Why do some people struggle to sleep?

2–3 minutes

There are many reasons why some people have difficulty sleeping. Sleep problems can be caused by physical, psychological, environmental, or lifestyle factors, and the specific cause often varies from person to person. Here are some common reasons:

1. Insomnia

  • Stress: Work, financial concerns, relationships, or life changes can lead to overthinking and difficulty relaxing.
  • Anxiety or Depression: Worry, racing thoughts, or feelings of sadness can interfere with sleep patterns.
  • Chronic Pain or Discomfort: Conditions like arthritis, back pain, or migraines may make it hard to find a comfortable position to sleep.
  • Medications: Certain drugs, like stimulants, antidepressants, or corticosteroids, can interfere with sleep.

2. Sleep Disorders

  • Sleep Apnea: Breathing interruptions during sleep can wake people multiple times, even if they don’t remember it.
  • Restless Leg Syndrome (RLS): An uncontrollable urge to move the legs, especially at night, can disrupt sleep.
  • Circadian Rhythm Disorders: Shift work, jet lag, or irregular sleep schedules can interfere with the body’s natural sleep-wake cycle.

3. Lifestyle Factors

  • Excessive Screen Time: Blue light from phones, tablets, or computers can suppress melatonin production, making it harder to fall asleep.
  • Caffeine or Alcohol: Consuming stimulants like caffeine late in the day or drinking alcohol can disrupt sleep cycles.
  • Irregular Sleep Schedule: Inconsistent bedtimes and wake-up times can throw off the body’s internal clock.

4. Environmental Factors

  • Noise: Traffic, neighbors, or other disruptive sounds can make it hard to sleep.
  • Light: Bright lights, including from electronic devices, can interfere with the production of sleep hormones.
  • Temperature: A room that’s too hot or cold can make sleep uncomfortable.

5. Medical Conditions

  • Thyroid Problems: Hyperthyroidism can cause restlessness and difficulty sleeping.
  • Neurological Disorders: Conditions like Parkinson’s disease or dementia may disturb sleep patterns.
  • Chronic Illness: Conditions like asthma, GERD, or heart failure can cause symptoms that disrupt sleep.

6. Psychological Factors

  • Trauma or PTSD: People with post-traumatic stress disorder may experience nightmares or heightened alertness that prevents restful sleep.
  • Overthinking: Excessive worry about sleep itself, or about other aspects of life, can keep the mind active.

If someone is struggling with sleep, it’s essential to identify the underlying cause. Practicing good sleep hygiene (such as maintaining a consistent sleep schedule, creating a calming bedtime routine, and avoiding screens before bed) can help. However, persistent or severe sleep issues may require evaluation by a healthcare professional, such as a sleep specialist.