Dr. Freeman's Blog Posts

Adult with sleep anxiety talks with a psychologist in a calm therapy office

Sleep Anxiety and Insomnia: Why Fear of Not Sleeping Keeps You Awake

Sleep anxiety can keep insomnia going because the fear of not sleeping activates the same nervous system response that prevents sleep. The person may be exhausted, but the mind starts monitoring, calculating, predicting failure, and worrying about tomorrow. At that point, the first treatment target is often not sleep itself,

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Why can't I put my phone down at night? A woman lies awake in bed holding a smartphone while her partner sleeps beside her.

Why Can’t I Put My Phone Down at Night?

Why Can’t I Put My Phone Down at Night? By Dr. Charles R. Freeman, Ph.D. If you find yourself scrolling through your phone long after you intended to go to sleep, and keep asking yourself, “Why can’t I put my phone down at night?” the problem is often not a

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A calm adult in a therapy office learning how CBT-I treats chronic insomnia and sleep anxiety

Why Insomnia Often Becomes a Habit

Why Insomnia Often Becomes a Habit By Dr. Charles R. Freeman, Ph.D. Insomnia often becomes a habit because the brain and body can learn to associate bedtime, the bed, or nighttime waking with alertness instead of sleep. After enough nights of frustration, clock watching, worry, or fear, the nervous system

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A calm adult in a therapy office learning how CBT-I treats chronic insomnia and sleep anxiety

How CBT-I Treats Chronic Insomnia

How CBT-I Treats Chronic Insomnia By Dr. Charles R. Freeman, Ph.D. How CBT-I treats chronic insomnia is practical: it changes the thoughts, behaviors, sleep schedules, and nervous-system patterns that keep insomnia going. It does not simply give you more sleep hygiene rules. CBT-I helps retrain the brain and body so

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Man with chronic insomnia reviewing a sleep journal as part of Cognitive Behavioral Therapy for Insomnia (CBT-I).

What Is CBT-I? A Complete Guide to Cognitive Behavioral Therapy for Insomnia

What Is CBT-I? A Complete Guide to Cognitive Behavioral Therapy for Insomnia By Dr. Charles R. Freeman, Ph.D. CBT-I for insomnia (Cognitive Behavioural Therapy for Insomnia) is considered the gold standard treatment for chronic insomnia. CBT-I for insomnia helps people identify and change the thoughts, behaviors, habits, and nervous system patterns

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A tired adult awake in bed wondering why they wake up at 3 A.M. every night

Why Do I Wake Up at 3 A.M. Every Night?

Why Do I Wake Up at 3 A.M. Every Night? By Dr. Charles R. Freeman, Ph.D. If you wake up at 3 A.M. every night, your nervous system, stress hormones, sleep rhythm, pain, trauma history, or nighttime anxiety may be keeping your brain alert when your body should stay asleep.

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A service member in a therapy session discussing PTSD-related insomnia, hypervigilance, nightmares, and sleep recovery

Can PTSD Cause Insomnia?

Can PTSD Cause Insomnia? By Dr. Charles R. Freeman, Ph.D. Yes, PTSD can cause insomnia. Post-traumatic stress disorder can keep the nervous system on alert long after the danger has passed. A person may be physically safe in bed, but the brain and body may still be scanning for threat.

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A man suffering from sleep deprivation

Sleep Deprivation: Why One Bad Night Isn’t a Crisis

Sleep Deprivation: Why One Bad Night Isn’t a Crisis By Dr. Charles R. Freeman, Ph.D. Sleep deprivation can affect mood, concentration, energy, and overall health. However, many people with insomnia overestimate how little sleep they actually get and underestimate their ability to function after a poor night’s sleep. While chronic

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Trauma survivor speaking with a therapist in a calm office, representing trauma-related insomnia, hypervigilance, and sleep recovery

Why Trauma Survivors Often Struggle With Sleep and Insomnia

Why Trauma Survivors Often Struggle With Sleep and Insomnia By Dr. Charles R. Freeman, Ph.D. Trauma survivors often struggle with sleep because the nervous system may stay alert long after the danger has passed. Bedtime can feel unsafe when the brain connects stillness, darkness, or loss of control with threat.

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Dr. Freeman's Articles on Sleep, Trauma, and Behavioral Medicine