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| Meta Title | Why Canât I Sleep: 9 Causes and How to Cope - Business Insider |
| Meta Description | Does getting the sleep you need to feel your best pose an ongoing challenge? Here are 9 possible reasons why, plus tips to fall asleep faster. |
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| Boilerpipe Text | Your inability to get sleep at night could be due to anything from stress to insomnia.
Â
JGI/Jamie Grill/Getty Images
2022-07-15T16:51:55.000Z
Sleep loss can affect health and daytime function, and one in three Americans don't get enough rest.
Stress, travel, health concerns, some medications, and age-related changes can all cause insomnia.
A nightly routine, comfortable bedroom, and less evening blue light can help you fall asleep faster.
Have a hard time falling asleep? You're in pretty good company.
One in three
Americans don't sleep enough, and
70 million
live with chronic sleep issues like insomnia.
Acute or chronic
insomnia can make it hard to
fall asleep
, stay asleep, or wake up at the right time. This common sleep issue can have a number of causes.Â
Here are some of the most common causes, along with a few strategies to help improve your rest.Â
Potential causes
The key to a better night's sleep lies in understanding the cause of your insomnia.Â
1. Stress
Short-term insomnia
, which might last a few days to a few weeks, often happens due to
temporary life stress or a traumatic event
.
"When we experience stress in our lives, particularly when it's over a long period, it can lead to insomnia," says
Katherine Hall
, a sleep psychologist at
Somnus Therapy
.Â
Stress can leave your mind and body on high alert, ready to jump into action. Of course, this isn't conducive to
falling asleep
.
2. Travel
Many people have trouble falling asleep in a new environment, like a hotel or friend's house. This tendency to sleep poorly in a new setting is called the
first-night effect
.Â
Researchers theorize that the first-night effect happens as a
protective mechanism
to help you stay safe while you rest.Â
Even in a familiar environment,
long flights
and
jet lag
can mess up your
circadian rhythm
and make it harder to fall asleep.
3. FoodÂ
Eating anything
late at night
goes against your body's circadian rhythm, so late-night snacking can make insomnia more likely.
In particular, foods
high in fat or protein
may cause trouble sleeping. This is because these foods take a long time to digest, which can contribute to
acid reflux
or an
upset stomach
, at bedtime and while you sleep.Â
Aged cheeses, salami, pepperoni, and other foods containing
tyramine
can also cause insomnia since tyramine triggers the release of norepinephrine and stimulates your brain. What's more,
tyramine can trigger migraines
, which could also keep you lying awake.Â
4. ExerciseÂ
High-intensity exercise
just before bedtime can make it
harder to fall asleep
.Â
As you wind down in the evening, your
body temperature drops
to signal your brain that it's time to rest. But aerobic exercise increases your brain's activity level and raises your body's core temperature, essentially waking you right back up.
Experts suggest keeping your pre-bedtime physical activity
light or moderate
â a
walk
,
yoga
, or
stretches
generally won't mess with your sleep.
5. Medical and mental health conditionsÂ
Mental health conditions like
anxiety
,
depression
, and
bipolar disorder
could also make it harder to fall asleep, Hall says.Â
Obsessive-compulsive disorder
(OCD) and
posttraumatic stress disorder
(PTSD) can also cause
trouble with sleep
.
Some research suggests, in fact, that
half of all insomnia cases
relate to anxiety, depression, or psychological stress. Â
Physical
conditions
that can contribute to insomnia include:Â
Heart conditions
Respiratory conditions
, including
COPD
and
asthma
Chronic pain
Hormone issues
, such as an
overactive thyroid
Joint and muscle issues, such as
arthritis
Genital or urinary issues, including an
enlarged prostate or urinary incontinence
Neurological conditions such as
Alzheimer's
and
Parkinson's disease
6. Medication
Certain prescription medications, recreational drugs,
caffeine
, and nicotine can also
lead to insomnia
.
Medications that can lead to insomnia
include
:
Antidepressants
Epilepsy medication, particularly
felbamate
Asthma medications including
salbutamol, salmeterol, and theophylline
Blood pressure medications
, particularly beta-blockers
Steroid medications
Non-steroidal anti-inflammatory drugs
(NSAIDs)
CNS stimulants for ADHD and narcolepsy,
including methylphenidate and amphetamine-based
medications like
Adderall
7. Sleep disorders
"Conditions like
sleep apnea
and
restless leg syndrome
also perpetuate insomnia," says
Dr. Nilong Vyas
, a medical doctor at
Sleepless in NOLA
and medical review expert at
Sleep Foundation
.
Restless leg syndrome causes an almost uncontrollable desire to move your legs, causing
up to 60% of people
with the condition to struggle with insomnia, especially when it comes to falling asleep.
Obstructive sleep apnea, which causes you to periodically stop breathing throughout the night, also causes insomnia in
38% of people
with the condition.
8. Age-related changes in sleep
Sleep tends to become less restful
as you age, and you might find yourself more sensitive to noise or environmental changes.Â
"People over age 65 experience less slow-wave, or deep sleep, so they're more likely to be woken from their rest," Hall says.Â
Children and teenagers, who
need more sleep
than other age groups, also often struggle with insomnia. One
national study
found that 72% of high school students and 57% of middle school students didn't get enough sleep on school nights.
9. Poor sleep hygiene
Good
sleep hygiene
practices, like a consistent nighttime routine and calming environment, can help you feel rested.Â
On the other hand, poor sleep hygiene can easily keep you from getting the quality sleep you need.
Vyas says that poor sleep hygiene often involves inconsistent sleep and wake times, or consuming stimulating substances like
alcohol
or caffeine before bedtime.Â
What to do about it
Adequate sleep is essential for a healthy body and mind, so it's crucial for adults to find a way to
get at least seven hours of sleep each night
.
These three expert tips can help you fall asleep faster.
1. Establish a routine
Hall notes that consistency results in more restful and restorative sleep. "You should keep your bedtime and wake time as consistent as possible. Yes, even on weekends!" Hall says.
Setting your bedtime early enough to allow for at least seven hours of sleep can help you
establish healthier sleeping habits
and feel less rushed in the evenings.Â
That said, if you put yourself to bed before you feel sleepy and have trouble falling asleep within 15 or 20 minutes, it's best to get out of bed and do something restful, like reading, in dim light until you feel ready to fall asleep.Â
2. Limit screen time
Hall suggests the blurred line between work and rest often contributes to insomnia â especially if you
work from home
.
"It's tempting to check that inbox or respond to one more email, but it can add up. Just one hour of screen time can delay melatonin release by
3 hours
," Hall says.Â
Even if your screen time isn't work-related, you may want to consider
removing
TVs, computers, and smartphones from your bedroom and
turning off electronics
30 to 60 minutes before bedtime â disconnecting can promote a better night's sleep.
3. Keep it cool
A too-warm room can cause restlessness, so
experts recommend
keeping your bedroom between 60 °F and 67 °F.
One 2021 study
suggests keeping your sleep environment at a comfortable temperature can improve your sleep quality. Other research indicates that even your
bedding and clothing
play a role in restorative sleep.
Hall notes that sleeping naked is great for regulating your temperature while you sleep. "The slight drop in body temperature from sleeping naked slows our heart rate, breathing rate, and digestion â getting our bodies into the perfect rhythm for optimal sleep," Hall says.
Could it be a sleep disorder?
Vyas suggests talking with your clinician if you experience insomnia at least three times a week for three months. "This is considered chronic insomnia and may need therapy or medication," Vyas says.Â
Everyone has trouble sleeping sometimes, but
chronic insomnia
may indicate a sleep disorder.Â
Signs of a sleep disorder include:
Frequently needing
over 30 minutes
to fall asleep at night
Feeling tired during the day even
after sleeping 7 hours
the night before
Noticing a
reduced ability
to perform your usual daytime activities
Memory issues
Struggling to control your
emotions
during the day
"Your primary care provider can make the right referrals, whether it's for a sleep study, sleep center, or even an ENT," says Vyas.Â
A specialist can diagnose and recommend
treatment for your sleep disorders
, such as
light therapy,
medication
, a
CPAP machine
, and more.
Professional treatment for sleep issues
If your sleeplessness persists, a good next step involves connecting with a doctor, especially if sleep issues begin to affect your waking life.Â
"If you frequently struggle to stay awake or fall asleep during the daytime without intending to, you should consider visiting your doctor right away," Hall says.Â
Unchecked insomnia can lead to chronic sleep deprivation and
cause
:
Decreased performance at work and school
Slower reaction times and a higher risk of car accidents
Mental health symptoms like depression and anxiety
Increased risk of long-term conditions like
high blood pressure
and heart disease
Your clinician may
recommend
:
Cognitive behavioral therapy
for insomnia (CBT-I), the first line of treatment for both acute and chronic insomnia
Short-term use of
melatonin
or over-the-counter sleep aids
Prescription sleeping medications
Insider's takeaway
Getting more sleep often means getting treatment for the reason behind your insomnia, whether that's stress, travel, or poor sleep hygiene.Â
"Many people assume if you've experienced insomnia, you will always have it, but that's not always the case," Vyas says.
What works for one person might not work for you, so it's a good idea to test out more than one strategy for insomnia. A consistent evening routine, comfortable bedroom temperature, and guidance from a trained sleep specialist can help you get the quality rest you need and deserve.
We may receive a commission when you buy through our links, but our reporting and recommendations are always independent and objective.
Sleep
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# 9 reasons why you're having trouble falling asleep and what to do next
By [Cassandra Miasnikov](https://www.businessinsider.com/author/cassandra-miasnikov)

Your inability to get sleep at night could be due to anything from stress to insomnia. JGI/Jamie Grill/Getty Images
2022-07-15T16:51:55.000Z
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- Sleep loss can affect health and daytime function, and one in three Americans don't get enough rest.
- Stress, travel, health concerns, some medications, and age-related changes can all cause insomnia.
- A nightly routine, comfortable bedroom, and less evening blue light can help you fall asleep faster.
Have a hard time falling asleep? You're in pretty good company. [One in three](https://www.cdc.gov/chronicdisease/resources/infographic/sleep.htm) Americans don't sleep enough, and [70 million](https://www.cdc.gov/sleep/about_us.html#:~:text=About%2070%20million%20Americans%20suffer%20from%20chronic%20sleep%20problems.) live with chronic sleep issues like insomnia.
[Acute or chronic](https://www.mayoclinic.org/diseases-conditions/insomnia/symptoms-causes/syc-20355167) insomnia can make it hard to [fall asleep](https://www.mayoclinic.org/diseases-conditions/insomnia/symptoms-causes/syc-20355167), stay asleep, or wake up at the right time. This common sleep issue can have a number of causes.
Here are some of the most common causes, along with a few strategies to help improve your rest.
## Potential causes
The key to a better night's sleep lies in understanding the cause of your insomnia.
### 1\. Stress
[Short-term insomnia](https://www.businessinsider.com/guides/health/conditions-symptoms/what-is-acute-insomnia), which might last a few days to a few weeks, often happens due to [temporary life stress or a traumatic event](https://www.mayoclinic.org/diseases-conditions/insomnia/symptoms-causes/syc-20355167).
"When we experience stress in our lives, particularly when it's over a long period, it can lead to insomnia," says [Katherine Hall](https://somnustherapy.com/affiliate-tos-page/dr-katherine-hall-2/), a sleep psychologist at [Somnus Therapy](http://somnustherapy.com/).
Stress can leave your mind and body on high alert, ready to jump into action. Of course, this isn't conducive to [falling asleep](https://www.businessinsider.com/how-to-beat-insomnia-and-sleep-better-2016-12).
### 2\. Travel
Many people have trouble falling asleep in a new environment, like a hotel or friend's house. This tendency to sleep poorly in a new setting is called the [first-night effect](https://www.cell.com/current-biology/fulltext/S0960-9822\(16\)30174-9).
Researchers theorize that the first-night effect happens as a [protective mechanism](https://www.brown.edu/news/2016-04-21/sleep) to help you stay safe while you rest.
Even in a familiar environment, [long flights](https://www.businessinsider.com/guides/travel/travel-products-for-falling-asleep-on-flights) and [jet lag](https://www.businessinsider.com/how-to-avoid-jet-lag-2017-2) can mess up your [circadian rhythm](https://www.businessinsider.com/how-to-reset-internal-body-clock-2017-3) and make it harder to fall asleep.
### 3\. Food
Eating anything [late at night](https://health.clevelandclinic.org/is-eating-before-bed-bad-for-you/) goes against your body's circadian rhythm, so late-night snacking can make insomnia more likely.
In particular, foods [high in fat or protein](https://www.hopkinsmedicine.org/health/wellness-and-prevention/better-sleep-3-simple-diet-tweaks) may cause trouble sleeping. This is because these foods take a long time to digest, which can contribute to [acid reflux](https://www.businessinsider.com/guides/health/treatments/home-remedies-for-acid-reflux) or an [upset stomach](https://www.businessinsider.com/guides/health/conditions-symptoms/nausea-after-eating), at bedtime and while you sleep.
Aged cheeses, salami, pepperoni, and other foods containing [tyramine](https://www.hopkinsmedicine.org/health/wellness-and-prevention/better-sleep-3-simple-diet-tweaks) can also cause insomnia since tyramine triggers the release of norepinephrine and stimulates your brain. What's more, [tyramine can trigger migraines](https://www.businessinsider.com/guides/health/foods-that-trigger-migraines), which could also keep you lying awake.
### 4\. Exercise
[High-intensity exercise](https://www.businessinsider.com/guides/health/fitness/benefits-of-hiit) just before bedtime can make it [harder to fall asleep](https://www.hopkinsmedicine.org/health/wellness-and-prevention/exercising-for-better-sleep).
As you wind down in the evening, your [body temperature drops](https://www.businessinsider.com/what-your-body-does-when-you-sleep-2019-3) to signal your brain that it's time to rest. But aerobic exercise increases your brain's activity level and raises your body's core temperature, essentially waking you right back up.
Experts suggest keeping your pre-bedtime physical activity [light or moderate](https://health.clevelandclinic.org/how-exercise-affects-your-sleep/) â a [walk](https://www.businessinsider.com/guides/health/fitness/benefits-of-walking), [yoga](https://www.businessinsider.com/easy-yoga-moves-to-help-you-sleep-2016-6), or [stretches](https://www.businessinsider.com/guides/health/fitness/benefits-of-stretching) generally won't mess with your sleep.
### 5\. Medical and mental health conditions
Mental health conditions like [anxiety](https://www.businessinsider.com/guides/health/mental-health/what-is-anxiety), [depression](https://www.businessinsider.com/guides/health/mental-health/what-is-depression), and [bipolar disorder](https://www.businessinsider.com/guides/health/mental-health/bipolar-symptoms) could also make it harder to fall asleep, Hall says.
[Obsessive-compulsive disorder](https://www.businessinsider.com/guides/health/mental-health/do-i-have-ocd) (OCD) and [posttraumatic stress disorder](https://www.businessinsider.com/guides/health/mental-health/do-i-have-ptsd) (PTSD) can also cause [trouble with sleep](https://www.nami.org/About-Mental-Illness/Common-with-Mental-Illness/Sleep-Disorders).
Some research suggests, in fact, that [half of all insomnia cases](https://www.nami.org/About-Mental-Illness/Common-with-Mental-Illness/Sleep-Disorders) relate to anxiety, depression, or psychological stress.
Physical [conditions](https://www.nhsinform.scot/illnesses-and-conditions/mental-health/insomnia#causes) that can contribute to insomnia include:
- [Heart conditions](https://www.businessinsider.com/guides/health/conditions-symptoms/can-lack-of-sleep-cause-heart-disease)
- [Respiratory conditions](https://www.businessinsider.com/guides/health/conditions-symptoms/what-is-insomnia), including [COPD](https://www.businessinsider.com/guides/health/conditions-symptoms/what-are-the-symptoms-of-copd) and [asthma](https://www.businessinsider.com/guides/health/conditions-symptoms/types-of-asthma)
- [Chronic pain](https://www.businessinsider.com/guides/health/conditions-symptoms/what-is-insomnia#treatment)
- [Hormone issues](https://www.businessinsider.com/guides/health/conditions-symptoms/what-is-insomnia#treatment), such as an [overactive thyroid](https://www.businessinsider.com/guides/health/conditions-symptoms/overactive-thyroid)
- Joint and muscle issues, such as [arthritis](https://www.businessinsider.com/arthritis-signs-2018-11)
- Genital or urinary issues, including an [enlarged prostate or urinary incontinence](https://www.businessinsider.com/guides/health/conditions-symptoms/urinary-incontinence)
- Neurological conditions such as [Alzheimer's](https://www.businessinsider.com/alzheimers-disease-risk-factors-and-how-to-address-them-early-2020-7) and [Parkinson's disease](https://www.businessinsider.com/4-signs-that-you-may-be-at-risk-of-parkinsons-2019-4)
### 6\. Medication
Certain prescription medications, recreational drugs, [caffeine](https://www.businessinsider.com/guides/health/diet-nutrition/how-long-does-caffeine-last), and nicotine can also [lead to insomnia](https://www.medlink.com/articles/drug-induced-insomnia-and-excessive-daytime-sleepiness-2021).
Medications that can lead to insomnia [include](https://www.nhsinform.scot/illnesses-and-conditions/mental-health/insomnia#causes):
- [Antidepressants](https://www.businessinsider.com/guides/health/mental-health/do-antidepressants-work)
- Epilepsy medication, particularly [felbamate](https://www.epilepsy.com/stories/exploring-relationship-between-insomnia-and-aeds)
- Asthma medications including [salbutamol, salmeterol, and theophylline](https://www.nhsinform.scot/illnesses-and-conditions/mental-health/insomnia#causes)
- [Blood pressure medications](https://www.businessinsider.com/guides/health/conditions-symptoms/how-to-control-high-blood-pressure), particularly beta-blockers
- [Steroid medications](https://www.businessinsider.com/guides/health/what-is-prednisone-used-for)
- [Non-steroidal anti-inflammatory drugs](https://www.businessinsider.com/guides/health/treatments/types-of-painkillers) (NSAIDs)
- CNS stimulants for ADHD and narcolepsy, [including methylphenidate and amphetamine-based](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3441938/) medications like [Adderall](https://www.businessinsider.com/guides/health/mental-health/what-does-adderall-do)
### 7\. Sleep disorders
"Conditions like [sleep apnea](https://www.businessinsider.com/guides/health/how-to-treat-sleep-apnea) and [restless leg syndrome](https://www.businessinsider.com/why-you-keep-waking-up-in-the-middle-of-the-night-2017-11) also perpetuate insomnia," says [Dr. Nilong Vyas](https://www.sleepfoundation.org/about-us), a medical doctor at [Sleepless in NOLA](https://www.sleeplessinnola.com/) and medical review expert at [Sleep Foundation](http://sleepfoundation.org/).
- Restless leg syndrome causes an almost uncontrollable desire to move your legs, causing [up to 60% of people](https://www.businessinsider.com/guides/health/conditions-symptoms/what-causes-insomnia) with the condition to struggle with insomnia, especially when it comes to falling asleep.
- Obstructive sleep apnea, which causes you to periodically stop breathing throughout the night, also causes insomnia in [38% of people](https://www.businessinsider.com/guides/health/conditions-symptoms/what-causes-insomnia) with the condition.
### 8\. Age-related changes in sleep
[Sleep tends to become less restful](https://www.mayoclinic.org/diseases-conditions/insomnia/symptoms-causes/syc-20355167) as you age, and you might find yourself more sensitive to noise or environmental changes.
"People over age 65 experience less slow-wave, or deep sleep, so they're more likely to be woken from their rest," Hall says.
Children and teenagers, who [need more sleep](https://www.businessinsider.com/how-much-sleep-kids-need-to-stay-healthy-2016-6) than other age groups, also often struggle with insomnia. One [national study](https://www.cdc.gov/healthyschools/sleep.htm) found that 72% of high school students and 57% of middle school students didn't get enough sleep on school nights.
### 9\. Poor sleep hygiene
Good [sleep hygiene](https://www.cdc.gov/sleep/about_sleep/sleep_hygiene.html) practices, like a consistent nighttime routine and calming environment, can help you feel rested.
On the other hand, poor sleep hygiene can easily keep you from getting the quality sleep you need.
Vyas says that poor sleep hygiene often involves inconsistent sleep and wake times, or consuming stimulating substances like [alcohol](https://www.businessinsider.com/guides/health/alcohol-and-sleep) or caffeine before bedtime.
## What to do about it
Adequate sleep is essential for a healthy body and mind, so it's crucial for adults to find a way to [get at least seven hours of sleep each night](https://www.businessinsider.com/how-to-get-8-hours-sleep-night-when-life-is-hectic-2018-10).
These three expert tips can help you fall asleep faster.
### 1\. Establish a routine
Hall notes that consistency results in more restful and restorative sleep. "You should keep your bedtime and wake time as consistent as possible. Yes, even on weekends!" Hall says.
Setting your bedtime early enough to allow for at least seven hours of sleep can help you [establish healthier sleeping habits](https://sleepeducation.org/healthy-sleep/healthy-sleep-habits/) and feel less rushed in the evenings.
That said, if you put yourself to bed before you feel sleepy and have trouble falling asleep within 15 or 20 minutes, it's best to get out of bed and do something restful, like reading, in dim light until you feel ready to fall asleep.
### 2\. Limit screen time
Hall suggests the blurred line between work and rest often contributes to insomnia â especially if you [work from home](https://www.businessinsider.com/work-from-home-tips-self-care-2019-4).
"It's tempting to check that inbox or respond to one more email, but it can add up. Just one hour of screen time can delay melatonin release by [3 hours](https://www.health.harvard.edu/staying-healthy/blue-light-has-a-dark-side#:~:text=The%20blue%20light%20suppressed%20melatonin,1.5%20hours\).)," Hall says.
**Medical term:** [Melatonin](https://www.businessinsider.com/guides/health/treatments/melatonin) is a hormone your body naturally produces that regulates your sleep-wake cycle.
Even if your screen time isn't work-related, you may want to consider [removing](https://www.cdc.gov/sleep/about_sleep/sleep_hygiene.html) TVs, computers, and smartphones from your bedroom and [turning off electronics](https://sleepeducation.org/healthy-sleep/healthy-sleep-habits/) 30 to 60 minutes before bedtime â disconnecting can promote a better night's sleep.
### 3\. Keep it cool
A too-warm room can cause restlessness, so [experts recommend](https://health.clevelandclinic.org/what-is-the-ideal-sleeping-temperature-for-my-bedroom/) keeping your bedroom between 60 °F and 67 °F.
[One 2021 study](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8648527/) suggests keeping your sleep environment at a comfortable temperature can improve your sleep quality. Other research indicates that even your [bedding and clothing](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3427038/) play a role in restorative sleep.
Hall notes that sleeping naked is great for regulating your temperature while you sleep. "The slight drop in body temperature from sleeping naked slows our heart rate, breathing rate, and digestion â getting our bodies into the perfect rhythm for optimal sleep," Hall says.
## The best cooling products for better sleep

Bed Bath & Beyond/ecobee
From fans to mattress toppers to cooling gel-infused pillows, there are a variety of products on that market that can help you keep cool while sleeping. Here are a few of the [best ones we've tried](https://www.businessinsider.com/guides/home/best-cooling-products-for-better-sleep).
- **Best fan:** Vornado 660 Large Whole Room Air Circulator - See at [Amazon](https://affiliate.insider.com/?amazonTrackingID=biauto-56862-20&h=6c43300e8769c777ee199e69622263cc93be59318e936d8d85d33d87da052fe3&platform=browser&postID=62d027be453ef312d50e5d16&postSlug=reference%2Fwhy-cant-i-sleep&tags=service%3Acapi&u=https%3A%2F%2Fwww.amazon.com%2Fdp%2FB0025QKUE8) and [Best Buy](https://shop-links.co/1738243630299138110)
- **Best cooling sheets:** Sleepletics Celliant Performance Sheet Set - [See at Amazon](https://affiliate.insider.com/?amazonTrackingID=biauto-56862-20&h=d0270a3f0469b49a2977f5da77e3b9f62a596a0ee64930fe3752379349a8efe3&platform=browser&postID=62d027be453ef312d50e5d16&postSlug=reference%2Fwhy-cant-i-sleep&tags=service%3Acapi&u=https%3A%2F%2Fwww.amazon.com%2Fdp%2FB07GZD5JRP)
- **Best cooling weighted blanket:** GhostBed Weighted Blanket - See at [Amazon](https://affiliate.insider.com/?amazonTrackingID=biauto-56862-20&h=20e412b4613f2726b21ca8af2dcd0adfaa95bbb27bf5628cbb2c8d4eff60f85a&platform=browser&postID=62d027be453ef312d50e5d16&postSlug=reference%2Fwhy-cant-i-sleep&tags=service%3Acapi&u=https%3A%2F%2Fwww.amazon.com%2Fdp%2FB09T87QC3Z) and [GhostBed](https://affiliate.insider.com/?amazonTrackingID=biauto-56862-20&h=b1a05ad1e6933e0b04d9258f88b1dacaf85f9d2911962040b3ce99666e8e11fd&platform=browser&postID=62d027be453ef312d50e5d16&postSlug=reference%2Fwhy-cant-i-sleep&tags=service%3Acapi&u=https%3A%2F%2Fwww.ghostbed.com%2Fproducts%2Fweighted-blanket)
- **Best cooling mattress topper:** Bear Pro Mattress Topper - [See at Bear](https://affiliate.insider.com/?amazonTrackingID=biauto-56862-20&h=2d734b8f9c3b7ef6ea8a0916351c1f464e482992c16bb59568868b53b58e037d&platform=browser&postID=62d027be453ef312d50e5d16&postSlug=reference%2Fwhy-cant-i-sleep&tags=service%3Acapi&u=https%3A%2F%2Fwww.bearmattress.com%2Fproducts%2Fbear-pro-topper)
## Could it be a sleep disorder?
Vyas suggests talking with your clinician if you experience insomnia at least three times a week for three months. "This is considered chronic insomnia and may need therapy or medication," Vyas says.
Everyone has trouble sleeping sometimes, but [chronic insomnia](https://www.businessinsider.com/guides/health/conditions-symptoms/what-is-chronic-insomnia) may indicate a sleep disorder.
Signs of a sleep disorder include:
- Frequently needing [over 30 minutes](https://medlineplus.gov/sleepdisorders.html) to fall asleep at night
- Feeling tired during the day even [after sleeping 7 hours](https://my.clevelandclinic.org/health/articles/11429-common-sleep-disorders#:~:text=Common%20sleep%20disorders%20like%20insomnia,of%20diabetes%20and%20heart%20disease.) the night before
- Noticing a [reduced ability](https://my.clevelandclinic.org/health/articles/11429-common-sleep-disorders#:~:text=Common%20sleep%20disorders%20like%20insomnia,of%20diabetes%20and%20heart%20disease.) to perform your usual daytime activities
- [Memory issues](https://my.clevelandclinic.org/health/articles/11429-common-sleep-disorders#:~:text=Common%20sleep%20disorders%20like%20insomnia,of%20diabetes%20and%20heart%20disease.)
- Struggling to control your [emotions](https://my.clevelandclinic.org/health/articles/11429-common-sleep-disorders#:~:text=Common%20sleep%20disorders%20like%20insomnia,of%20diabetes%20and%20heart%20disease.) during the day
"Your primary care provider can make the right referrals, whether it's for a sleep study, sleep center, or even an ENT," says Vyas.
A specialist can diagnose and recommend [treatment for your sleep disorders](https://medlineplus.gov/sleepdisorders.html), such as [light therapy,](https://www.businessinsider.com/light-therapy-insomnia-sleep-depression-mood-2017-4) [medication](https://www.businessinsider.com/guides/health/treatments/sleep-aids), a [CPAP machine](https://www.businessinsider.com/guides/health/what-is-a-cpap-machine), and more.
## Professional treatment for sleep issues
If your sleeplessness persists, a good next step involves connecting with a doctor, especially if sleep issues begin to affect your waking life.
"If you frequently struggle to stay awake or fall asleep during the daytime without intending to, you should consider visiting your doctor right away," Hall says.
Unchecked insomnia can lead to chronic sleep deprivation and [cause](https://www.mayoclinic.org/diseases-conditions/insomnia/symptoms-causes/syc-20355167):
- Decreased performance at work and school
- Slower reaction times and a higher risk of car accidents
- Mental health symptoms like depression and anxiety
- Increased risk of long-term conditions like [high blood pressure](https://www.businessinsider.com/guides/health/conditions-symptoms/high-blood-pressure) and heart disease
Your clinician may [recommend](https://www.mayoclinic.org/diseases-conditions/insomnia/diagnosis-treatment/drc-20355173):
- [Cognitive behavioral therapy](https://www.businessinsider.com/surprising-forms-of-therapy-2019-2) for insomnia (CBT-I), the first line of treatment for both acute and chronic insomnia
- Short-term use of [melatonin](https://www.businessinsider.com/guides/health/treatments/melatonin) or over-the-counter sleep aids
- Prescription sleeping medications
## Insider's takeaway
Getting more sleep often means getting treatment for the reason behind your insomnia, whether that's stress, travel, or poor sleep hygiene.
"Many people assume if you've experienced insomnia, you will always have it, but that's not always the case," Vyas says.
What works for one person might not work for you, so it's a good idea to test out more than one strategy for insomnia. A consistent evening routine, comfortable bedroom temperature, and guidance from a trained sleep specialist can help you get the quality rest you need and deserve.
We may receive a commission when you buy through our links, but our reporting and recommendations are always independent and objective.
### Recommended video
- [Sleep](https://www.businessinsider.com/category/sleep "Sleep")
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| Readable Markdown | 
Your inability to get sleep at night could be due to anything from stress to insomnia. JGI/Jamie Grill/Getty Images
2022-07-15T16:51:55.000Z
- Sleep loss can affect health and daytime function, and one in three Americans don't get enough rest.
- Stress, travel, health concerns, some medications, and age-related changes can all cause insomnia.
- A nightly routine, comfortable bedroom, and less evening blue light can help you fall asleep faster.
Have a hard time falling asleep? You're in pretty good company. [One in three](https://www.cdc.gov/chronicdisease/resources/infographic/sleep.htm) Americans don't sleep enough, and [70 million](https://www.cdc.gov/sleep/about_us.html#:~:text=About%2070%20million%20Americans%20suffer%20from%20chronic%20sleep%20problems.) live with chronic sleep issues like insomnia.
[Acute or chronic](https://www.mayoclinic.org/diseases-conditions/insomnia/symptoms-causes/syc-20355167) insomnia can make it hard to [fall asleep](https://www.mayoclinic.org/diseases-conditions/insomnia/symptoms-causes/syc-20355167), stay asleep, or wake up at the right time. This common sleep issue can have a number of causes.
Here are some of the most common causes, along with a few strategies to help improve your rest.
## Potential causes
The key to a better night's sleep lies in understanding the cause of your insomnia.
### 1\. Stress
[Short-term insomnia](https://www.businessinsider.com/guides/health/conditions-symptoms/what-is-acute-insomnia), which might last a few days to a few weeks, often happens due to [temporary life stress or a traumatic event](https://www.mayoclinic.org/diseases-conditions/insomnia/symptoms-causes/syc-20355167).
"When we experience stress in our lives, particularly when it's over a long period, it can lead to insomnia," says [Katherine Hall](https://somnustherapy.com/affiliate-tos-page/dr-katherine-hall-2/), a sleep psychologist at [Somnus Therapy](http://somnustherapy.com/).
Stress can leave your mind and body on high alert, ready to jump into action. Of course, this isn't conducive to [falling asleep](https://www.businessinsider.com/how-to-beat-insomnia-and-sleep-better-2016-12).
### 2\. Travel
Many people have trouble falling asleep in a new environment, like a hotel or friend's house. This tendency to sleep poorly in a new setting is called the [first-night effect](https://www.cell.com/current-biology/fulltext/S0960-9822\(16\)30174-9).
Researchers theorize that the first-night effect happens as a [protective mechanism](https://www.brown.edu/news/2016-04-21/sleep) to help you stay safe while you rest.
Even in a familiar environment, [long flights](https://www.businessinsider.com/guides/travel/travel-products-for-falling-asleep-on-flights) and [jet lag](https://www.businessinsider.com/how-to-avoid-jet-lag-2017-2) can mess up your [circadian rhythm](https://www.businessinsider.com/how-to-reset-internal-body-clock-2017-3) and make it harder to fall asleep.
### 3\. Food
Eating anything [late at night](https://health.clevelandclinic.org/is-eating-before-bed-bad-for-you/) goes against your body's circadian rhythm, so late-night snacking can make insomnia more likely.
In particular, foods [high in fat or protein](https://www.hopkinsmedicine.org/health/wellness-and-prevention/better-sleep-3-simple-diet-tweaks) may cause trouble sleeping. This is because these foods take a long time to digest, which can contribute to [acid reflux](https://www.businessinsider.com/guides/health/treatments/home-remedies-for-acid-reflux) or an [upset stomach](https://www.businessinsider.com/guides/health/conditions-symptoms/nausea-after-eating), at bedtime and while you sleep.
Aged cheeses, salami, pepperoni, and other foods containing [tyramine](https://www.hopkinsmedicine.org/health/wellness-and-prevention/better-sleep-3-simple-diet-tweaks) can also cause insomnia since tyramine triggers the release of norepinephrine and stimulates your brain. What's more, [tyramine can trigger migraines](https://www.businessinsider.com/guides/health/foods-that-trigger-migraines), which could also keep you lying awake.
### 4\. Exercise
[High-intensity exercise](https://www.businessinsider.com/guides/health/fitness/benefits-of-hiit) just before bedtime can make it [harder to fall asleep](https://www.hopkinsmedicine.org/health/wellness-and-prevention/exercising-for-better-sleep).
As you wind down in the evening, your [body temperature drops](https://www.businessinsider.com/what-your-body-does-when-you-sleep-2019-3) to signal your brain that it's time to rest. But aerobic exercise increases your brain's activity level and raises your body's core temperature, essentially waking you right back up.
Experts suggest keeping your pre-bedtime physical activity [light or moderate](https://health.clevelandclinic.org/how-exercise-affects-your-sleep/) â a [walk](https://www.businessinsider.com/guides/health/fitness/benefits-of-walking), [yoga](https://www.businessinsider.com/easy-yoga-moves-to-help-you-sleep-2016-6), or [stretches](https://www.businessinsider.com/guides/health/fitness/benefits-of-stretching) generally won't mess with your sleep.
### 5\. Medical and mental health conditions
Mental health conditions like [anxiety](https://www.businessinsider.com/guides/health/mental-health/what-is-anxiety), [depression](https://www.businessinsider.com/guides/health/mental-health/what-is-depression), and [bipolar disorder](https://www.businessinsider.com/guides/health/mental-health/bipolar-symptoms) could also make it harder to fall asleep, Hall says.
[Obsessive-compulsive disorder](https://www.businessinsider.com/guides/health/mental-health/do-i-have-ocd) (OCD) and [posttraumatic stress disorder](https://www.businessinsider.com/guides/health/mental-health/do-i-have-ptsd) (PTSD) can also cause [trouble with sleep](https://www.nami.org/About-Mental-Illness/Common-with-Mental-Illness/Sleep-Disorders).
Some research suggests, in fact, that [half of all insomnia cases](https://www.nami.org/About-Mental-Illness/Common-with-Mental-Illness/Sleep-Disorders) relate to anxiety, depression, or psychological stress.
Physical [conditions](https://www.nhsinform.scot/illnesses-and-conditions/mental-health/insomnia#causes) that can contribute to insomnia include:
- [Heart conditions](https://www.businessinsider.com/guides/health/conditions-symptoms/can-lack-of-sleep-cause-heart-disease)
- [Respiratory conditions](https://www.businessinsider.com/guides/health/conditions-symptoms/what-is-insomnia), including [COPD](https://www.businessinsider.com/guides/health/conditions-symptoms/what-are-the-symptoms-of-copd) and [asthma](https://www.businessinsider.com/guides/health/conditions-symptoms/types-of-asthma)
- [Chronic pain](https://www.businessinsider.com/guides/health/conditions-symptoms/what-is-insomnia#treatment)
- [Hormone issues](https://www.businessinsider.com/guides/health/conditions-symptoms/what-is-insomnia#treatment), such as an [overactive thyroid](https://www.businessinsider.com/guides/health/conditions-symptoms/overactive-thyroid)
- Joint and muscle issues, such as [arthritis](https://www.businessinsider.com/arthritis-signs-2018-11)
- Genital or urinary issues, including an [enlarged prostate or urinary incontinence](https://www.businessinsider.com/guides/health/conditions-symptoms/urinary-incontinence)
- Neurological conditions such as [Alzheimer's](https://www.businessinsider.com/alzheimers-disease-risk-factors-and-how-to-address-them-early-2020-7) and [Parkinson's disease](https://www.businessinsider.com/4-signs-that-you-may-be-at-risk-of-parkinsons-2019-4)
### 6\. Medication
Certain prescription medications, recreational drugs, [caffeine](https://www.businessinsider.com/guides/health/diet-nutrition/how-long-does-caffeine-last), and nicotine can also [lead to insomnia](https://www.medlink.com/articles/drug-induced-insomnia-and-excessive-daytime-sleepiness-2021).
Medications that can lead to insomnia [include](https://www.nhsinform.scot/illnesses-and-conditions/mental-health/insomnia#causes):
- [Antidepressants](https://www.businessinsider.com/guides/health/mental-health/do-antidepressants-work)
- Epilepsy medication, particularly [felbamate](https://www.epilepsy.com/stories/exploring-relationship-between-insomnia-and-aeds)
- Asthma medications including [salbutamol, salmeterol, and theophylline](https://www.nhsinform.scot/illnesses-and-conditions/mental-health/insomnia#causes)
- [Blood pressure medications](https://www.businessinsider.com/guides/health/conditions-symptoms/how-to-control-high-blood-pressure), particularly beta-blockers
- [Steroid medications](https://www.businessinsider.com/guides/health/what-is-prednisone-used-for)
- [Non-steroidal anti-inflammatory drugs](https://www.businessinsider.com/guides/health/treatments/types-of-painkillers) (NSAIDs)
- CNS stimulants for ADHD and narcolepsy, [including methylphenidate and amphetamine-based](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3441938/) medications like [Adderall](https://www.businessinsider.com/guides/health/mental-health/what-does-adderall-do)
### 7\. Sleep disorders
"Conditions like [sleep apnea](https://www.businessinsider.com/guides/health/how-to-treat-sleep-apnea) and [restless leg syndrome](https://www.businessinsider.com/why-you-keep-waking-up-in-the-middle-of-the-night-2017-11) also perpetuate insomnia," says [Dr. Nilong Vyas](https://www.sleepfoundation.org/about-us), a medical doctor at [Sleepless in NOLA](https://www.sleeplessinnola.com/) and medical review expert at [Sleep Foundation](http://sleepfoundation.org/).
- Restless leg syndrome causes an almost uncontrollable desire to move your legs, causing [up to 60% of people](https://www.businessinsider.com/guides/health/conditions-symptoms/what-causes-insomnia) with the condition to struggle with insomnia, especially when it comes to falling asleep.
- Obstructive sleep apnea, which causes you to periodically stop breathing throughout the night, also causes insomnia in [38% of people](https://www.businessinsider.com/guides/health/conditions-symptoms/what-causes-insomnia) with the condition.
### 8\. Age-related changes in sleep
[Sleep tends to become less restful](https://www.mayoclinic.org/diseases-conditions/insomnia/symptoms-causes/syc-20355167) as you age, and you might find yourself more sensitive to noise or environmental changes.
"People over age 65 experience less slow-wave, or deep sleep, so they're more likely to be woken from their rest," Hall says.
Children and teenagers, who [need more sleep](https://www.businessinsider.com/how-much-sleep-kids-need-to-stay-healthy-2016-6) than other age groups, also often struggle with insomnia. One [national study](https://www.cdc.gov/healthyschools/sleep.htm) found that 72% of high school students and 57% of middle school students didn't get enough sleep on school nights.
### 9\. Poor sleep hygiene
Good [sleep hygiene](https://www.cdc.gov/sleep/about_sleep/sleep_hygiene.html) practices, like a consistent nighttime routine and calming environment, can help you feel rested.
On the other hand, poor sleep hygiene can easily keep you from getting the quality sleep you need.
Vyas says that poor sleep hygiene often involves inconsistent sleep and wake times, or consuming stimulating substances like [alcohol](https://www.businessinsider.com/guides/health/alcohol-and-sleep) or caffeine before bedtime.
## What to do about it
Adequate sleep is essential for a healthy body and mind, so it's crucial for adults to find a way to [get at least seven hours of sleep each night](https://www.businessinsider.com/how-to-get-8-hours-sleep-night-when-life-is-hectic-2018-10).
These three expert tips can help you fall asleep faster.
### 1\. Establish a routine
Hall notes that consistency results in more restful and restorative sleep. "You should keep your bedtime and wake time as consistent as possible. Yes, even on weekends!" Hall says.
Setting your bedtime early enough to allow for at least seven hours of sleep can help you [establish healthier sleeping habits](https://sleepeducation.org/healthy-sleep/healthy-sleep-habits/) and feel less rushed in the evenings.
That said, if you put yourself to bed before you feel sleepy and have trouble falling asleep within 15 or 20 minutes, it's best to get out of bed and do something restful, like reading, in dim light until you feel ready to fall asleep.
### 2\. Limit screen time
Hall suggests the blurred line between work and rest often contributes to insomnia â especially if you [work from home](https://www.businessinsider.com/work-from-home-tips-self-care-2019-4).
"It's tempting to check that inbox or respond to one more email, but it can add up. Just one hour of screen time can delay melatonin release by [3 hours](https://www.health.harvard.edu/staying-healthy/blue-light-has-a-dark-side#:~:text=The%20blue%20light%20suppressed%20melatonin,1.5%20hours\).)," Hall says.
Even if your screen time isn't work-related, you may want to consider [removing](https://www.cdc.gov/sleep/about_sleep/sleep_hygiene.html) TVs, computers, and smartphones from your bedroom and [turning off electronics](https://sleepeducation.org/healthy-sleep/healthy-sleep-habits/) 30 to 60 minutes before bedtime â disconnecting can promote a better night's sleep.
### 3\. Keep it cool
A too-warm room can cause restlessness, so [experts recommend](https://health.clevelandclinic.org/what-is-the-ideal-sleeping-temperature-for-my-bedroom/) keeping your bedroom between 60 °F and 67 °F.
[One 2021 study](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8648527/) suggests keeping your sleep environment at a comfortable temperature can improve your sleep quality. Other research indicates that even your [bedding and clothing](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3427038/) play a role in restorative sleep.
Hall notes that sleeping naked is great for regulating your temperature while you sleep. "The slight drop in body temperature from sleeping naked slows our heart rate, breathing rate, and digestion â getting our bodies into the perfect rhythm for optimal sleep," Hall says.
## Could it be a sleep disorder?
Vyas suggests talking with your clinician if you experience insomnia at least three times a week for three months. "This is considered chronic insomnia and may need therapy or medication," Vyas says.
Everyone has trouble sleeping sometimes, but [chronic insomnia](https://www.businessinsider.com/guides/health/conditions-symptoms/what-is-chronic-insomnia) may indicate a sleep disorder.
Signs of a sleep disorder include:
- Frequently needing [over 30 minutes](https://medlineplus.gov/sleepdisorders.html) to fall asleep at night
- Feeling tired during the day even [after sleeping 7 hours](https://my.clevelandclinic.org/health/articles/11429-common-sleep-disorders#:~:text=Common%20sleep%20disorders%20like%20insomnia,of%20diabetes%20and%20heart%20disease.) the night before
- Noticing a [reduced ability](https://my.clevelandclinic.org/health/articles/11429-common-sleep-disorders#:~:text=Common%20sleep%20disorders%20like%20insomnia,of%20diabetes%20and%20heart%20disease.) to perform your usual daytime activities
- [Memory issues](https://my.clevelandclinic.org/health/articles/11429-common-sleep-disorders#:~:text=Common%20sleep%20disorders%20like%20insomnia,of%20diabetes%20and%20heart%20disease.)
- Struggling to control your [emotions](https://my.clevelandclinic.org/health/articles/11429-common-sleep-disorders#:~:text=Common%20sleep%20disorders%20like%20insomnia,of%20diabetes%20and%20heart%20disease.) during the day
"Your primary care provider can make the right referrals, whether it's for a sleep study, sleep center, or even an ENT," says Vyas.
A specialist can diagnose and recommend [treatment for your sleep disorders](https://medlineplus.gov/sleepdisorders.html), such as [light therapy,](https://www.businessinsider.com/light-therapy-insomnia-sleep-depression-mood-2017-4) [medication](https://www.businessinsider.com/guides/health/treatments/sleep-aids), a [CPAP machine](https://www.businessinsider.com/guides/health/what-is-a-cpap-machine), and more.
## Professional treatment for sleep issues
If your sleeplessness persists, a good next step involves connecting with a doctor, especially if sleep issues begin to affect your waking life.
"If you frequently struggle to stay awake or fall asleep during the daytime without intending to, you should consider visiting your doctor right away," Hall says.
Unchecked insomnia can lead to chronic sleep deprivation and [cause](https://www.mayoclinic.org/diseases-conditions/insomnia/symptoms-causes/syc-20355167):
- Decreased performance at work and school
- Slower reaction times and a higher risk of car accidents
- Mental health symptoms like depression and anxiety
- Increased risk of long-term conditions like [high blood pressure](https://www.businessinsider.com/guides/health/conditions-symptoms/high-blood-pressure) and heart disease
Your clinician may [recommend](https://www.mayoclinic.org/diseases-conditions/insomnia/diagnosis-treatment/drc-20355173):
- [Cognitive behavioral therapy](https://www.businessinsider.com/surprising-forms-of-therapy-2019-2) for insomnia (CBT-I), the first line of treatment for both acute and chronic insomnia
- Short-term use of [melatonin](https://www.businessinsider.com/guides/health/treatments/melatonin) or over-the-counter sleep aids
- Prescription sleeping medications
## Insider's takeaway
Getting more sleep often means getting treatment for the reason behind your insomnia, whether that's stress, travel, or poor sleep hygiene.
"Many people assume if you've experienced insomnia, you will always have it, but that's not always the case," Vyas says.
What works for one person might not work for you, so it's a good idea to test out more than one strategy for insomnia. A consistent evening routine, comfortable bedroom temperature, and guidance from a trained sleep specialist can help you get the quality rest you need and deserve.
We may receive a commission when you buy through our links, but our reporting and recommendations are always independent and objective.
- [Sleep](https://www.businessinsider.com/category/sleep "Sleep")
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