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| Last Crawled | 2026-04-06 22:20:34 (11 days ago) |
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| Meta Title | 14 Surprising Factors That Can Sabotage Your Shut-Eye |
| Meta Description | Alcohol, blue lights, stealth caffeine sources, anxiety and even certain medications can cause insomnia, which can have a negative impact on your health. |
| Meta Canonical | null |
| Boilerpipe Text | 7. Long naps
âMany adults donât nap voluntarily or intentionally, but often fall asleep when not busy or watching TV,â says Doghramji. Either way, your brain sees it as sleep. The most common time of the day when people get sleepy is between 2 and 3 in the afternoon, when we experience a natural dip in energy, he says. This may prevent you from feeling tired at bedtime; then spending too much time lying awake can contribute to insomnia. If your afternoon energy tends to be low, try scheduling something active for that time instead of napping. It will help you feel refreshed, and research shows that exercisers have better sleep quality too â so itâs a double bang for your buck.
If a nap calls your name, Pelayo suggests sleeping no longer than 40 minutes to avoid feeling groggy later. Rest your head where you normally sleep so you remain accustomed to the same sleep environment.
SAM ISLAND
8. Spending too much time in bed
Reading may be a relaxing activity but you should take your book to an armchair â not
your bed
, Harris advises. âI prefer that the bed is only used for sleep and sex,â she says. Even calm activities like puzzles or an adult coloring book can cause your brain to associate the bed with activities that you pursue while awake, which can affect your ability to drift off at night.
9. Alcohol
Yep, a glass of vino can simmer you down and make it easier to fall asleep. However, research shows that while it may help you conk out, thereâs also a rebound effect that causes lighter and more fragmented sleep in the second half of the night; thatâs why youâre up at 3 a.m. It also decreases sleep quality â so you rise less refreshed.
SAM ISLAND
Limit alcohol to three hours before bedtime and imbibe moderately (one drink for women and two for men, as recommended by the Centers for Disease Control and Prevention).
10. Medications
Sleep can also be interrupted by poor timing of your medications. Some, like diuretics for blood pressure, can make you have to urinate more often. More than one or two bathroom breaks at night is abnormal, Doghramji says.
Antidepressant SSRIs, can either be energizing or sedating, depending what type youâre on. Steroids like prednisone, beta blockers like propranolol and certain asthma medications are best taken in the morning to avoid sleep disruptions. Always consult your doctor before changing the timing of your medication. SeeÂ
"Common Medications That Can Affect Sleep"
 for more details.
SAM ISLAND
11. Stress
ï»żDealing with stress can make falling asleep difficult, leading to light, fragmented sleep. However, there are tools to help alleviate stress-related insomnia.
For example, if youâre stressed over bills, avoid reviewing or addressing them in your bedroom. âPut it in a separate room so when you go to your room, itâs a different world,â says Pelayo who also wrote How to Sleep: The New Scienceï»ż-Based Solutions for Sleeping Through the Night.
If you have persistent thoughts that trap you in a cycle of negative feelings, schedule a dedicated time to think or worry. Consider journaling or writing a simple list, whether itâs what you need from the grocery store or even jotting down short- and long-term goals.
âSay it and believe it, then put that aside,â says Pelayo.ï»ż ï»ż"Now do something that you enjoy. Reach for pleasure, a warm bath or time with your spouse.â These activities can be incorporated into your sleep routine to signal to your body that you are transitioning into sleep mode and the day is over.
ï»żProblems may seem less intense in the morning than they do at night.
Finally,Â
cognitive behavioral therapy for insomnia (CBT-I)
, can help you retrain your thoughts to calm your mind, Doghramji says. A specially trained CBT-I therapist can help, but there are also apps that teach you these important skills. âDonât just use them at 3 a.m.; practice with these apps during the day.â
12. Forced-sleep
As you get older you may start going to bed earlier but you may want to consider pushing it back later.
 âYou want a later bedtime, but a locked in wake-up time. Thatâs going to squeeze out those middle of the night awakening⊠and the bodyâs going to sleep deeper,â says Pelayo.
Lying in bed trying to force sleep to happen out of boredom backfires, Harris says. It can convince your brain that being awake in bed is normal. Instead, get up and go into a different room and do something relaxing and calm in dim light, she advises. (No screens allowed.) Having an accepting mindset about it can also help. âSleep will come when it comes. If not tonight, donât sleep in to compensate â and youâll likely sleep better the next night,â she says.
13. Health condition affecting sleep
âInsomnia is both a symptom and a disease,â says Watson. If correcting your sleep habits hasnât improved itï»żs quality, your insomnia may be a symptom of another condition.
There are over 80 sleep disorders, many which include insomnia as a symptom. These include
sleep apnea
, restless leg syndrome, parasomnia (such as sleepwalking, talking or eating) and narcolepsy. While a relatively rare condition, older adults in particular are susceptible to REM sleep behavior disorder (RBD), where individuals physically act out their dreams while asleep. This not only may cause injury to oneself or their bed partner but can be an early warning sign of Parkinsonâs, Lewy body dementia or multiple system atrophy, a rare neurodegenerative disorder that affects the body's involuntary functions, and should be treated by a doctor.
Other non-sleep disorders that may cause insomnia include pain, arthritis, atrial fibrillation, PTSD and heartburn, according to Pelayo.
If youâve tried the correcting your sleep on your own for a month and it still doesnât feel adequate, see your doctor for an evaluation.
14. Exercising too close to bedtime
Exercise offers numerous benefits for better sleep, such as reducing anxiety and depression and realigning your circadian rhythm. But working out too close to bedtime may be counterproductive. Exercise can heat up your body or make you feel more alert which can make it harder to sleep. Instead, aim to exercise at least two hours before bed to allow these effects to wear off.
Treatment options for insomnia
Cognitive behavioral therapy for insomnia (CBT-I):
This is typically recommended as the first-line treatment because it identifies and addresses habits, behaviors, thoughts and other factors that keep you awake during the night. Think of it as getting a toolbox for overcoming insomnia.
Medication:
Those who opt for medication should know that there can be side effects and limitations for long term use. For older adults,
sleeping pills can be especially dangerous
due to the risk of mobility problems and falls. However, if youâre dealing with temporary insomnia, your doctor might give you a short-term prescription.
Alternatively, a relatively new category of medication called dual orexin receptor antagonist (DORA) has proven to be well tolerated in older adults with insomnia and can be a good alternative to traditional prescription sleeping pills.
Over-the-counter options
: In general, itâs best to steer clear of over-the-counter options likeÂ
melatonin
, Tylenol PM or Advil PM. They may not provide the most effective solution and could mask an underlying medical condition responsible for insomnia, which might require a doctorâs evaluation, says Watson.ï»ż âIf youâre just addressing the insomnia yourself over the counter, you might miss an opportunity to address the root cause.â
Alcohol
: While alcohol may help you fall asleep initally, as it wears off, your sleep becomes more disrupted toward the last half of the night.
Cannabis
: The role of cannabis in promoting sleep remains uncertain, and its potential effects are still being researched.
When to see a doctor
You should reach out to a doctor when insomnia begins to impact your daytime function or if you routinely have trouble with your sleep quality or quantity, multiple nights a week.
Working with a sleep specialist or other another health care professional is important for managing insomnia because you can identify the root causes of your sleeplessness and establish a personalized treatment plan that addresses your specific needs.
âModern sleep medicine has reached a point where most sleep disorder will improve when addressed correctly,â Pelayo says. âSo you shouldnât suffer with a sleep disorder anymore.â |
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Healthy Sleep Advice
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- [ Causes of Sleeplessness Health Conditions Linked to Poor Sleep Trouble sleeping can signal serious problems](https://www.aarp.org/health/conditions-treatments/causes-of-sleeplessness/)
- [ Side or Back Whatâs the Best Sleeping Position for Your Health? How you snooze can affect sleep quality, plus brain, heart and stomach health](https://www.aarp.org/health/healthy-living/best-sleeping-position/)
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- [ Sleep Aids Can Melatonin Help You Sleep? Plus, what you need to know about safety](https://www.aarp.org/health/drugs-supplements/melatonin-and-sleep/)
- [ Deficit Woes Why Missing Sleep Is Worse for Women Than Men Not only do females get less sleep than males, their health suffers more from it](https://www.aarp.org/health/healthy-living/why-sleep-matters-more-for-women/)
- [ Home & Living 7 Napping Tips for a Refreshing Snooze A power nap, a cat nap, an afternoon snooze. Whatever you call it, the concept of a nap is nothing new. But is a quick bit of shut-eye good for you? And when and how often should you take one? For National Napping Day, we talked to the experts to find out.](https://www.aarp.org/home-living/napping-tips/)
- [ Health Smart Sleep Tips for a Refreshing Morning 43 tips to help you fight those restless, endless nights and get the slumber you need](https://www.aarp.org/health/healthy-living/smart-guide-sleep/)
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- [ Hello Darkness Light Can Affect Your Sleep and Health You should not be able to see your hand in your bedroom, experts say](https://www.aarp.org/health/healthy-living/light-affects-sleep-health/)
- [ Sleep Meds 10 Medications That Can Mess With Your Sleep Trouble sleeping? These drugs may be to blame](https://www.aarp.org/health/drugs-supplements/medications-that-can-cause-insomnia/)
- [ Shuteye on Trips 6 Tips for Getting Better Sleep While Traveling A good nightâs sleep on vacation can start before you leave home](https://www.aarp.org/travel/travel-tips/lodging/info-2023/tips-for-better-sleep-while-on-vacation.html)
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- [ The Right Amount Can You Get Too Much Sleep? Researchers say seven hours per night is ideal](https://www.aarp.org/health/healthy-living/healthy-sleeping-tips/)
- [ Side Effects 3 Reasons to Avoid Sleeping Pills Sleep medication use is on the rise, especially in older adults](https://www.aarp.org/health/conditions-treatments/reasons-to-avoid-sleeping-pills/)
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- [ Staying Sharp A Healthy Diet May Be Linked to Better Sleep More fruits and veggies â and fewer sugary drinks â could help you catch your 40 winks](https://stayingsharp.aarp.org/articles/healthy-diet-better-sleep/)
- [ Sleep Technology Newer Smartwatches Can Alert on Symptoms of Sleep Apnea FDA OKs software that measures breathing interruptions](https://www.aarp.org/home-family/personal-technology/info-2024/sleep-apnea-smartwatch.html)
- [ Staying Sharp Too Stressed for Sleep? Here's What May Help Studies suggest losing good slumber may take a toll on the brain and body](https://stayingsharp.aarp.org/articles/stressed-sleep/)
[Health](https://www.aarp.org/health/)
# Suddenly Canât Sleep? Hereâs What May Be Causing Your Insomnia
## 14 surprising factors that can sabotage your shut-eye
***
By
Jessica Migala,
Updated July 30, 2024
AARP
49
Comments
[En español](https://www.aarp.org/espanol/salud/enfermedades-y-tratamientos/info-2019/causas-comunes-del-insomnio.html)
Published March 08, 2019
/ Updated July 30, 2024


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#### In this story
[Age](https://www.aarp.org/health/conditions-treatments/have-trouble-sleeping/#age "age-related insomnia") âą [Blue-lights](https://www.aarp.org/health/conditions-treatments/have-trouble-sleeping/#blue-lights "excess screen time can disrupt sleep") âą [Menopause](https://www.aarp.org/health/conditions-treatments/have-trouble-sleeping/#menopause "menopause symptoms can mess with sleep") âą [Caffeine](https://www.aarp.org/health/conditions-treatments/have-trouble-sleeping/#caffeine "that extra cup of joe could keep you awake at night") âą [Lack of routine](https://www.aarp.org/health/conditions-treatments/have-trouble-sleeping/#lack-of-routine "set a routine to catch more Z's")ï»ż âą [Poor sleeping environment](https://www.aarp.org/health/conditions-treatments/have-trouble-sleeping/#poor-sleep-environment "why your bedroom should be a restful retreat") âą [Long naps](https://www.aarp.org/health/conditions-treatments/have-trouble-sleeping/#long-naps "napping during the day can keep you awake at night") âą [Too much time in bed](https://www.aarp.org/health/conditions-treatments/have-trouble-sleeping/#too-much-time-in-bed "lounging all day makes it difficult to unwind") âą [Alcohol](https://www.aarp.org/health/conditions-treatments/have-trouble-sleeping/#alcohol "skip the nightcap to sleep more soundly") âą [Medications](https://www.aarp.org/health/conditions-treatments/have-trouble-sleeping/#medications "the cause of your insomnia may be in your medicine cabinet") âą [Stress](https://www.aarp.org/health/conditions-treatments/have-trouble-sleeping/#stress "anxiety and tension can make it tough to sleep") âą [Forced-sleep](https://www.aarp.org/health/conditions-treatments/have-trouble-sleeping/#forced-sleep "trying to make yourself sleep can keep you awake") âą [Coexisting condition](https://www.aarp.org/health/conditions-treatments/have-trouble-sleeping/#coexisting-condition "these health conditions often cause or worsen insomnia") âą [Exercise](https://www.aarp.org/health/conditions-treatments/have-trouble-sleeping/#exercise "break a sweat earlier in the day to sleep better") âą [Treatment options](https://www.aarp.org/health/conditions-treatments/have-trouble-sleeping/#treatment-options "how to get help for insomnia") âą [When to see a doctor](https://www.aarp.org/health/conditions-treatments/have-trouble-sleeping/#when-to-see-a-doctor "when to see a doctor for insomnia")
Sleep. Itâs as elusive as leprechaun gold, and twice as valuable. The number of health conditions linked to poor or inadequate sleep is almost endless, with obesity, [diabetes](https://www.aarp.org/health/conditions-treatments/habits-increase-diabetes-risk/ "habits that can lead to diabetes") and heart disease topping the list. But sleep ought to be something we can control â just get to bed early and sleep the night away, right?
Unfortunately, it isnât that simple.
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âIt really begins with feeling safe. There are physical aspects of sleep and there are psychological aspects of sleep. But in the end, your state of mind trumps everything,â says Rafael Pelayo, M.D., a clinical professor of psychiatry and behavioral sciences in sleep medicine at Stanford Medicine.


SAM ISLAND
If you find yourself lying in bed for hours unable to fall asleep, waking up during the night, or donât feel refreshed in the morning, see if one of these factors is souring your sweet dreams.
### What is insomnia?
Insomnia is a common sleep disorder that can be caused by a variety of factors such as stress, anxiety, depression, medical conditions and medication side effects. Poor sleep habits, which sleep expert Nathaniel Watson, M.D., says âdevelop over a lifetime,â can also contribute. These habits may include not keeping to a regular sleep schedule, napping during the day or drinking too much alcohol right before bedtime.
Whatâs more, hormonal fluctuations in women related to the menstrual cycle, pregnancy and menopause can lead to insomnia, says Shelby Harris, clinical associate professor at the Albert Einstein College of Medicine in New York and director of sleep health at Sleepopolis.


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### Temporary vs. chronic insomnia
Insomnia is considered chronic when it occurs three nights a week for three months. Fewer nights of disrupted sleep would be indicative of short-term, or temporary, insomnia.
âWhen people have these unhappy moments in their life, thereâs probably a little bit of difficulty sleeping and we shouldnât get too hung up on that,â says Watson, who is codirector of the University of Washington Medicine Sleep Center. âIf somebodyâs having a short-term insomnia issue related to something happening in their life, I would caution people from catastrophizing around that and think of that as the normal experience of human emotion.â
### What causes insomnia?
#### **1\. Age**
Age, alone, can be to blame for your sleep troubles. For one, older adults are more susceptible to health issues that can disrupt sleep. Plus, as you age, your circadian rhythm changes, which is why you might notice wanting to go to bed earlier and, likewise, waking up earlier. For women in perimenopause and menopause, [sleep disturbances](https://www.aarp.org/health/healthy-living/why-sleep-matters-more-for-women/ "why missing sleep is worse for women vs. men") often manifest hot flashes and night sweats.
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Adding to these difficulties, as we age our brain makes less melatonin, a hormone that tells us night is approaching and prepares us for sleep, says Pelayo.
âItâs not chiseled in stone that as we get older that weâre going to have problematic sleep,â says Watson. âWhen we look at epidemiology, we do see that sleep difficulties do become more prevalent as we age, but itâs not necessarily predetermined.â
If youâre battling age-related insomnia, itâs important to keep a consistent sleep schedule so you donât skimp on the recommended seven hours a night. Try to go to bed at the same time every night to avoid those late-night, early-morning days.


Sam Island
#### **2\. Blue-lights**
Youâve heard time and again to turn off electronics an hour or so before bed because these devices emit a blue light that suppresses melatonin. However, glaring blue light even three or four hours earlier â like watching TV during or shortly after dinner â is enough to delay melatonin production, says Karl Doghramji, M.D., director of the Jefferson Sleep Disorders Center in Philadelphia. You donât have to turn off the tube, though.
He recommends wearing [eyeglasses that block blue light](https://www.aarp.org/health/conditions-treatments/computer-glasses-blue-light-protection/ "blue light blocking glasses") (available from a variety of online retailers) until you tuck in (and when you wake up at night too). That way, youâll have no problems winding down with the TV on.
#### **3\. Menopause**
Declining estrogen can prompt disturbances â including hot flashes â in the middle of the night. Research indicates that about a quarter of menopausal women have sleep problems severe enough to impact their ability to function during the day.
Head off hot, sweaty wakeups by using sheets and pajamas that wick moisture, and sleeping on a buckwheat pillow, which is more cooling than traditional latex or down, advises Harris, who wrote The Womenâs Guide to Overcoming Insomnia. If your partner likes it warmer, consider having a separate comforter for each side of the bed.


Sam Island
#### **4\. Caffeine**
While it may be intuitive that [drinking coffee](https://www.aarp.org/health/conditions-treatments/coffee-prevents-early-death/ "coffee may boost longevity") for an afternoon pick-me-up could interfere with your sleep later, âpeople often have no idea that theyâre consuming caffeine in other forms, like iced tea or chocolate,â says Beth Ann Malow, M.D., director of the sleep disorders division of the Vanderbilt University Medical Center in Nashville, Tennessee. Everyone metabolizes it at a different rate, so you may be surprised at what time of day you should be cutting off caffeine. âIf youâre having trouble falling asleep, eliminate it after lunch,â she says.
#### **5\. Lack of a routine**
Humans like routines because theyâre predictable and monotony tends to make people sleepy, Pelayo says.
However, there is no one-size-fits all approach, since different things comfort different people. Whatâs most important is that your sleep routine signals relaxation, whether itâs a bath, meditation, prayer or even changing into clothes worn only for sleep.
Routines arenât just helpful before sleep either; they can also help you get out of bed and reinforce a consistent sleep schedule. Plan to do something you really enjoy first thing in the morning to encourage you to get out of bed and stick with a consistent wake-up time to help maintain a regular sleep schedule.
#### **6\. Poor sleep environment**
A good sleep environment starts with feeling safe, Pelayo says. âWe want people to go to bed feeling safe, comfortable and loved.â
Temperature is crucial; your bedroom should be between 65 and 68 °F, according to the Sleep Foundation. Cooling sheets may also help.
Dark rooms help stimulate melatonin production, so in addition to shades that keep out light, make sure to douse lights from any electronic devices. Exposure to bright light, especially in the morning, can also help you sleep at night, because it can help keep our circadian clocks on track.
In fact, multiple studies show that [cataract surgery](https://www.aarp.org/medicare/does-medicare-cover-cataract-surgery/ "does Medicare cover cataract surgery"), which increases light entering the eye, can improve melatonin production by intensifying daytime light exposure, strengthening the signal that night is approaching.
For noise, if you prefer silence, embrace it. But, if it comforts you, use it â whether its a podcast, fan or a sound machine. Make sure the sound is continuous and non-looping to avoid disruptions and set a timer for a podcast so the continued talk doesnât wake you back up.
âThe brain is very active when itâs sleeping. Itâs doing maintenance. It also has background monitoring,â says Pelayo. Therefore, sudden noises or interruptions can disturb sleep.
Lastly, if keeping your phone nearby makes you feel safe, keep it within reach, Pelayo says. But, if it becomes something you obsess over, consider placing it in another room.
Know that you can put your phone in âdo not disturbâ mode to prevent notifications or configure it to only accept calls from specific contacts during sleeping hours.
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#### **7\. Long naps**
âMany adults donât nap voluntarily or intentionally, but often fall asleep when not busy or watching TV,â says Doghramji. Either way, your brain sees it as sleep. The most common time of the day when people get sleepy is between 2 and 3 in the afternoon, when we experience a natural dip in energy, he says. This may prevent you from feeling tired at bedtime; then spending too much time lying awake can contribute to insomnia. If your afternoon energy tends to be low, try scheduling something active for that time instead of napping. It will help you feel refreshed, and research shows that exercisers have better sleep quality too â so itâs a double bang for your buck.
If a nap calls your name, Pelayo suggests sleeping no longer than 40 minutes to avoid feeling groggy later. Rest your head where you normally sleep so you remain accustomed to the same sleep environment.


SAM ISLAND
#### **8\. Spending too much time in bed**
Reading may be a relaxing activity but you should take your book to an armchair â not [your bed](https://www.aarp.org/health/healthy-living/best-mattress/ "best mattresses"), Harris advises. âI prefer that the bed is only used for sleep and sex,â she says. Even calm activities like puzzles or an adult coloring book can cause your brain to associate the bed with activities that you pursue while awake, which can affect your ability to drift off at night.
#### **9\. Alcohol**
Yep, a glass of vino can simmer you down and make it easier to fall asleep. However, research shows that while it may help you conk out, thereâs also a rebound effect that causes lighter and more fragmented sleep in the second half of the night; thatâs why youâre up at 3 a.m. It also decreases sleep quality â so you rise less refreshed.


SAM ISLAND
Limit alcohol to three hours before bedtime and imbibe moderately (one drink for women and two for men, as recommended by the Centers for Disease Control and Prevention).
#### **10\. Medications**
Sleep can also be interrupted by poor timing of your medications. Some, like diuretics for blood pressure, can make you have to urinate more often. More than one or two bathroom breaks at night is abnormal, Doghramji says.
Antidepressant SSRIs, can either be energizing or sedating, depending what type youâre on. Steroids like prednisone, beta blockers like propranolol and certain asthma medications are best taken in the morning to avoid sleep disruptions. Always consult your doctor before changing the timing of your medication. See ["Common Medications That Can Affect Sleep"](https://www.aarp.org/health/drugs-supplements/medications-that-can-cause-insomnia/ "these common medications can trigger insomnia") for more details.


SAM ISLAND
#### **11\. Stress**
ï»żDealing with stress can make falling asleep difficult, leading to light, fragmented sleep. However, there are tools to help alleviate stress-related insomnia.
For example, if youâre stressed over bills, avoid reviewing or addressing them in your bedroom. âPut it in a separate room so when you go to your room, itâs a different world,â says Pelayo who also wrote How to Sleep: The New Scienceï»ż-Based Solutions for Sleeping Through the Night.
If you have persistent thoughts that trap you in a cycle of negative feelings, schedule a dedicated time to think or worry. Consider journaling or writing a simple list, whether itâs what you need from the grocery store or even jotting down short- and long-term goals.
âSay it and believe it, then put that aside,â says Pelayo.ï»ż ï»ż"Now do something that you enjoy. Reach for pleasure, a warm bath or time with your spouse.â These activities can be incorporated into your sleep routine to signal to your body that you are transitioning into sleep mode and the day is over.
ï»żProblems may seem less intense in the morning than they do at night.
Finally, [cognitive behavioral therapy for insomnia (CBT-I)](https://www.aarp.org/health/conditions-treatments/talk-therapy-for-insomnia/ "why you might consider CBT for insomnia"), can help you retrain your thoughts to calm your mind, Doghramji says. A specially trained CBT-I therapist can help, but there are also apps that teach you these important skills. âDonât just use them at 3 a.m.; practice with these apps during the day.â
#### **12\. Forced-sleep**
As you get older you may start going to bed earlier but you may want to consider pushing it back later.
âYou want a later bedtime, but a locked in wake-up time. Thatâs going to squeeze out those middle of the night awakening⊠and the bodyâs going to sleep deeper,â says Pelayo.
Lying in bed trying to force sleep to happen out of boredom backfires, Harris says. It can convince your brain that being awake in bed is normal. Instead, get up and go into a different room and do something relaxing and calm in dim light, she advises. (No screens allowed.) Having an accepting mindset about it can also help. âSleep will come when it comes. If not tonight, donât sleep in to compensate â and youâll likely sleep better the next night,â she says.
#### **13\. Health condition affecting sleep**
âInsomnia is both a symptom and a disease,â says Watson. If correcting your sleep habits hasnât improved itï»żs quality, your insomnia may be a symptom of another condition.
There are over 80 sleep disorders, many which include insomnia as a symptom. These include [sleep apnea](https://www.aarp.org/health/healthy-living/what-is-sleep-apnea/ "more on sleep apnea in older adults"), restless leg syndrome, parasomnia (such as sleepwalking, talking or eating) and narcolepsy. While a relatively rare condition, older adults in particular are susceptible to REM sleep behavior disorder (RBD), where individuals physically act out their dreams while asleep. This not only may cause injury to oneself or their bed partner but can be an early warning sign of Parkinsonâs, Lewy body dementia or multiple system atrophy, a rare neurodegenerative disorder that affects the body's involuntary functions, and should be treated by a doctor.
Other non-sleep disorders that may cause insomnia include pain, arthritis, atrial fibrillation, PTSD and heartburn, according to Pelayo.
If youâve tried the correcting your sleep on your own for a month and it still doesnât feel adequate, see your doctor for an evaluation.
#### **14\. Exercising too close to bedtime**
Exercise offers numerous benefits for better sleep, such as reducing anxiety and depression and realigning your circadian rhythm. But working out too close to bedtime may be counterproductive. Exercise can heat up your body or make you feel more alert which can make it harder to sleep. Instead, aim to exercise at least two hours before bed to allow these effects to wear off.
### Treatment options for insomnia
**Cognitive behavioral therapy for insomnia (CBT-I):** This is typically recommended as the first-line treatment because it identifies and addresses habits, behaviors, thoughts and other factors that keep you awake during the night. Think of it as getting a toolbox for overcoming insomnia.
**Medication:** Those who opt for medication should know that there can be side effects and limitations for long term use. For older adults, [sleeping pills can be especially dangerous](https://www.aarp.org/health/conditions-treatments/reasons-to-avoid-sleeping-pills/ "why older adults should skip sleeping pills") due to the risk of mobility problems and falls. However, if youâre dealing with temporary insomnia, your doctor might give you a short-term prescription.
Alternatively, a relatively new category of medication called dual orexin receptor antagonist (DORA) has proven to be well tolerated in older adults with insomnia and can be a good alternative to traditional prescription sleeping pills.
**Over-the-counter options**: In general, itâs best to steer clear of over-the-counter options like [melatonin](https://www.aarp.org/health/drugs-supplements/melatonin-and-sleep/ "the link between melatonin and sleep"), Tylenol PM or Advil PM. They may not provide the most effective solution and could mask an underlying medical condition responsible for insomnia, which might require a doctorâs evaluation, says Watson.ï»ż âIf youâre just addressing the insomnia yourself over the counter, you might miss an opportunity to address the root cause.â
**Alcohol**: While alcohol may help you fall asleep initally, as it wears off, your sleep becomes more disrupted toward the last half of the night.
**Cannabis**: The role of cannabis in promoting sleep remains uncertain, and its potential effects are still being researched.
### When to see a doctor
You should reach out to a doctor when insomnia begins to impact your daytime function or if you routinely have trouble with your sleep quality or quantity, multiple nights a week.
Working with a sleep specialist or other another health care professional is important for managing insomnia because you can identify the root causes of your sleeplessness and establish a personalized treatment plan that addresses your specific needs.
âModern sleep medicine has reached a point where most sleep disorder will improve when addressed correctly,â Pelayo says. âSo you shouldnât suffer with a sleep disorder anymore.â
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*Jessica Migala has written for* Marie Claire*,* Prevention *and more than 30 other publications.*
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| Readable Markdown | #### **7\. Long naps**
âMany adults donât nap voluntarily or intentionally, but often fall asleep when not busy or watching TV,â says Doghramji. Either way, your brain sees it as sleep. The most common time of the day when people get sleepy is between 2 and 3 in the afternoon, when we experience a natural dip in energy, he says. This may prevent you from feeling tired at bedtime; then spending too much time lying awake can contribute to insomnia. If your afternoon energy tends to be low, try scheduling something active for that time instead of napping. It will help you feel refreshed, and research shows that exercisers have better sleep quality too â so itâs a double bang for your buck.
If a nap calls your name, Pelayo suggests sleeping no longer than 40 minutes to avoid feeling groggy later. Rest your head where you normally sleep so you remain accustomed to the same sleep environment.


SAM ISLAND
#### **8\. Spending too much time in bed**
Reading may be a relaxing activity but you should take your book to an armchair â not [your bed](https://www.aarp.org/health/healthy-living/best-mattress/ "best mattresses"), Harris advises. âI prefer that the bed is only used for sleep and sex,â she says. Even calm activities like puzzles or an adult coloring book can cause your brain to associate the bed with activities that you pursue while awake, which can affect your ability to drift off at night.
#### **9\. Alcohol**
Yep, a glass of vino can simmer you down and make it easier to fall asleep. However, research shows that while it may help you conk out, thereâs also a rebound effect that causes lighter and more fragmented sleep in the second half of the night; thatâs why youâre up at 3 a.m. It also decreases sleep quality â so you rise less refreshed.


SAM ISLAND
Limit alcohol to three hours before bedtime and imbibe moderately (one drink for women and two for men, as recommended by the Centers for Disease Control and Prevention).
#### **10\. Medications**
Sleep can also be interrupted by poor timing of your medications. Some, like diuretics for blood pressure, can make you have to urinate more often. More than one or two bathroom breaks at night is abnormal, Doghramji says.
Antidepressant SSRIs, can either be energizing or sedating, depending what type youâre on. Steroids like prednisone, beta blockers like propranolol and certain asthma medications are best taken in the morning to avoid sleep disruptions. Always consult your doctor before changing the timing of your medication. See ["Common Medications That Can Affect Sleep"](https://www.aarp.org/health/drugs-supplements/medications-that-can-cause-insomnia/ "these common medications can trigger insomnia") for more details.


SAM ISLAND
#### **11\. Stress**
ï»żDealing with stress can make falling asleep difficult, leading to light, fragmented sleep. However, there are tools to help alleviate stress-related insomnia.
For example, if youâre stressed over bills, avoid reviewing or addressing them in your bedroom. âPut it in a separate room so when you go to your room, itâs a different world,â says Pelayo who also wrote How to Sleep: The New Scienceï»ż-Based Solutions for Sleeping Through the Night.
If you have persistent thoughts that trap you in a cycle of negative feelings, schedule a dedicated time to think or worry. Consider journaling or writing a simple list, whether itâs what you need from the grocery store or even jotting down short- and long-term goals.
âSay it and believe it, then put that aside,â says Pelayo.ï»ż ï»ż"Now do something that you enjoy. Reach for pleasure, a warm bath or time with your spouse.â These activities can be incorporated into your sleep routine to signal to your body that you are transitioning into sleep mode and the day is over.
ï»żProblems may seem less intense in the morning than they do at night.
Finally, [cognitive behavioral therapy for insomnia (CBT-I)](https://www.aarp.org/health/conditions-treatments/talk-therapy-for-insomnia/ "why you might consider CBT for insomnia"), can help you retrain your thoughts to calm your mind, Doghramji says. A specially trained CBT-I therapist can help, but there are also apps that teach you these important skills. âDonât just use them at 3 a.m.; practice with these apps during the day.â
#### **12\. Forced-sleep**
As you get older you may start going to bed earlier but you may want to consider pushing it back later.
âYou want a later bedtime, but a locked in wake-up time. Thatâs going to squeeze out those middle of the night awakening⊠and the bodyâs going to sleep deeper,â says Pelayo.
Lying in bed trying to force sleep to happen out of boredom backfires, Harris says. It can convince your brain that being awake in bed is normal. Instead, get up and go into a different room and do something relaxing and calm in dim light, she advises. (No screens allowed.) Having an accepting mindset about it can also help. âSleep will come when it comes. If not tonight, donât sleep in to compensate â and youâll likely sleep better the next night,â she says.
#### **13\. Health condition affecting sleep**
âInsomnia is both a symptom and a disease,â says Watson. If correcting your sleep habits hasnât improved itï»żs quality, your insomnia may be a symptom of another condition.
There are over 80 sleep disorders, many which include insomnia as a symptom. These include [sleep apnea](https://www.aarp.org/health/healthy-living/what-is-sleep-apnea/ "more on sleep apnea in older adults"), restless leg syndrome, parasomnia (such as sleepwalking, talking or eating) and narcolepsy. While a relatively rare condition, older adults in particular are susceptible to REM sleep behavior disorder (RBD), where individuals physically act out their dreams while asleep. This not only may cause injury to oneself or their bed partner but can be an early warning sign of Parkinsonâs, Lewy body dementia or multiple system atrophy, a rare neurodegenerative disorder that affects the body's involuntary functions, and should be treated by a doctor.
Other non-sleep disorders that may cause insomnia include pain, arthritis, atrial fibrillation, PTSD and heartburn, according to Pelayo.
If youâve tried the correcting your sleep on your own for a month and it still doesnât feel adequate, see your doctor for an evaluation.
#### **14\. Exercising too close to bedtime**
Exercise offers numerous benefits for better sleep, such as reducing anxiety and depression and realigning your circadian rhythm. But working out too close to bedtime may be counterproductive. Exercise can heat up your body or make you feel more alert which can make it harder to sleep. Instead, aim to exercise at least two hours before bed to allow these effects to wear off.
### Treatment options for insomnia
**Cognitive behavioral therapy for insomnia (CBT-I):** This is typically recommended as the first-line treatment because it identifies and addresses habits, behaviors, thoughts and other factors that keep you awake during the night. Think of it as getting a toolbox for overcoming insomnia.
**Medication:** Those who opt for medication should know that there can be side effects and limitations for long term use. For older adults, [sleeping pills can be especially dangerous](https://www.aarp.org/health/conditions-treatments/reasons-to-avoid-sleeping-pills/ "why older adults should skip sleeping pills") due to the risk of mobility problems and falls. However, if youâre dealing with temporary insomnia, your doctor might give you a short-term prescription.
Alternatively, a relatively new category of medication called dual orexin receptor antagonist (DORA) has proven to be well tolerated in older adults with insomnia and can be a good alternative to traditional prescription sleeping pills.
**Over-the-counter options**: In general, itâs best to steer clear of over-the-counter options like [melatonin](https://www.aarp.org/health/drugs-supplements/melatonin-and-sleep/ "the link between melatonin and sleep"), Tylenol PM or Advil PM. They may not provide the most effective solution and could mask an underlying medical condition responsible for insomnia, which might require a doctorâs evaluation, says Watson.ï»ż âIf youâre just addressing the insomnia yourself over the counter, you might miss an opportunity to address the root cause.â
**Alcohol**: While alcohol may help you fall asleep initally, as it wears off, your sleep becomes more disrupted toward the last half of the night.
**Cannabis**: The role of cannabis in promoting sleep remains uncertain, and its potential effects are still being researched.
### When to see a doctor
You should reach out to a doctor when insomnia begins to impact your daytime function or if you routinely have trouble with your sleep quality or quantity, multiple nights a week.
Working with a sleep specialist or other another health care professional is important for managing insomnia because you can identify the root causes of your sleeplessness and establish a personalized treatment plan that addresses your specific needs.
âModern sleep medicine has reached a point where most sleep disorder will improve when addressed correctly,â Pelayo says. âSo you shouldnât suffer with a sleep disorder anymore.â |
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