Insomnia can happen for many reasons. These include physical, psychological, environmental, and lifestyle issues. Addressing these issues early can help prevent long term insomnia.
Treat Underlying Disease
Long term disease and pain can cause insomnia. Conditions that may disrupt sleep include:
- Depression , mania, and anxiety
- Diabetes, kidney disease, long term lung disease, and heart disease
- Alcohol or drug use disorders
- Arthritis and long-term pain
- Alzheimer and Parkinson diseases
- Gastrointestinal reflux disease (GERD) or gastric ulcer
- Sleep apnea
- Restless legs syndrome
Early treatment oftens lead to improved sleep.
Avoid Certain Medicines
Certain medicines can cause sleep problems in some people. Medicines that may affect sleep include:
- Decongestants and other cough and cold remedies
- Diet pills
- Steroids
- Some high blood pressure medicines like beta-blockers
- Theophylline for asthma
- Phenytoin for seizures
- Levodopa for Parkinson disease
- Stimulants to treat attention deficit disorder , excessive daytime sleepiness, or obesity
- Selective serotonin reuptake inhibitors (a type of antidepressant)
Sometimes the doctor will change medicines that affect sleep.
Reduce Stress
Stress is a common cause of insomnia. There are many ways to ease stress, such as:
- Regular exercise
- Meditation, yoga, or Tai Chi
- Listening to music
- Biofeedback
- Deep breathing
- Creative activities, such as writing or art
Adjust Daily Activities
Habits and activities affect sleep. Ways to reduce the risk of insomnia are:
- Not exercising too close to bedtime
- Avoiding large meals before bedtime
- Follow a regular morning and nighttime schedule
- Not doing mentally intense activities right before or after getting into bed
- Not napping during the day
Avoid Nicotine, Caffeine, and Alcohol
Nicotine and caffeine stimulate the nervous system. This may give a sense of energy during the day. However, nicotine and caffeine can make it hard to sleep. Alcohol depresses the nervous system. It makes people feel drowsy at bedtime, but it also disrupts sleep.
Follow Bedtime Rituals If Working Night Shifts
Night shift work can disrupt sleep. This is because workers often sleep during the day. A proper sleep environment can help nightshift workers get better sleep. This may mean reducing noise and light. A regular sleep schedule can also help.
Create Good Sleep Habits and Environment
There are many things that can disrupt sleep. Some ways to create a restful sleep environment are:
- Using shades to block light
- Playing soothing music or "white noise" like a fan
- Separate rooms or beds—if a sleep partner snores
A regular, relaxing bedtime routine can help prevent insomnia. It will signal to the brain that it is time to sleep. Other things that may help are:
- Not using bright light or lighted devices before bed
- Taking a warm bath before bed
- Only using the bed for sleep and sex
- Not watching the clock after going to bed
- Not drinking fluids just before bed
Prepare for Jet Travel
Jet lag is disrupted sleep from travel. It is due to crossing many time zones in a short period of time. This disrupts the body's rhythms and sleep. A good night’s sleep before traveling can help reduce jet lag. It also helps to drink plenty of water and avoid alcohol on the trip.
References
Healthy sleep tips. National Sleep Foundation website. Available at: https://sleepfoundation.org/sleep-tools-tips/healthy-sleep-tips. Accessed March 15, 2022.
Insomnia in adults. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/insomnia-in-adults. Accessed March 15, 2022.
Insomnia. National Heart, Lung, and Blood Institute website. Available at: https://www.nhlbi.nih.gov/health-topics/insomnia. Accessed March 15, 2022.
Jet lag. Centers for Disease Control and Prevention website. Available at: https://wwwnc.cdc.gov/travel/page/jet-lag. Accessed March 15, 2022.
Shift work disorder. National Sleep Foundation website. Available at: https://sleepfoundation.org/sleep-topics/shift-work-and-sleep. Accessed March 15, 2022.
Your guide to healthy sleep. National Heart, Lung, and Blood Institute website. Available at: http://www.nhlbi.nih.gov/files/docs/public/sleep/healthy%5Fsleep.pdf . Accessed March 15, 2022.
Revision Information
- Reviewer: EBSCO Medical Review Board Nicole Meregian, PA
- Update Date: 03/15/2015