When Insomnia Is Not Really About Sleep

A calm bedroom at dawn with soft natural light suggesting recovery from insomnia and nighttime rumination

When Insomnia Is Not Really About Sleep By Dr. Charles R. Freeman, Ph.D. Sometimes insomnia is not really about sleep. The sleep problem is real, but the cause may be anxiety, trauma, perfectionism, stress, rumination, or a nervous system that has learned to stay on alert at night. Many people come to treatment after trying […]

Can Anxiety Cause Chronic Insomnia?

Mountain sunrise above a sea of clouds representing anxiety-related chronic insomnia, emotional recovery, and the return of restorative sleep

Can Anxiety Cause Chronic Insomnia? By Dr. Charles R. Freeman, Ph.D. Yes, anxiety can absolutely cause chronic insomnia. It can also maintain it long after the original stressor has passed. In my clinical work, I often see that people are not just struggling with sleep. They are struggling with a nervous system that has learned […]

Sleep Hypnosis vs CBT-I: What’s the Difference?

Moonlit coastal fog landscape representing sleep hypnosis vs CBT-I for insomnia treatment, sleep anxiety, and natural sleep recovery

Sleep Hypnosis vs CBT-I: What’s the Difference? By Dr. Charles R. Freeman, Ph.D. Sleep hypnosis vs CBT-I is a common question for people who want help with insomnia without relying only on medication. Sleep hypnosis and CBT-I can both help with insomnia, but they are not the same treatment. Sleep hypnosis is usually used to […]

Cognitive Distortions: How Unhelpful Thinking Affects Sleep, Anxiety, PTSD, and Recovery

Calm notebook and pen on a desk representing cognitive distortions, anxiety, sleep, PTSD, and recovery

Cognitive Distortions: How Unhelpful Thinking Affects Sleep, Anxiety, PTSD, and Recovery By Dr. Charles R. Freeman, Ph.D. Yes, the way you think can make sleep, anxiety, PTSD symptoms, and emotional distress worse. That does not mean your symptoms are your fault. It means that thoughts, emotions, physical symptoms, and behavior influence one another. When the […]

Can Sleep Hypnosis Help Insomnia?

Soft ripples on calm water at dusk representing sleep hypnosis for insomnia and relaxation before restorative sleep

Can Sleep Hypnosis Help Insomnia? By Dr. Charles R. Freeman, Ph.D. Yes, sleep hypnosis may help some people sleep better if they have insomnia, especially when anxiety, tension, racing thoughts, or sleep effort are keeping the mind and body activated at night. In my previous article, “What Is Sleep Hypnosis?” I discussed at length how […]

Why Trauma Affects Sleep for Years

Dr. Charles R. Freeman standing against a purple background with the words Why Trauma Causes Insomnia, explaining how trauma affects sleep

Why Trauma Affects Sleep for Years By Dr. Charles R. Freeman, Ph.D. Trauma affects sleep for years because the body may continue operating as if danger is still nearby, even when the traumatic event is over. That is why trauma affects sleep long after the event has ended. A person may intellectually know, “I am […]

What Is Sleep Hypnosis?

A purple sleep hypnosis graphic showing a person holding a pendulum with the words Sleep Hypnosis

What Is Sleep Hypnosis? By Dr. Charles R. Freeman, Ph.D. Sleep hypnosis is a focused, guided therapeutic process that helps the mind and body move out of alertness and toward a calmer state that is more compatible with sleep. It is not magic, mind control, or stage entertainment. In clinical practice, sleep hypnosis is best […]

How EMDR Works

EMDR therapy tools on a calm office table showing how EMDR works for trauma, PTSD, nightmares, and sleep disruption

How EMDR Works By Dr. Charles R. Freeman, Ph.D. EMDR works by helping the brain reprocess disturbing memories so they no longer feel as emotionally intense, threatening, or present in daily life. The memory is not erased. The goal is that the nervous system no longer reacts to the memory as if the danger is […]

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

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 By Dr. Charles R. Freeman, Ph.D. 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 […]

Why You Can’t Sleep Even When You’re Exhausted

A tired adult sitting calmly on the edge of a bed at night, unable to sleep despite exhaustion

Why You Can’t Sleep Even When You’re Exhausted By Dr. Charles R. Freeman, Ph.D. If you are tired but can’t sleep, the problem is usually not a lack of exhaustion. It is often a state of nervous-system activation. Your body may be worn down, your eyes may feel heavy, and you may be desperate for […]