A quick technical overview of insomnia

About 10%-15% of people experience chronic insomnia

How often would you say you struggle to stay or fall asleep? If it's more than three times per week (and has been going on for at least one month), then you might have one of the most common sleep disorders: insomnia.

Clinical insomnia is defined as trouble sleeping for three nights per week for at least one month

The term "insomnia" is often used in popular culture to refer to general difficulty sleeping or staying asleep. In the US, insomnia transitions to a clinical disorder when symptoms—dissatisfying, nonrestful, and life-disrupting sleep—occur at least three nights per week for at least one month and cause "clinically significant" distress in important areas of life.

The overlooked physical causes of insomnia

Persistent lack of sleep is dangerous for anyone, but women are especially unlikely to have their symptoms taken seriously. This article highlights the physical causes of insomnia—a condition often written off as solely psychological—and the importance of early diagnosis. The writer, Courtney Maum, was diagnosed with an anterior nasal valve collapse as the source of her insomnia.

A framework for the various potential causes of insomnia

Insomnia typically occurs in people dealing with life stressors and physical or mental health conditions, though the exact cause continues to elude researchers. Generally, the factors can be broken down into external (such as stress, medication, etc.) or internal (neurological) factors.

What it's like to live with insomnia

The biological process Shakespeare referred to as the chief nourisher of life's feast is necessary for the body and mind to rest and repair from the activities of daily life. As sleep evades the exhausted, sufferers also lose emotional stability, mental clarity, social connections, and more while simultaneously gaining waves of interrupted biological processes that can lead to disease and death.

Genetics play a role in the reliability of the body's biological clocks

Growing evidence suggests genetics influence when, how long, and how well one sleeps, meaning insomnia may have a genetic component. While exact insomnia biomarkers have yet to be determined, some genes, including those related to psychiatric disorders, have been implicated.

What happens when we sleep

Sleep is a highly specialized and complex process that begins via signals from a region of the brain called the hypothalamus. As explained in this overview video from The Economist, the hypothalamus maintains our circadian rhythm by using light cues from our environment to regulate sleep via a compound known as melatonin. Once asleep, the brain begins the "sleep cycle" and progresses through the four stages of sleep over and over again each night.

Sleep is often viewed individually, when its impact and meaning may be more communal

At any given point, roughly 2 billion people may be asleep on Earth. The typical scientific description of sleep focuses on its individual impact, but the phenomenon shapes whole cultures and eons. This essay prompts a fresh rethinking of the importance of sleep for humanity.

Understanding the stages of sleep

Do you have trouble keeping the different stages of sleep straight and organized in your mind? Us too. Sometimes it helps to have a straightforward listing of what each stage is and why it’s important. Look no further than this resource from Lumen. It is a basic outline of the four stages of the sleep cycle, along with the brainwaves and attributes that characterize each. If you’re brave enough, test yourself on the built-in quiz!

Narcolepsy occurs when the brain loses its ability to control its sleep-wake cycle.

Stress and anxiety may lead to similar symptoms, but stress is a response to external triggers, while anxiety is persistent, and its symptoms won't disappear once an immediate stressor is gone.

High-quality sleep is effectively a superpower

Sleep is critical to maintaining healthy biological functions. From restoring energy to consolidating memories, aiding immune system functions and balancing hormone production, optimizing sleep habits are one of the most important ingredients to healthy living.

Sleep apnea explained

While sleep apnea is directly tied to an increased risk of cardiovascular and metabolic health problems, many affected people are unaware of their problem. Sleep apnea occurs when upper airway muscles relax during sleep and pinch off the airway, which can cause breathing to pause for 10 seconds or more at a time. Sleep partners (rather than those inflicted) are often the first to notice breathing pauses or loud snoring in their bedmates.

Obsessing over sleep metrics leads to worse sleep quality

Over one-third of Americans have used wearable technology to track their sleep, and the anxiety over having perfect sleep data, or orthosomnia, has made getting a good night's sleep more difficult. Experts agree that most devices cannot correctly assess sleep details, making the data unreliable.

Poor sleep increases the risk of developing Alzheimer's, and a main reason appears to be that the brain disposes of toxic protein buildup during high-quality sleep.

The US loses roughly $400B a year in productivity due to sleep deprivation

For an article about a woman who built a business empire telling bedtime stories, the Hustle created this graphic showing the estimated GDP loss associated with chronic insomnia. The United States had a much more significant loss than other countries.

Temperature and certain medications can also affect your circadian rhythms

Although light and dark have the largest influence on circadian rhythms, temperature, stress, and certain medications are among the factors that also play a role. Persistent trouble sleeping or staying asleep may signal it’s time to see your doctor to get a better sleep-wake schedule.

What sleep is for and why you can’t live without it

Sleep is one of the most important needs that humans have. The body uses sleep as a time of restoration and rejuvenation, as body tissues repair themselves, growth hormones are released, and the process continues. Brain plasticity theorists believe that sleep is also used for the processing and consolidating of new memories.

Sleepwalking, or somnambulism, is a bit of a misnomer since many things can occur during this state, including speaking, using the bathroom, and more.

Sleep disorders can exacerbate neurological and other health conditions

Brain regions that control sleep sit adjacent to those that regulate the autonomic nervous system, which controls involuntary bodily functions like heart and breathing rates. These neighbors influence each other, meaning poor sleep can impair or negatively impact the ANS, further disturbing sleep.

The deadly genetic disease that steals shut-eye

Few are haunted by fatal familial insomnia. This neurodegenerative disease is typically carried through bloodlines via genetic mutation of the prion protein gene, forcing the body to create abnormal and pathological protein variations that can corrupt normal versions. This article follows a musician as they attempt to come to terms with the FFI plaguing their family (and, possibly, their future).

Explore a series of bedtime exercises to improve sleep

Low-impact, mindful movements can potentially help the body and mind relax before sleeping. Such exercises could be a helpful complement to regular exercise during the day.

Circadian rhythm disruption can influence various mental health disorders

This 2020 research overview surveys the relationship between disrupted circadian clocks and disorders including schizophrenia, anxiety, and bipolar disorder. It incorporates findings and therapeutic approaches drawing from human night shift studies and jet lag studies alongside animal research.

A sleep expert discusses the broad benefits of quality rest

In this three-part series, renowned sleep expert Matthew Walker and doctor Peter Attia explore the role of sleep in memory consolidation and mental health, and the detrimental effects of chronic lack of sleep. The latter has been linked to increased risk of dementia, hypertension, and more.

A deeper walk through of the four stages of sleep

In this TED video, sleep expert Matthew Walker carefully breaks down the sleep stages along with a description of why each is important. He finishes the discussion by examining the consequences of altered or decreased sleep, and why seemingly small alterations in our sleep patterns can have outsized effects.

External factors, not aging itself, lead to sleep loss in older adults

Though it is often believed that people need less sleep as they age, the recommended sleep guidelines for all adult age groups are almost identical. However, factors such as medication use, lack of physical activity, and loneliness can lead to sleep problems, and thereby lead older people to believe that they actually need less sleep than they do.

Olympians view sleep as a performance tool, prioritizing routine and environment

Elite athletes emphasize consistent sleep routines, dark and cool environments, the well-placed nap, and tools like eye masks, white noise machines, and supplements like melatonin (particularly for jet lag). This priority belies a core principle: recovery and performance are inseparable. Read more ways Olympians "sleepmaxx" here.

The brain will attempt to rest itself in periods of chronic sleep deprivation

Skimping on sleep lengthens reaction times and blunts decision-making skills. At a certain point, the brain will try to sneak sleep where it can, shifting sections offline even as you remain awake. Going without sleep raises blood pressure, undermines the immune system, and increases one's risk of dementia.

Hotels around the world now offer packages focused especially on sleep

A Belmond Hotel in London, for example, has partnered with a meditation and holistic coach to create a service called the Sleep Concierge, which includes meditation recordings, a pillow menu, and the option of a weighted blanket, among other customized options. Medical experts believe that hotel experiences such as this one can be beneficial to those lacking sleep, provided certain provisions (such as an on-call medical professional) are also provided.

Why do we sometimes jolt awake before falling asleep?

Around 70% of people are estimated to experience the sensation of falling and jerking awake right as they're about to drift to sleep. That mysterious phenomenon is called hypnic jerking. As common as it is, hypnotic jerking remains disconcerting and hard to explain. While we don't yet have clear answers, peruse this article in Popular Science for some possible explanations as to why this happens.

The study of dreams, formally called oneirology, has evolved over the centuries, from anecdotal interpretations to advanced brain imaging.

The lost medieval habit of 'two sleeps'

While most people accept a single seven-to-nine-hour nightly slumber is ideal, the approach is a relatively modern idea. For centuries, interrupted sleep was the norm, with historians uncovering descriptions of two periods of sleep during the normal 24-hour cycle.

The REM cycle—named for the 'Rapid Eye Movement' that occurs during this stage of intense dreaming—happens around four to six times per night.

A closer look at why people snore

Snoring is simply noise caused by improper airflow during sleep—and while it’s something that most people will do at some point in their lives, it can also be indicative of larger health problems. Generally speaking, snoring occurs when soft...

Light pollution is giving oysters insomnia

Oysters, bivalve mollusks that have light-detecting cells along their skin, can't sleep with all this artificial light. According to a 2022 study, oysters' sleep cycles are disturbed by light dimmer than that provided by the full moon. As with humans, it's possible that these bouts of insomnia could have adverse health effects and contribute to the development of disease over time.

The body's sleep-wake cycle is one of its many circadian rhythms

The body's sleep-wake cycle is one of its many circadian rhythms, which are behaviors or biological processes that exhibit 24-hour patterns. These rhythms are deeply impacted by light exposure, food availability, and much more, meaning where you live impacts your sleep.

The evidence for the best sleep positions

For a behavior so crucial to human health, sleep positions are reportedly understudied by researchers. This article summarizes some of the more recent studies, taking into account the various forms of problems encountered during sleep: neck and back pain, snoring, acid reflux, and facial skin damage. Most studies point to side-sleeping as the most optimal, with sleeping on one's front as the least helpful. Read the piece to see which position is best for you.

Forty to 110 minutes of deep sleep is recommended per night

Adults typically spend 10% to 20% of the night in deep sleep, also known as slow-wave sleep, with the rest of the night spent either in light sleep or REM states.

Anxiety is one of the world's most common mental health disorders, causing persistent excessive fear and worry that interferes with daily activities.

People with a sleep disorder called REM Sleep without Atonia don't experience the temporary paralysis of skeletal muscles that typically occurs during REM sleep—instead, they have vivid dreams that they act out during sleep.

How to end bedtime procrastination

Finally done with external obligations, you might plop onto the sofa and dive into a hobby or bit of media, pushing past sleepiness to have some time to yourself and enjoy doing what you want. This is known as "revenge bedtime procrastination," a behavior that feels relaxing but impairs sleep hygiene.

Sleep training: risks and benefits

Sleep training, which can range from implementing a nighttime routine to letting your baby cry it out, is controversial, but does it work? While dozens of studies have found sleep interventions to be effective, it appears that many of these studies...

Do sleep-tracking apps work?

Can technology help us sleep better? As wearables and apps promise to optimize our nights, this New York Times investigation reveals some troubling findings after columnist Brian Chen used a wearable for two weeks to track his sleep. He discovered that sleep trackers not only provide frequently questionable data but can also paradoxically worsen sleep problems by causing users to obsess over their metrics — a new condition researchers are calling ‘orthosomnia.’

Sleep paralysis occurs when the body fails to 'unfreeze' in sync with waking.

Emerging research suggests that cannabis, used by about 9% of American adults as a sleep aid, may suppress rapid eye movement and lead to worse quality sleep and fewer remembered dreams.

Similarities between human and animal sleep

Have you ever noticed the wide-ranging differences in sleep between humans and animals? Sleep as a necessity is present amongst all animal species, but the specific patterns of sleep vary widely. Just think of the differences between how an owl, a whale, and a horse might sleep. This helpful resource from the Sleep Foundation explores the relations between human and animal sleep, complete with some fascinating statistics about sleep patterns throughout the animal kingdom!

Studies suggest when you sleep is as important as how much you get.

Five patterns may define how we sleep—not just night owl or early bird.

SAD disrupts melatonin secretion, producing it longer in the morning

The hormone is secreted from the pineal gland in the brain and is key to the timing of sleep. However, the substance does not generate sleep itself. With seasonal affective disorder, the body misperceives the photoperiod—the time with light—and the cycle of sleeping and waking gets off-phase, leading to issues with circadian rhythms.

Mental health is much more than the absence of mental illness, according to its official definition from the World Health Organization.