Why Insomnia Often Becomes a Habit

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

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 begins preparing for another bad […]

Paradoxical Insomnia (Sleep State Misperception): Symptoms, Causes, and Treatment

Person lying awake in bed at night, representing paradoxical insomnia and sleep state misperception

Paradoxical Insomnia (Sleep State Misperception): Symptoms, Causes, and Treatment By Dr. Charles R. Freeman, Ph. D. Many people wonder, what is paradoxical insomnia? Paradoxical insomnia, also known as sleep state misperception, sleep misperception, or subjective insomnia, is a sleep disorder in which people believe they are awake for much of the night even though they […]

How CBT-I Treats Chronic Insomnia

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

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 the bed becomes associated with […]

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

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 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 that contribute to sleep diffisulties. […]

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

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? 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. Alcohol, medication rebound, depression, chronic […]

Can PTSD Cause Insomnia?

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

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. That can make it hard […]

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

A man suffering from sleep deprivation

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 sleep deprivation deserves attention, one […]

Why Trauma Survivors Often Struggle With Sleep and Insomnia

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 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. This is not weakness. It […]

How Changing Your Behaviors Changes Your Sleep

Woman waking up refreshed and energized after improving sleep through Cognitive Behavioral Therapy (CBT) and healthy sleep habits.

How Changing Your Behaviors Changes Your Sleep By Charles R. Freeman, Ph.D. You might be wondering, is it true that changing your behavior can affect your sleep?  And the answer is “yes,” this result can be achieved by applying Cognitive Behavioral Therapy (CBT). CBT includes changing thoughts and behaviors around health, sleep, anxiety, depression, etc. […]

Can Therapy Help You Sleep Without Medication?

Middle-aged woman sleeping peacefully as a result of therapy for sleep without medication

Can Therapy Help You Sleep Without Medication? By Dr. Charles R. Freeman, Ph.D. Yes, therapy can help many people sleep without relying solely on medication, especially when insomnia is being driven by anxiety, trauma, stress, pain, rumination, sleep fear, or learned patterns of nighttime alertness. Medication may provide short-term relief, but therapy addresses the patterns […]