it surely’s essential to have a wholesome degree of skepticism in terms of the information and a plan for what you will do with it, he provides.

In case you use these units to trace your sleep, he says to ask your self: “Is that data serving to you make adjustments in your conduct or way of life, or is it stressing you out and making the insomnia worse?”

In case you discover you have been waking up feeling extra rested, for instance, that would let you know that your new wind-down time and earlier morning alarm are beginning to give you the results you want.

In case you are inclined to fixate in your sleep-tracker knowledge, strive monitoring your sleep with a pen and paper as an alternative. It could possibly make it easier to give attention to how your sleep is feeling to you rather than the numbers.

Reshaping your sleep habits is barely half the battle, Orma says. The remainder of the work comes right down to shifting your mindset. Sleep will differ from night time to nighttime and everybody has a nasty night time of sleep from time to time, so modify your expectations accordingly.

“When you will have that mind set, your sleep begins to get higher,” he says.

The digital story was edited by Malaka Gharib, with artwork route by Beck Harlan. We would love to listen to from you. Go away us a voicemail at 202-216-9823, or e mail us at [email protected].

Hearken to Life Package on Apple Podcasts and Spotify, and join our e-newsletter. Observe us on Instagram: @nprlifekit.





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Tags: AnxietyInsomniaNPRovercomeSleepWays
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