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Dr. Freeman's Blog Posts

Sleep anxiety cause insomnia; man lying awake at night with fear of not sleeping

Can Sleep Anxiety Cause Chronic Insomnia?

Yes. Sleep anxiety can cause chronic insomnia when the fear of not sleeping keeps the nervous system alert night after night. A person may begin with a short period of poor sleep, but the fear that develops around sleep can become one of the main reasons the insomnia continues.

Many

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August 24, 2026
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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June 22, 2026

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