🕷️ Crawler Inspector

URL Lookup

Direct Parameter Lookup

Raw Queries and Responses

1. Shard Calculation

Query:

Response:

Calculated Shard: 143 (from laksa017)

2. Crawled Status Check

Query:

curl -X POST \
  'http://laksa143.int.ahrefs:8124/' \
  -H 'Content-Type: text/plain' \
  -H 'X-ClickHouse-Database: crawler3' \
  -H 'Authorization: Basic YXBpOg==' \
  -d 'SELECT getAhrefsURLFromUnparsed(src_unparsed) AS found_url, ifNull(toUnixTimestamp(download_stamp), 0) AS crawl_time, ifNull(toUnixTimestamp(props_url_first_seen), 0) AS first_indexed_time, download_http_code AS http_code, src_unparsed AS src_unparsed, src_root_hash AS src_root_hash, history_drop_reason AS history_drop_reason, meta_title AS meta_title, meta_descriptions AS meta_descriptions, attrs_boilerpipe_text AS attrs_boilerpipe_text, attrs_markdown AS attrs_markdown, attrs_readable_markdown AS attrs_readable_markdown, meta_canonical AS meta_canonical FROM crawler3.page_info_local FINAL PREWHERE (src_root_hash, src_unparsed) IN ((getAhrefsRootHashFromUnparsed(getAhrefsUnparsedNoserviceFromURL(\'https://my.clevelandclinic.org/health/diseases/21543-sleep-anxiety\')), getAhrefsUnparsedNoserviceFromURL(\'https://my.clevelandclinic.org/health/diseases/21543-sleep-anxiety\'))) FORMAT JSONEachRow'

Response:

{"found_url":"https:\/\/my.clevelandclinic.org\/health\/diseases\/21543-sleep-anxiety","crawl_time":1775945202,"first_indexed_time":1626543848,"http_code":200,"src_unparsed":"org,clevelandclinic!my,\/health\/diseases\/21543-sleep-anxiety s443","src_root_hash":"9889140825964526943","history_drop_reason":null,"meta_title":"Sleep Anxiety: What It Is, Causes, Symptoms & Treatment","meta_descriptions":["Sleep anxiety is stress or fear about not falling asleep or staying asleep. Treatments may include therapy, better sleep hygiene or medication."],"attrs_boilerpipe_text":"What does sleep anxiety feel like?\nWhen you can’t sleep due to anxiety, you may experience behavioral or emotional symptoms, which may include:\nFeelings of being overwhelmed.\nInability to concentrate.\nIrritability.\nNervousness.\nRestlessness.\nSense of impending danger or doom.\nPhysical effects of anxiety before bed may include:\nSome people also have nocturnal\npanic attacks\n. A panic attack is a sudden, intense burst of extreme fear. Nocturnal panic attacks only happen at night and often wake you from sleep.\nWhat triggers sleep anxiety?\nAnxiety is a natural part of being human. You’re meant to feel afraid or worried in dangerous situations.\nStress\nand anxiety cause your body to release certain\nhormones\nthat help you react quickly to escape harm. But if you have chronic anxiety, you might feel stress or worry all the time. You may feel fearful of everyday situations like driving to work or even falling asleep.\nChronically high levels of these hormones, especially before sleep, can make it hard for your body to relax. You may have difficulty falling asleep. If you do fall asleep, you may wake up during the night with stressful or worrisome thoughts and not be able to fall back asleep.\nThe combination of anxiety and\ninsomnia\ncan also be caused by\nhyperthyroidism\n, a condition where your thyroid is overactive and there’s too much thyroid hormone in your bloodstream. It’s a well-known cause of sleep dysfunction.\nResearch suggests that anxiety can affect rapid eye movement (REM) sleep. This is the phase of sleep when you tend to have vivid\ndreams\n. If you have anxiety, the dreams may be disturbing or turn into nightmares that wake you.\nJust as anxiety can affect sleep, sleep can affect anxiety. Sleep anxiety is a common characteristic of insomnia, which occurs when you begin to experience anxiety during the day and evening about poor sleep, which may lead to another night of bad sleep.\nWhat are the risk factors for sleep anxiety?\nSleep anxiety can affect adults, teens and children. You may be more likely to develop anxiety at night if you have a sleep disorder like:\nPeople with the following mental health disorders may also develop nighttime anxiety:\nAre there long-term complications of sleep anxiety?\nProlonged anxiety or lack of sleep can affect your body in many ways. Sleep anxiety puts you at a higher risk for the following long-term complications:","attrs_markdown":"![](https:\/\/zdbb.net\/l\/Dnl1wmWs8xCCpvWNCt9Egf\/?w=16&q=75)\n\nLocations:\n\n[Abu Dhabi](https:\/\/www.clevelandclinicabudhabi.ae\/en)\\|[Canada](https:\/\/my.clevelandclinic.org\/canada)\\|[Florida](https:\/\/my.clevelandclinic.org\/florida)\\|[London](https:\/\/clevelandcliniclondon.uk\/)\\|[Nevada](https:\/\/my.clevelandclinic.org\/locations\/nevada)\\|[Ohio](https:\/\/my.clevelandclinic.org\/)\\|\n\n![Gray gradient](https:\/\/my.clevelandclinic.org\/_next\/static\/media\/gray-gradient-left-16.59910877.svg?w=32&q=75)![Gray gradient](https:\/\/my.clevelandclinic.org\/_next\/static\/media\/gray-gradient-right-32.dd7ce4e5.svg?w=64&q=75)\n\n[855\\.733.3712](tel:8557333712)\\|[MyChart](https:\/\/my.clevelandclinic.org\/online-services\/mychart)\\|[Need Help?](https:\/\/my.clevelandclinic.org\/help)\\|[Careers](https:\/\/jobs.clevelandclinic.org\/)\\|[Donate Now](https:\/\/give.ccf.org\/give\/187824#!\/donation\/checkout)\\|\n\n![Gray gradient](https:\/\/my.clevelandclinic.org\/_next\/static\/media\/gray-gradient-left-16.59910877.svg?w=32&q=75)![Gray gradient](https:\/\/my.clevelandclinic.org\/_next\/static\/media\/gray-gradient-right-32.dd7ce4e5.svg?w=64&q=75)\n\n[![Cleveland Clinic logo](https:\/\/assets.clevelandclinic.org\/transform\/1bc1ff31-3cbc-4976-9ddf-9bc85e0877eb\/Cleveland-Clinic-Logo-Web?w=3840&q=75)](https:\/\/my.clevelandclinic.org\/)\n\n[Find a Provider](https:\/\/my.clevelandclinic.org\/providers)[Locations and Directions](https:\/\/my.clevelandclinic.org\/locations)[Services](https:\/\/my.clevelandclinic.org\/services)[Patients and Visitors](https:\/\/my.clevelandclinic.org\/patients)[Health Library](https:\/\/my.clevelandclinic.org\/health)\n\n- [Find a Provider](https:\/\/my.clevelandclinic.org\/providers)\n- [Locations and Directions](https:\/\/my.clevelandclinic.org\/locations)\n- [Services](https:\/\/my.clevelandclinic.org\/services)\n- [Patients and Visitors](https:\/\/my.clevelandclinic.org\/patients)\n- [Health Library](https:\/\/my.clevelandclinic.org\/health)\n\n[![Search](https:\/\/my.clevelandclinic.org\/_next\/static\/media\/LondonGreenSearchIcon.6d7e718f.svg?w=64&q=75)](https:\/\/my.clevelandclinic.org\/search)\n\nMenu\n\n[![Search](https:\/\/my.clevelandclinic.org\/_next\/static\/media\/LondonGreenSearchIcon.6d7e718f.svg?w=64&q=75)](https:\/\/my.clevelandclinic.org\/search)[Appointments](https:\/\/my.clevelandclinic.org\/patients\/information\/access)\n\n[Home](https:\/\/my.clevelandclinic.org\/)\/\n\n[Health Library](https:\/\/my.clevelandclinic.org\/health)\/\n\n[Diseases & Conditions](https:\/\/my.clevelandclinic.org\/health\/diseases)\/\n\nSleep Anxiety\n\nAdvertisement\n\nAdvertisement\n# Sleep Anxiety\nMedically Reviewed.\n\nLast updated on 04\/12\/2024.\n\nSleep anxiety is a feeling of stress or fear about going to sleep. Anxiety is the most common mental health disorder in the U.S. Research suggests that most people with mental health disorders like anxiety also have some form of sleep disruption. Treatments may include therapy, better sleep hygiene or medication.\n\nAdvertisement\n\nCleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. [Policy](https:\/\/health.clevelandclinic.org\/advertising)\n\nCare at Cleveland Clinic\n\n[Mental Health Care](https:\/\/my.clevelandclinic.org\/services\/mental-health-care)\n\n[Make an Appointment](https:\/\/my.clevelandclinic.org\/webappointment)\n\nContents\n\n[Overview](https:\/\/my.clevelandclinic.org\/health\/diseases\/21543-sleep-anxiety#overview)[Symptoms and Causes](https:\/\/my.clevelandclinic.org\/health\/diseases\/21543-sleep-anxiety#symptoms-and-causes)[Diagnosis and Tests](https:\/\/my.clevelandclinic.org\/health\/diseases\/21543-sleep-anxiety#diagnosis-and-tests)[Management and Treatment](https:\/\/my.clevelandclinic.org\/health\/diseases\/21543-sleep-anxiety#management-and-treatment)[Outlook \/ Prognosis](https:\/\/my.clevelandclinic.org\/health\/diseases\/21543-sleep-anxiety#outlook-prognosis)[Prevention](https:\/\/my.clevelandclinic.org\/health\/diseases\/21543-sleep-anxiety#prevention)[Living With](https:\/\/my.clevelandclinic.org\/health\/diseases\/21543-sleep-anxiety#living-with)\n\nContents\n\n[Overview](https:\/\/my.clevelandclinic.org\/health\/diseases\/21543-sleep-anxiety#overview)[Symptoms and Causes](https:\/\/my.clevelandclinic.org\/health\/diseases\/21543-sleep-anxiety#symptoms-and-causes)[Diagnosis and Tests](https:\/\/my.clevelandclinic.org\/health\/diseases\/21543-sleep-anxiety#diagnosis-and-tests)[Management and Treatment](https:\/\/my.clevelandclinic.org\/health\/diseases\/21543-sleep-anxiety#management-and-treatment)[Outlook \/ Prognosis](https:\/\/my.clevelandclinic.org\/health\/diseases\/21543-sleep-anxiety#outlook-prognosis)[Prevention](https:\/\/my.clevelandclinic.org\/health\/diseases\/21543-sleep-anxiety#prevention)[Living With](https:\/\/my.clevelandclinic.org\/health\/diseases\/21543-sleep-anxiety#living-with)\n\n## Overview\n### What is sleep anxiety?\nSleep anxiety is fear or worry about going to [sleep](https:\/\/my.clevelandclinic.org\/health\/articles\/12148-sleep-basics). You may be scared about not falling asleep or not being able to stay asleep. Some people also have a distinct [phobia](https:\/\/my.clevelandclinic.org\/health\/diseases\/24757-phobias), or fear, about sleep called [somniphobia](https:\/\/my.clevelandclinic.org\/health\/diseases\/22645-somniphobia). They may think something bad will happen to them while they sleep or that they shouldn’t sleep because they need to stay alert and watchful.\n\nAdvertisement\n\nCleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. [Policy](https:\/\/health.clevelandclinic.org\/advertising)\n\n[Sleep disorders](https:\/\/my.clevelandclinic.org\/health\/diseases\/11429-sleep-disorders) and [mental health disorders](https:\/\/my.clevelandclinic.org\/health\/diseases\/22295-mental-health-disorders) like anxiety often go hand in hand. If you have an [anxiety disorder](https:\/\/my.clevelandclinic.org\/health\/diseases\/9536-anxiety-disorders), you may find it hard to fall asleep or stay asleep. Similarly, if you have a sleep disorder, you might feel anxious or fearful before bed because you’re afraid you won’t get the rest you need. One condition usually makes the other worse, so it can feel like a never-ending cycle.\n\n#### How common is sleep anxiety?\nAnxiety is the most common mental health disorder in the U.S., affecting about 40 million people. Research suggests that most people with mental health disorders like anxiety also have some form of sleep disruption.\n\n## Symptoms and Causes\n### What does sleep anxiety feel like?\nWhen you can’t sleep due to anxiety, you may experience behavioral or emotional symptoms, which may include:\n\n- Feelings of being overwhelmed.\n- Inability to concentrate.\n- Irritability.\n- Nervousness.\n- Restlessness.\n- Sense of impending danger or doom.\n\nPhysical effects of anxiety before bed may include:\n\n- [Digestive](https:\/\/my.clevelandclinic.org\/health\/body\/7041-digestive-system) problems.\n- Fast [heart rate](https:\/\/my.clevelandclinic.org\/health\/diagnostics\/17402-pulse--heart-rate).\n- [Rapid breathing](https:\/\/my.clevelandclinic.org\/health\/symptoms\/24124-tachypnea).\n- [Sweating](https:\/\/my.clevelandclinic.org\/health\/symptoms\/17865-sweating-and-body-odor).\n- Tense [muscles](https:\/\/my.clevelandclinic.org\/health\/body\/21887-muscle).\n- Trembling.\n\nSome people also have nocturnal [panic attacks](https:\/\/my.clevelandclinic.org\/health\/diseases\/4451-panic-attack-panic-disorder). A panic attack is a sudden, intense burst of extreme fear. Nocturnal panic attacks only happen at night and often wake you from sleep.\n\n### What triggers sleep anxiety?\nAnxiety is a natural part of being human. You’re meant to feel afraid or worried in dangerous situations. [Stress](https:\/\/my.clevelandclinic.org\/health\/articles\/11874-stress) and anxiety cause your body to release certain [hormones](https:\/\/my.clevelandclinic.org\/health\/articles\/22464-hormones) that help you react quickly to escape harm. But if you have chronic anxiety, you might feel stress or worry all the time. You may feel fearful of everyday situations like driving to work or even falling asleep.\n\nAdvertisement\n\nChronically high levels of these hormones, especially before sleep, can make it hard for your body to relax. You may have difficulty falling asleep. If you do fall asleep, you may wake up during the night with stressful or worrisome thoughts and not be able to fall back asleep.\n\nThe combination of anxiety and [insomnia](https:\/\/my.clevelandclinic.org\/health\/diseases\/12119-insomnia) can also be caused by [hyperthyroidism](https:\/\/my.clevelandclinic.org\/health\/diseases\/14129-hyperthyroidism), a condition where your thyroid is overactive and there’s too much thyroid hormone in your bloodstream. It’s a well-known cause of sleep dysfunction.\n\nResearch suggests that anxiety can affect rapid eye movement (REM) sleep. This is the phase of sleep when you tend to have vivid [dreams](https:\/\/health.clevelandclinic.org\/dreams-and-dreaming). If you have anxiety, the dreams may be disturbing or turn into nightmares that wake you.\n\nJust as anxiety can affect sleep, sleep can affect anxiety. Sleep anxiety is a common characteristic of insomnia, which occurs when you begin to experience anxiety during the day and evening about poor sleep, which may lead to another night of bad sleep.\n\n#### What are the risk factors for sleep anxiety?\nSleep anxiety can affect adults, teens and children. You may be more likely to develop anxiety at night if you have a sleep disorder like:\n\n- Insomnia.\n- [Narcolepsy](https:\/\/my.clevelandclinic.org\/health\/diseases\/12147-narcolepsy).\n- [Restless legs syndrome (RLS)](https:\/\/my.clevelandclinic.org\/health\/diseases\/9497-restless-legs-syndrome).\n- [Sleep apnea](https:\/\/my.clevelandclinic.org\/health\/diseases\/8718-sleep-apnea).\n- [Sleepwalking](https:\/\/my.clevelandclinic.org\/health\/diseases\/14292-sleepwalking).\n\nPeople with the following mental health disorders may also develop nighttime anxiety:\n\n- Anxiety disorders, including [panic disorder](https:\/\/my.clevelandclinic.org\/health\/diseases\/4451-panic-attack-panic-disorder) and [post-traumatic stress disorder (PTSD)](https:\/\/my.clevelandclinic.org\/health\/diseases\/9545-post-traumatic-stress-disorder-ptsd).\n- Mood disorders, including major [depression](https:\/\/my.clevelandclinic.org\/health\/diseases\/24481-clinical-depression-major-depressive-disorder) and [bipolar disorder](https:\/\/my.clevelandclinic.org\/health\/diseases\/9294-bipolar-disorder).\n- [Alcohol](https:\/\/my.clevelandclinic.org\/health\/diseases\/3909-alcoholism) and [substance use disorder](https:\/\/my.clevelandclinic.org\/health\/diseases\/16652-drug-addiction-substance-use-disorder-sud).\n- [Schizophrenia](https:\/\/my.clevelandclinic.org\/health\/diseases\/4568-schizophrenia).\n### Are there long-term complications of sleep anxiety?\nProlonged anxiety or lack of sleep can affect your body in many ways. Sleep anxiety puts you at a higher risk for the following long-term complications:\n\n- [Diabetes](https:\/\/my.clevelandclinic.org\/health\/diseases\/7104-diabetes-mellitus-an-overview).\n- [Heart attack](https:\/\/my.clevelandclinic.org\/health\/diseases\/16818-heart-attack-myocardial-infarction).\n- [Heart disease](https:\/\/my.clevelandclinic.org\/health\/diseases\/21493-cardiovascular-disease).\n- [Heart failure](https:\/\/my.clevelandclinic.org\/health\/diseases\/17069-heart-failure-understanding-heart-failure).\n- [High blood pressure](https:\/\/my.clevelandclinic.org\/health\/diseases\/4314-hypertension-high-blood-pressure).\n- [Arrhythmia](https:\/\/my.clevelandclinic.org\/health\/diseases\/16749-arrhythmia) (irregular heartbeat).\n- [Obesity](https:\/\/my.clevelandclinic.org\/health\/diseases\/11209-weight-control-and-obesity).\n- [Stroke](https:\/\/my.clevelandclinic.org\/health\/diseases\/5601-stroke-understanding-stroke).\n\n## Diagnosis and Tests\n### How is sleep anxiety diagnosed?\nYour healthcare provider will perform a [physical exam](https:\/\/my.clevelandclinic.org\/health\/diagnostics\/17366-physical-examination), review your medical history and discuss your symptoms. They may ask you questions like:\n\n- Do you eat or drink anything before bed?\n- Does your anxiety always occur before bed?\n- How long does it take you to fall asleep?\n- How often do you wake up during the night?\n- What activities do you do before bed?\n#### What sleep anxiety tests can help confirm a diagnosis?\nIn some cases, your provider may do a [sleep study](https:\/\/my.clevelandclinic.org\/health\/articles\/12131-sleep-studies) to find out if you have a sleep disorder. Also called polysomnography, a sleep study is a test where you stay overnight in a sleep lab. Your healthcare provider evaluates how your body works during sleep by checking your:\n\n- [Blood oxygen levels](https:\/\/my.clevelandclinic.org\/health\/diagnostics\/22447-blood-oxygen-level).\n- Body positioning.\n- Breathing.\n- Electrical activity in your [brain](https:\/\/my.clevelandclinic.org\/health\/body\/22638-brain).\n- [Eye](https:\/\/my.clevelandclinic.org\/health\/body\/21823-eyes) movements.\n- Heart rates and rhythms.\n- Leg movements.\n- Sleep stages.\n- [Snoring](https:\/\/my.clevelandclinic.org\/health\/diseases\/15580-snoring) or other noises you make during sleep.\n\nAdvertisement\n\n## Management and Treatment\n### How can I overcome sleep anxiety?\nSleep anxiety treatment may include:\n\n- [Cognitive behavior therapy for insomnia (CBT-I)](https:\/\/my.clevelandclinic.org\/health\/treatments\/21208-cognitive-behavioral-therapy-cbt).\n- Medications for sleep and\/or anxiety.\n#### Cognitive behavioral therapy for insomnia (CBT-I)\nCBT-I is considered first-line treatment for insomnia and is often misrepresented as talk therapy or sleep hygiene. The behavioral components go far beyond the information commonly found on the internet or what your friends or family may tell you, such as decreasing caffeine or avoiding electronic devices at bedtime.\n\nWhen people have insomnia, they often associate their bed as a place to worry and be distressed. CBT-I teaches them how to break that association and to retrain their body and mind to see the bed as a place for sleeping by focusing on limiting total time in bed, getting out of bed when awake, and keeping regular sleep and wake times.\n\nCBT-I may also include relaxation strategies and mindfulness techniques. Thoughts and feelings about sleep are examined and tested to see if they’re accurate, while behaviors are examined to determine if they promote or disrupt sleep. Treatment is brief and time-limited and typically lasts around four to eight sessions.\n\nDuring CBT-I, you may learn to:\n\n- Avoid behaviors or environmental factors that trigger your anxiety or make sleeping difficult.\n- Better understand how sleep and anxiety affect your brain and the rest of your body.\n- Change negative or inaccurate thinking about bedtime or sleep.\n\nAdvertisement\n\n#### Sleep anxiety medication\nYour healthcare provider may recommend medication to treat anxiety or other mental health disorders. Medication can also help improve the symptoms of sleep-related disorders like restless legs syndrome or insomnia.\n\nBut some medications might actually increase your anxiety or make sleeping harder when you first start taking them. If you experience these side effects, talk to your healthcare provider. Many over-the-counter [sleep aids](https:\/\/my.clevelandclinic.org\/health\/drugs\/15308-sleeping-pills) can also be habit-forming. Don’t start any medication for anxiety or sleep without your healthcare provider’s supervision.\n\nCare at Cleveland Clinic\n\n[Mental Health Care](https:\/\/my.clevelandclinic.org\/services\/mental-health-care)\n\n[Make an Appointment](https:\/\/my.clevelandclinic.org\/webappointment)\n\n## Outlook \/ Prognosis\n### What’s the prognosis (outlook) for people with sleep anxiety?\nMost people can successfully manage their sleep anxiety with the right treatments. But remember that some treatments, like CBT-I, can take time to be effective. Don’t stop treatment early if you think it isn’t working.\n\n## Prevention\n### How can I prevent sleep anxiety?\nYou may be able to reduce your risk of sleep anxiety by improving your sleep habits.\n\nSleep habits, or sleep hygiene, are your routines around bedtime that can affect your sleep. Your healthcare provider may ask you to keep a sleep diary for several weeks. This is a daily log of your sleep habits. It can help identify things that might make it harder for you to fall asleep or stay asleep.\n\nSome common ways to [improve your sleep hygiene](https:\/\/health.clevelandclinic.org\/5-tips-to-make-your-sleep-more-restful) include:\n\nAdvertisement\n\n- Avoid drinking lots of fluids before bed, especially alcohol.\n- Do relaxing activities before bed, like meditation or listening to soft, peaceful music.\n- Don’t consume caffeine in the late afternoon or evening.\n- Go to bed and wake up at the same time each day.\n- If you don’t fall asleep within 20 minutes, get out of bed.\n- Make sure your bedroom is comfortable, quiet and softly lit.\n- Only use your bed for sleep and sex. For example, avoid watching television or doing work in bed.\n- Set a goal of getting at least seven hours of sleep every night.\n- [Stop using electronic devices](https:\/\/health.clevelandclinic.org\/put-the-phone-away-3-reasons-why-looking-at-it-before-bed-is-a-bad-habit) at least 30 minutes before bedtime.\n- Try not to eat right before bedtime. If you’re hungry, have a light snack and not a big meal.\n\n## Living With\n### How can I make living with sleep anxiety easier?\nAnxiety or sleep problems can affect every aspect of your life, from your performance at work to your interactions with others. It may help to talk about your sleep anxiety with a therapist, co-workers, friends or loved ones. Support groups can also connect you to a community of people dealing with similar experiences.\n### A note from Cleveland Clinic\nSleep anxiety is a feeling of fear or stress about falling asleep or staying asleep. Sleep problems and mental health disorders like anxiety are closely intertwined. One can often make the other worse, so it can feel like a never-ending cycle. But anxiety and sleep issues are both treatable. Talk to your healthcare provider about your symptoms. Together, you can build the right treatment plan for you.\n\n[![Cleveland Clinic logo](https:\/\/my.clevelandclinic.org\/_next\/static\/media\/logo-ccf.1e52a22b.svg?w=3840&q=75)](https:\/\/my.clevelandclinic.org\/)[![Cleveland Clinic icon](https:\/\/my.clevelandclinic.org\/_next\/static\/media\/CCFLogo.000428c6.svg?w=3840&q=75)](https:\/\/my.clevelandclinic.org\/)\n\n[![Health Essentials logo](https:\/\/my.clevelandclinic.org\/_next\/static\/media\/HealthEssentials.b811bb06.svg?w=3840&q=75)](https:\/\/health.clevelandclinic.org\/)\n\n![Subscription icon](https:\/\/assets.clevelandclinic.org\/transform\/482db8cd-aa1e-45b5-a2a4-cf6aa5e5d2d4\/Health-Essentials?w=256&q=75)\n\n## Better health starts here\nSign up for our Health Essentials emails for expert guidance on nutrition, fitness, sleep, skin care and more.\n\n[Example email](https:\/\/assets.clevelandclinic.org\/transform\/2ff943a2-abb1-4a1c-8ede-f8848703e789\/HealthEssentials-SampleEmail-2026)[Sign up](https:\/\/my.clevelandclinic.org\/health-essentials-sign-up)\n\n[Sign up](https:\/\/my.clevelandclinic.org\/health-essentials-sign-up)[Example email](https:\/\/assets.clevelandclinic.org\/transform\/2ff943a2-abb1-4a1c-8ede-f8848703e789\/HealthEssentials-SampleEmail-2026)\n\n### Experts You Can Trust\nMedically Reviewed.\n\nLast updated on 04\/12\/2024.\n\nLearn more about the [Health Library](https:\/\/my.clevelandclinic.org\/health\/about) and our [editorial process](https:\/\/my.clevelandclinic.org\/about\/website\/editorial-policy).\n\n### References\nCleveland Clinic’s health articles are based on evidence-backed information and review by medical professionals to ensure accuracy, reliability and up-to-date clinical standards.\n#### View Sources\n\n### Experts You Can Trust\nMedically Reviewed.\n\nLast updated on 04\/12\/2024.\n\n### References\nCleveland Clinic’s health articles are based on evidence-backed information and review by medical professionals to ensure accuracy, reliability and up-to-date clinical standards.\n\n- American Academy of Sleep Medicine. Healthy Sleep Habits *(http:\/\/sleepeducation.org\/essentials-in-sleep\/healthy-sleep-habits)*. Last updated 8\/2020. Accessed 4\/12\/2024.\n- American Association of Sleep Technologists. Standard Polysomnography *(https:\/\/www.aastweb.org\/Portals\/0\/Docs\/Resources\/Guidelines\/AAST%20PSG%20Guideline%20Final.pdf)*. Last updated 12\/2021. Accessed 4\/12\/2024.\n- Anxiety & Depression Association of America. Sleep Disorders *(https:\/\/adaa.org\/understanding-anxiety\/related-illnesses\/sleep-disorders)*. Last updated 10\/19\/2021. Accessed 4\/12\/2024.\n- Sleep Foundation. Anxiety and Sleep *(https:\/\/www.sleepfoundation.org\/mental-health\/anxiety-and-sleep)*. Last updated 11\/16\/2023. Accessed 4\/12\/2024.\n\n### Care at Cleveland Clinic\nYour mental well-being is just as important as your physical well-being. Cleveland Clinic’s mental health experts can help you live life to the fullest.\n\n![Caregiver speaking to patient.](https:\/\/my.clevelandclinic.org\/-\/scassets\/images\/org\/care-pages\/neuro\/behavioral-health-feature.jpg?w=640&q=75)\n\n[Mental Health Care](https:\/\/my.clevelandclinic.org\/services\/mental-health-care)\n\n[Make an Appointment](https:\/\/my.clevelandclinic.org\/webappointment)\n\nAdvertisement\n\nAdvertisement\n\nAd\n\nAppointments [866\\.588.2264](tel:8665882264)\n\n[Appointments & Locations](https:\/\/my.clevelandclinic.org\/departments\/neurological\/appointments)\n\n[Request an Appointment](https:\/\/my.clevelandclinic.org\/webappointment\/what-to-expect)\n\n[Find a ProviderNeed a primary care doctor or a specialist? 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All Rights Reserved.","attrs_readable_markdown":"### What does sleep anxiety feel like?\nWhen you can’t sleep due to anxiety, you may experience behavioral or emotional symptoms, which may include:\n\n- Feelings of being overwhelmed.\n- Inability to concentrate.\n- Irritability.\n- Nervousness.\n- Restlessness.\n- Sense of impending danger or doom.\n\nPhysical effects of anxiety before bed may include:\n\nSome people also have nocturnal [panic attacks](https:\/\/my.clevelandclinic.org\/health\/diseases\/4451-panic-attack-panic-disorder). A panic attack is a sudden, intense burst of extreme fear. Nocturnal panic attacks only happen at night and often wake you from sleep.\n\n### What triggers sleep anxiety?\nAnxiety is a natural part of being human. You’re meant to feel afraid or worried in dangerous situations. [Stress](https:\/\/my.clevelandclinic.org\/health\/articles\/11874-stress) and anxiety cause your body to release certain [hormones](https:\/\/my.clevelandclinic.org\/health\/articles\/22464-hormones) that help you react quickly to escape harm. But if you have chronic anxiety, you might feel stress or worry all the time. You may feel fearful of everyday situations like driving to work or even falling asleep.\n\nChronically high levels of these hormones, especially before sleep, can make it hard for your body to relax. You may have difficulty falling asleep. If you do fall asleep, you may wake up during the night with stressful or worrisome thoughts and not be able to fall back asleep.\n\nThe combination of anxiety and [insomnia](https:\/\/my.clevelandclinic.org\/health\/diseases\/12119-insomnia) can also be caused by [hyperthyroidism](https:\/\/my.clevelandclinic.org\/health\/diseases\/14129-hyperthyroidism), a condition where your thyroid is overactive and there’s too much thyroid hormone in your bloodstream. It’s a well-known cause of sleep dysfunction.\n\nResearch suggests that anxiety can affect rapid eye movement (REM) sleep. This is the phase of sleep when you tend to have vivid [dreams](https:\/\/health.clevelandclinic.org\/dreams-and-dreaming). If you have anxiety, the dreams may be disturbing or turn into nightmares that wake you.\n\nJust as anxiety can affect sleep, sleep can affect anxiety. Sleep anxiety is a common characteristic of insomnia, which occurs when you begin to experience anxiety during the day and evening about poor sleep, which may lead to another night of bad sleep.\n\n#### What are the risk factors for sleep anxiety?\nSleep anxiety can affect adults, teens and children. You may be more likely to develop anxiety at night if you have a sleep disorder like:\n\nPeople with the following mental health disorders may also develop nighttime anxiety:\n\n### Are there long-term complications of sleep anxiety?\nProlonged anxiety or lack of sleep can affect your body in many ways. Sleep anxiety puts you at a higher risk for the following long-term complications:","meta_canonical":null}

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Meta Title	Sleep Anxiety: What It Is, Causes, Symptoms & Treatment
Meta Description	Sleep anxiety is stress or fear about not falling asleep or staying asleep. Treatments may include therapy, better sleep hygiene or medication.
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Boilerpipe Text	What does sleep anxiety feel like? When you can’t sleep due to anxiety, you may experience behavioral or emotional symptoms, which may include: Feelings of being overwhelmed. Inability to concentrate. Irritability. Nervousness. Restlessness. Sense of impending danger or doom. Physical effects of anxiety before bed may include: Some people also have nocturnal panic attacks . A panic attack is a sudden, intense burst of extreme fear. Nocturnal panic attacks only happen at night and often wake you from sleep. What triggers sleep anxiety? Anxiety is a natural part of being human. You’re meant to feel afraid or worried in dangerous situations. Stress and anxiety cause your body to release certain hormones that help you react quickly to escape harm. But if you have chronic anxiety, you might feel stress or worry all the time. You may feel fearful of everyday situations like driving to work or even falling asleep. Chronically high levels of these hormones, especially before sleep, can make it hard for your body to relax. You may have difficulty falling asleep. If you do fall asleep, you may wake up during the night with stressful or worrisome thoughts and not be able to fall back asleep. The combination of anxiety and insomnia can also be caused by hyperthyroidism , a condition where your thyroid is overactive and there’s too much thyroid hormone in your bloodstream. It’s a well-known cause of sleep dysfunction. Research suggests that anxiety can affect rapid eye movement (REM) sleep. This is the phase of sleep when you tend to have vivid dreams . If you have anxiety, the dreams may be disturbing or turn into nightmares that wake you. Just as anxiety can affect sleep, sleep can affect anxiety. Sleep anxiety is a common characteristic of insomnia, which occurs when you begin to experience anxiety during the day and evening about poor sleep, which may lead to another night of bad sleep. What are the risk factors for sleep anxiety? Sleep anxiety can affect adults, teens and children. You may be more likely to develop anxiety at night if you have a sleep disorder like: People with the following mental health disorders may also develop nighttime anxiety: Are there long-term complications of sleep anxiety? Prolonged anxiety or lack of sleep can affect your body in many ways. Sleep anxiety puts you at a higher risk for the following long-term complications:
Markdown	![](https://zdbb.net/l/Dnl1wmWs8xCCpvWNCt9Egf/?w=16&q=75) Locations: [Abu Dhabi](https://www.clevelandclinicabudhabi.ae/en)\\|[Canada](https://my.clevelandclinic.org/canada)\\|[Florida](https://my.clevelandclinic.org/florida)\\|[London](https://clevelandcliniclondon.uk/)\\|[Nevada](https://my.clevelandclinic.org/locations/nevada)\\|[Ohio](https://my.clevelandclinic.org/)\\| ![Gray gradient](https://my.clevelandclinic.org/_next/static/media/gray-gradient-left-16.59910877.svg?w=32&q=75)![Gray gradient](https://my.clevelandclinic.org/_next/static/media/gray-gradient-right-32.dd7ce4e5.svg?w=64&q=75) [855\.733.3712](tel:8557333712)\\|[MyChart](https://my.clevelandclinic.org/online-services/mychart)\\|[Need Help?](https://my.clevelandclinic.org/help)\\|[Careers](https://jobs.clevelandclinic.org/)\\|[Donate Now](https://give.ccf.org/give/187824#!/donation/checkout)\\| ![Gray gradient](https://my.clevelandclinic.org/_next/static/media/gray-gradient-left-16.59910877.svg?w=32&q=75)![Gray gradient](https://my.clevelandclinic.org/_next/static/media/gray-gradient-right-32.dd7ce4e5.svg?w=64&q=75) [![Cleveland Clinic logo](https://assets.clevelandclinic.org/transform/1bc1ff31-3cbc-4976-9ddf-9bc85e0877eb/Cleveland-Clinic-Logo-Web?w=3840&q=75)](https://my.clevelandclinic.org/) [Find a Provider](https://my.clevelandclinic.org/providers)[Locations and Directions](https://my.clevelandclinic.org/locations)[Services](https://my.clevelandclinic.org/services)[Patients and Visitors](https://my.clevelandclinic.org/patients)[Health Library](https://my.clevelandclinic.org/health) - [Find a Provider](https://my.clevelandclinic.org/providers) - [Locations and Directions](https://my.clevelandclinic.org/locations) - [Services](https://my.clevelandclinic.org/services) - [Patients and Visitors](https://my.clevelandclinic.org/patients) - [Health Library](https://my.clevelandclinic.org/health) [![Search](https://my.clevelandclinic.org/_next/static/media/LondonGreenSearchIcon.6d7e718f.svg?w=64&q=75)](https://my.clevelandclinic.org/search) Menu [![Search](https://my.clevelandclinic.org/_next/static/media/LondonGreenSearchIcon.6d7e718f.svg?w=64&q=75)](https://my.clevelandclinic.org/search)[Appointments](https://my.clevelandclinic.org/patients/information/access) [Home](https://my.clevelandclinic.org/)/ [Health Library](https://my.clevelandclinic.org/health)/ [Diseases & Conditions](https://my.clevelandclinic.org/health/diseases)/ Sleep Anxiety Advertisement Advertisement # Sleep Anxiety Medically Reviewed. Last updated on 04/12/2024. Sleep anxiety is a feeling of stress or fear about going to sleep. Anxiety is the most common mental health disorder in the U.S. Research suggests that most people with mental health disorders like anxiety also have some form of sleep disruption. Treatments may include therapy, better sleep hygiene or medication. Advertisement Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. [Policy](https://health.clevelandclinic.org/advertising) Care at Cleveland Clinic [Mental Health Care](https://my.clevelandclinic.org/services/mental-health-care) [Make an Appointment](https://my.clevelandclinic.org/webappointment) Contents [Overview](https://my.clevelandclinic.org/health/diseases/21543-sleep-anxiety#overview)[Symptoms and Causes](https://my.clevelandclinic.org/health/diseases/21543-sleep-anxiety#symptoms-and-causes)[Diagnosis and Tests](https://my.clevelandclinic.org/health/diseases/21543-sleep-anxiety#diagnosis-and-tests)[Management and Treatment](https://my.clevelandclinic.org/health/diseases/21543-sleep-anxiety#management-and-treatment)[Outlook / Prognosis](https://my.clevelandclinic.org/health/diseases/21543-sleep-anxiety#outlook-prognosis)[Prevention](https://my.clevelandclinic.org/health/diseases/21543-sleep-anxiety#prevention)[Living With](https://my.clevelandclinic.org/health/diseases/21543-sleep-anxiety#living-with) Contents [Overview](https://my.clevelandclinic.org/health/diseases/21543-sleep-anxiety#overview)[Symptoms and Causes](https://my.clevelandclinic.org/health/diseases/21543-sleep-anxiety#symptoms-and-causes)[Diagnosis and Tests](https://my.clevelandclinic.org/health/diseases/21543-sleep-anxiety#diagnosis-and-tests)[Management and Treatment](https://my.clevelandclinic.org/health/diseases/21543-sleep-anxiety#management-and-treatment)[Outlook / Prognosis](https://my.clevelandclinic.org/health/diseases/21543-sleep-anxiety#outlook-prognosis)[Prevention](https://my.clevelandclinic.org/health/diseases/21543-sleep-anxiety#prevention)[Living With](https://my.clevelandclinic.org/health/diseases/21543-sleep-anxiety#living-with) ## Overview ### What is sleep anxiety? Sleep anxiety is fear or worry about going to [sleep](https://my.clevelandclinic.org/health/articles/12148-sleep-basics). You may be scared about not falling asleep or not being able to stay asleep. Some people also have a distinct [phobia](https://my.clevelandclinic.org/health/diseases/24757-phobias), or fear, about sleep called [somniphobia](https://my.clevelandclinic.org/health/diseases/22645-somniphobia). They may think something bad will happen to them while they sleep or that they shouldn’t sleep because they need to stay alert and watchful. Advertisement Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. [Policy](https://health.clevelandclinic.org/advertising) [Sleep disorders](https://my.clevelandclinic.org/health/diseases/11429-sleep-disorders) and [mental health disorders](https://my.clevelandclinic.org/health/diseases/22295-mental-health-disorders) like anxiety often go hand in hand. If you have an [anxiety disorder](https://my.clevelandclinic.org/health/diseases/9536-anxiety-disorders), you may find it hard to fall asleep or stay asleep. Similarly, if you have a sleep disorder, you might feel anxious or fearful before bed because you’re afraid you won’t get the rest you need. One condition usually makes the other worse, so it can feel like a never-ending cycle. #### How common is sleep anxiety? Anxiety is the most common mental health disorder in the U.S., affecting about 40 million people. Research suggests that most people with mental health disorders like anxiety also have some form of sleep disruption. ## Symptoms and Causes ### What does sleep anxiety feel like? When you can’t sleep due to anxiety, you may experience behavioral or emotional symptoms, which may include: - Feelings of being overwhelmed. - Inability to concentrate. - Irritability. - Nervousness. - Restlessness. - Sense of impending danger or doom. Physical effects of anxiety before bed may include: - [Digestive](https://my.clevelandclinic.org/health/body/7041-digestive-system) problems. - Fast [heart rate](https://my.clevelandclinic.org/health/diagnostics/17402-pulse--heart-rate). - [Rapid breathing](https://my.clevelandclinic.org/health/symptoms/24124-tachypnea). - [Sweating](https://my.clevelandclinic.org/health/symptoms/17865-sweating-and-body-odor). - Tense [muscles](https://my.clevelandclinic.org/health/body/21887-muscle). - Trembling. Some people also have nocturnal [panic attacks](https://my.clevelandclinic.org/health/diseases/4451-panic-attack-panic-disorder). A panic attack is a sudden, intense burst of extreme fear. Nocturnal panic attacks only happen at night and often wake you from sleep. ### What triggers sleep anxiety? Anxiety is a natural part of being human. You’re meant to feel afraid or worried in dangerous situations. [Stress](https://my.clevelandclinic.org/health/articles/11874-stress) and anxiety cause your body to release certain [hormones](https://my.clevelandclinic.org/health/articles/22464-hormones) that help you react quickly to escape harm. But if you have chronic anxiety, you might feel stress or worry all the time. You may feel fearful of everyday situations like driving to work or even falling asleep. Advertisement Chronically high levels of these hormones, especially before sleep, can make it hard for your body to relax. You may have difficulty falling asleep. If you do fall asleep, you may wake up during the night with stressful or worrisome thoughts and not be able to fall back asleep. The combination of anxiety and [insomnia](https://my.clevelandclinic.org/health/diseases/12119-insomnia) can also be caused by [hyperthyroidism](https://my.clevelandclinic.org/health/diseases/14129-hyperthyroidism), a condition where your thyroid is overactive and there’s too much thyroid hormone in your bloodstream. It’s a well-known cause of sleep dysfunction. Research suggests that anxiety can affect rapid eye movement (REM) sleep. This is the phase of sleep when you tend to have vivid [dreams](https://health.clevelandclinic.org/dreams-and-dreaming). If you have anxiety, the dreams may be disturbing or turn into nightmares that wake you. Just as anxiety can affect sleep, sleep can affect anxiety. Sleep anxiety is a common characteristic of insomnia, which occurs when you begin to experience anxiety during the day and evening about poor sleep, which may lead to another night of bad sleep. #### What are the risk factors for sleep anxiety? Sleep anxiety can affect adults, teens and children. You may be more likely to develop anxiety at night if you have a sleep disorder like: - Insomnia. - [Narcolepsy](https://my.clevelandclinic.org/health/diseases/12147-narcolepsy). - [Restless legs syndrome (RLS)](https://my.clevelandclinic.org/health/diseases/9497-restless-legs-syndrome). - [Sleep apnea](https://my.clevelandclinic.org/health/diseases/8718-sleep-apnea). - [Sleepwalking](https://my.clevelandclinic.org/health/diseases/14292-sleepwalking). People with the following mental health disorders may also develop nighttime anxiety: - Anxiety disorders, including [panic disorder](https://my.clevelandclinic.org/health/diseases/4451-panic-attack-panic-disorder) and [post-traumatic stress disorder (PTSD)](https://my.clevelandclinic.org/health/diseases/9545-post-traumatic-stress-disorder-ptsd). - Mood disorders, including major [depression](https://my.clevelandclinic.org/health/diseases/24481-clinical-depression-major-depressive-disorder) and [bipolar disorder](https://my.clevelandclinic.org/health/diseases/9294-bipolar-disorder). - [Alcohol](https://my.clevelandclinic.org/health/diseases/3909-alcoholism) and [substance use disorder](https://my.clevelandclinic.org/health/diseases/16652-drug-addiction-substance-use-disorder-sud). - [Schizophrenia](https://my.clevelandclinic.org/health/diseases/4568-schizophrenia). ### Are there long-term complications of sleep anxiety? Prolonged anxiety or lack of sleep can affect your body in many ways. Sleep anxiety puts you at a higher risk for the following long-term complications: - [Diabetes](https://my.clevelandclinic.org/health/diseases/7104-diabetes-mellitus-an-overview). - [Heart attack](https://my.clevelandclinic.org/health/diseases/16818-heart-attack-myocardial-infarction). - [Heart disease](https://my.clevelandclinic.org/health/diseases/21493-cardiovascular-disease). - [Heart failure](https://my.clevelandclinic.org/health/diseases/17069-heart-failure-understanding-heart-failure). - [High blood pressure](https://my.clevelandclinic.org/health/diseases/4314-hypertension-high-blood-pressure). - [Arrhythmia](https://my.clevelandclinic.org/health/diseases/16749-arrhythmia) (irregular heartbeat). - [Obesity](https://my.clevelandclinic.org/health/diseases/11209-weight-control-and-obesity). - [Stroke](https://my.clevelandclinic.org/health/diseases/5601-stroke-understanding-stroke). ## Diagnosis and Tests ### How is sleep anxiety diagnosed? Your healthcare provider will perform a [physical exam](https://my.clevelandclinic.org/health/diagnostics/17366-physical-examination), review your medical history and discuss your symptoms. They may ask you questions like: - Do you eat or drink anything before bed? - Does your anxiety always occur before bed? - How long does it take you to fall asleep? - How often do you wake up during the night? - What activities do you do before bed? #### What sleep anxiety tests can help confirm a diagnosis? In some cases, your provider may do a [sleep study](https://my.clevelandclinic.org/health/articles/12131-sleep-studies) to find out if you have a sleep disorder. Also called polysomnography, a sleep study is a test where you stay overnight in a sleep lab. Your healthcare provider evaluates how your body works during sleep by checking your: - [Blood oxygen levels](https://my.clevelandclinic.org/health/diagnostics/22447-blood-oxygen-level). - Body positioning. - Breathing. - Electrical activity in your [brain](https://my.clevelandclinic.org/health/body/22638-brain). - [Eye](https://my.clevelandclinic.org/health/body/21823-eyes) movements. - Heart rates and rhythms. - Leg movements. - Sleep stages. - [Snoring](https://my.clevelandclinic.org/health/diseases/15580-snoring) or other noises you make during sleep. Advertisement ## Management and Treatment ### How can I overcome sleep anxiety? Sleep anxiety treatment may include: - [Cognitive behavior therapy for insomnia (CBT-I)](https://my.clevelandclinic.org/health/treatments/21208-cognitive-behavioral-therapy-cbt). - Medications for sleep and/or anxiety. #### Cognitive behavioral therapy for insomnia (CBT-I) CBT-I is considered first-line treatment for insomnia and is often misrepresented as talk therapy or sleep hygiene. The behavioral components go far beyond the information commonly found on the internet or what your friends or family may tell you, such as decreasing caffeine or avoiding electronic devices at bedtime. When people have insomnia, they often associate their bed as a place to worry and be distressed. CBT-I teaches them how to break that association and to retrain their body and mind to see the bed as a place for sleeping by focusing on limiting total time in bed, getting out of bed when awake, and keeping regular sleep and wake times. CBT-I may also include relaxation strategies and mindfulness techniques. Thoughts and feelings about sleep are examined and tested to see if they’re accurate, while behaviors are examined to determine if they promote or disrupt sleep. Treatment is brief and time-limited and typically lasts around four to eight sessions. During CBT-I, you may learn to: - Avoid behaviors or environmental factors that trigger your anxiety or make sleeping difficult. - Better understand how sleep and anxiety affect your brain and the rest of your body. - Change negative or inaccurate thinking about bedtime or sleep. Advertisement #### Sleep anxiety medication Your healthcare provider may recommend medication to treat anxiety or other mental health disorders. Medication can also help improve the symptoms of sleep-related disorders like restless legs syndrome or insomnia. But some medications might actually increase your anxiety or make sleeping harder when you first start taking them. If you experience these side effects, talk to your healthcare provider. Many over-the-counter [sleep aids](https://my.clevelandclinic.org/health/drugs/15308-sleeping-pills) can also be habit-forming. Don’t start any medication for anxiety or sleep without your healthcare provider’s supervision. Care at Cleveland Clinic [Mental Health Care](https://my.clevelandclinic.org/services/mental-health-care) [Make an Appointment](https://my.clevelandclinic.org/webappointment) ## Outlook / Prognosis ### What’s the prognosis (outlook) for people with sleep anxiety? Most people can successfully manage their sleep anxiety with the right treatments. But remember that some treatments, like CBT-I, can take time to be effective. Don’t stop treatment early if you think it isn’t working. ## Prevention ### How can I prevent sleep anxiety? You may be able to reduce your risk of sleep anxiety by improving your sleep habits. Sleep habits, or sleep hygiene, are your routines around bedtime that can affect your sleep. Your healthcare provider may ask you to keep a sleep diary for several weeks. This is a daily log of your sleep habits. It can help identify things that might make it harder for you to fall asleep or stay asleep. Some common ways to [improve your sleep hygiene](https://health.clevelandclinic.org/5-tips-to-make-your-sleep-more-restful) include: Advertisement - Avoid drinking lots of fluids before bed, especially alcohol. - Do relaxing activities before bed, like meditation or listening to soft, peaceful music. - Don’t consume caffeine in the late afternoon or evening. - Go to bed and wake up at the same time each day. - If you don’t fall asleep within 20 minutes, get out of bed. - Make sure your bedroom is comfortable, quiet and softly lit. - Only use your bed for sleep and sex. For example, avoid watching television or doing work in bed. - Set a goal of getting at least seven hours of sleep every night. - [Stop using electronic devices](https://health.clevelandclinic.org/put-the-phone-away-3-reasons-why-looking-at-it-before-bed-is-a-bad-habit) at least 30 minutes before bedtime. - Try not to eat right before bedtime. If you’re hungry, have a light snack and not a big meal. ## Living With ### How can I make living with sleep anxiety easier? Anxiety or sleep problems can affect every aspect of your life, from your performance at work to your interactions with others. It may help to talk about your sleep anxiety with a therapist, co-workers, friends or loved ones. Support groups can also connect you to a community of people dealing with similar experiences. ### A note from Cleveland Clinic Sleep anxiety is a feeling of fear or stress about falling asleep or staying asleep. Sleep problems and mental health disorders like anxiety are closely intertwined. One can often make the other worse, so it can feel like a never-ending cycle. But anxiety and sleep issues are both treatable. Talk to your healthcare provider about your symptoms. Together, you can build the right treatment plan for you. [![Cleveland Clinic logo](https://my.clevelandclinic.org/_next/static/media/logo-ccf.1e52a22b.svg?w=3840&q=75)](https://my.clevelandclinic.org/)[![Cleveland Clinic icon](https://my.clevelandclinic.org/_next/static/media/CCFLogo.000428c6.svg?w=3840&q=75)](https://my.clevelandclinic.org/) [![Health Essentials logo](https://my.clevelandclinic.org/_next/static/media/HealthEssentials.b811bb06.svg?w=3840&q=75)](https://health.clevelandclinic.org/) ![Subscription icon](https://assets.clevelandclinic.org/transform/482db8cd-aa1e-45b5-a2a4-cf6aa5e5d2d4/Health-Essentials?w=256&q=75) ## Better health starts here Sign up for our Health Essentials emails for expert guidance on nutrition, fitness, sleep, skin care and more. 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Last updated on 04/12/2024. ### References Cleveland Clinic’s health articles are based on evidence-backed information and review by medical professionals to ensure accuracy, reliability and up-to-date clinical standards. - American Academy of Sleep Medicine. Healthy Sleep Habits (http://sleepeducation.org/essentials-in-sleep/healthy-sleep-habits). Last updated 8/2020. Accessed 4/12/2024. - American Association of Sleep Technologists. Standard Polysomnography (https://www.aastweb.org/Portals/0/Docs/Resources/Guidelines/AAST%20PSG%20Guideline%20Final.pdf). Last updated 12/2021. Accessed 4/12/2024. - Anxiety & Depression Association of America. Sleep Disorders (https://adaa.org/understanding-anxiety/related-illnesses/sleep-disorders). Last updated 10/19/2021. Accessed 4/12/2024. - Sleep Foundation. Anxiety and Sleep (https://www.sleepfoundation.org/mental-health/anxiety-and-sleep). Last updated 11/16/2023. 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Readable Markdown	### What does sleep anxiety feel like? When you can’t sleep due to anxiety, you may experience behavioral or emotional symptoms, which may include: - Feelings of being overwhelmed. - Inability to concentrate. - Irritability. - Nervousness. - Restlessness. - Sense of impending danger or doom. Physical effects of anxiety before bed may include: Some people also have nocturnal [panic attacks](https://my.clevelandclinic.org/health/diseases/4451-panic-attack-panic-disorder). A panic attack is a sudden, intense burst of extreme fear. Nocturnal panic attacks only happen at night and often wake you from sleep. ### What triggers sleep anxiety? Anxiety is a natural part of being human. You’re meant to feel afraid or worried in dangerous situations. [Stress](https://my.clevelandclinic.org/health/articles/11874-stress) and anxiety cause your body to release certain [hormones](https://my.clevelandclinic.org/health/articles/22464-hormones) that help you react quickly to escape harm. But if you have chronic anxiety, you might feel stress or worry all the time. You may feel fearful of everyday situations like driving to work or even falling asleep. Chronically high levels of these hormones, especially before sleep, can make it hard for your body to relax. You may have difficulty falling asleep. If you do fall asleep, you may wake up during the night with stressful or worrisome thoughts and not be able to fall back asleep. The combination of anxiety and [insomnia](https://my.clevelandclinic.org/health/diseases/12119-insomnia) can also be caused by [hyperthyroidism](https://my.clevelandclinic.org/health/diseases/14129-hyperthyroidism), a condition where your thyroid is overactive and there’s too much thyroid hormone in your bloodstream. It’s a well-known cause of sleep dysfunction. Research suggests that anxiety can affect rapid eye movement (REM) sleep. This is the phase of sleep when you tend to have vivid [dreams](https://health.clevelandclinic.org/dreams-and-dreaming). If you have anxiety, the dreams may be disturbing or turn into nightmares that wake you. Just as anxiety can affect sleep, sleep can affect anxiety. Sleep anxiety is a common characteristic of insomnia, which occurs when you begin to experience anxiety during the day and evening about poor sleep, which may lead to another night of bad sleep. #### What are the risk factors for sleep anxiety? Sleep anxiety can affect adults, teens and children. You may be more likely to develop anxiety at night if you have a sleep disorder like: People with the following mental health disorders may also develop nighttime anxiety: ### Are there long-term complications of sleep anxiety? Prolonged anxiety or lack of sleep can affect your body in many ways. Sleep anxiety puts you at a higher risk for the following long-term complications:
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