Can Anxiety Cause Sleeplessness?

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Afeefa Rafath
Practicing Psychologist | EAP Counsellor | Content Writer
16 Oct 20244 min read
young woman sitting on bed take sleeplessness in bedroom - Can Anxiety Cause Sleeplessness?

Anxiety can turn nights into a relentless battleground, leaving many staring at the ceiling in exhaustion. The intricate dance between anxiety and sleeplessness is as varied as it is profound. While evidence on their relationship fluctuates, individual differences stand paramount in determining outcomes. Understanding this interplay is crucial in navigating effective strategies to reclaim restful nights and peaceful minds.

Understanding Anxiety and Sleeplessness

Sleeplessness: Difficulty in falling asleep or staying asleep.

Anxiety: Characterised by excessive worry, tension, and physical symptoms such as increased heart rate and sweating. It often manifests in various forms, including Generalized Anxiety Disorder (GAD), panic attacks, and social anxiety disorder. Anxiety can be a normal reaction to stress but becomes problematic when it interferes with daily life.

Can Anxiety Cause Sleeplessness?

Yes, anxiety can lead to insomnia in several ways. Chronic anxiety prompts the body to release stress hormones that hinder relaxation, particularly at bedtime.

Additionally, racing thoughts and repetitive worries can keep individuals awake, while panic attacks may occur during the night. Furthermore, the anxiety surrounding the prospect of poor sleep can create a vicious cycle, exacerbating insomnia and further diminishing sleep quality.

Research Findings on the Connection Between Anxiety and Sleeplessness

High correlation: 2020 studies have found a significant positive correlation between anxiety levels and severity of sleep disturbances, with higher anxiety often associated with poorer sleep quality. 

Insomnia as a common symptom: A 2021 study indicates a large proportion of people with anxiety disorders experience insomnia, with estimates suggesting that around 25-35% of individuals with anxiety also struggle with sleep issues. 

Mechanisms involved: Possible mechanisms explaining this connection include heightened physiological arousal due to anxiety, ruminative thoughts at bedtime, and disruptions in the sleep-wake cycle. 

Bidirectional relationship: Evidence (2020) suggests that not only can anxiety lead to sleeplessness, but also that poor sleep can trigger or worsen anxiety symptoms, creating a cycle. 

Impact on daily functioning: Both sleep disturbances and anxiety can significantly impact daily functioning, including concentration, mood, and overall well-being. 

Factors Influencing the Connection of Anxiety and Sleeplessness

Several factors influence the relationship between anxiety and sleeplessness, including individual coping mechanisms, the severity and type of anxiety disorders, personal health conditions, lifestyle habits, and environmental influences. Additionally, genetic predispositions and the presence of co-occurring mental health issues can significantly impact how anxiety affects sleep quality.

Symptoms of Anxiety to check. This will help you understand when to seek help:

Symptoms of anxiety can vary widely among individuals and may include both psychological and physical manifestations:

Psychological Symptoms:

•⁠  ⁠Excessive Worry: Persistent concerns about everyday issues.

•⁠  ⁠Restlessness: Feeling on edge or unable to relax.

•⁠  ⁠Difficulty Concentrating: Trouble focusing on tasks or making decisions.

•⁠  ⁠Irritability: Increased sensitivity or frustration.

•⁠  ⁠Sleep Disturbances: Difficulty falling asleep or staying asleep.

Physical Symptoms:

•⁠  ⁠Panic Attacks: Sudden episodes of intense fear that may include heart palpitationsshortness of breathsweating, trembling, or feelings of impending doom.

•⁠  ⁠Muscle Tension: Chronic tightness in muscles leading to discomfort.

•⁠  ⁠Gastrointestinal Issues: Nausea or stomachaches.

•⁠  ⁠Hyperventilation: Rapid breathing that may lead to dizziness or light-headedness.

•⁠  ⁠Cold or Sweaty Extremities: Numbness or tingling sensations in hands or feet.

These symptoms can be debilitating and often lead individuals to avoid situations that trigger their anxiety. If untreated, anxiety disorders can significantly impact quality of life and overall well-being.

Consult your healthcare provider for tailored guidance, and consider exploring the Mave Health Program for a holistic strategy. 

Managing Anxiety and Sleeplessness

Effectively managing anxiety and sleeplessness involves adopting relaxation techniques such as mindfulness and deep breathing exercises, maintaining a consistent sleep schedule, and creating a calming bedtime routine.

Cognitive-behavioural therapy (CBT) can help address underlying thought patterns, while lifestyle changes, like regular exercise and reduced caffeine intake, further promote restful sleep.

Do Read More About Anxiety

  1. How to Help Someone with Anxiety: A Guide for Supportive Friends and Family
  2. Reduce Anxiety immediately with other 12 Effective ways along with 333 Rule
  3. How to Treat Anxiety Without Medication?
  4. How Do Psychiatrists Treat Anxiety Disorders?
  5. 5-4-3-2-1 Grounding Technique Exercise
  6. tDCS Device For Anxiety
  7. Foods to Fight Anxiety

Conclusion

The intricate relationship between anxiety and sleepless nights underscores the need for personalised approaches to mental health. Take the next step in your journey to better sleep and well-being by discussing your concerns with your doctor.

Citation

  1. How to cope with sleep problems (N.d.). Retrieved 14 October 2024, from https://www.mind.org.uk/information-support/types-of-mental-health-problems/sleep-problems/about-sleep-and-mental-health/#:~:text=How
  2. Johnson, H. R. (2020, August 19). Study finds association between sleep disorders and anxiety. Retrieved 14 October 2024, from Psychiatry Advisor website: https://www.psychiatryadvisor.com/news/study-finds-association-between-sleep-disorders-and-anxiety/
  3. Manzar, M. D., Salahuddin, M., Pandi-Perumal, S. R., & Bahammam, A. S. (2021). Insomnia may mediate the relationship between stress and anxiety: A cross-sectional study in university students. Nature and Science of Sleep, 13, 31–38. doi:10.2147/NSS.S278988
  4. Nall, R., MSN, & CRNA. (2020, March 31). Sleep and anxiety: Link, symptoms, and treatment. Retrieved 14 October 2024, from https://www.medicalnewstoday.com/articles/sleep-anxiety
  5. Serdari, A., Manolis, A., Tsiptsios, D., Vorvolakos, T., Terzoudi, A., Nena, E., … Tripsianis, G. (2020). Insight into the relationship between sleep characteristics and anxiety: A cross-sectional study in indigenous and minority populations in northeastern Greece. Psychiatry Research, 292(113361), 113361. doi:10.1016/j.psychres.2020.113361
  6. Sleep anxiety. (n.d.). Retrieved 14 October 2024, from Cleveland Clinic website: https://my.clevelandclinic.org/health/diseases/21543-sleep-anxiety
  7. Yu, C., Liu, Z., Su, T., Li, Z., Jiang, Z., Zhong, W., & Xiao, Z. (2024). The effect of anxiety on sleep disorders in medical students: a moderated mediation model. Frontiers in Psychology, 15, 1338796. doi:10.3389/fpsyg.2024.1338796
  8. Image Designed By Freepik
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