![]() Insomnia: Anxiety often precedes insomnia, and there can be an interplay between the two, with insomnia resulting in more time to worry and the anxiety interfering with your ability to go to sleep and stay asleep.Somniphobia: Somniphobia or sleep anxiety refers to an extreme fear related to the thought of going to sleep or sleeping.Chronic Pain: Chronic pain is associated with increased anxiety disorders] and sleep difficulties.Premenstrual dysphoric disorder (PMDD): PMDD symptoms include increased irritability, sleep problems, anxiety, and feeling overwhelmed.Menopause: Hormonal shifts in the body due to menopause are related to increased anxiety and sleep disturbance.Illness anxiety: If you are a person who struggles with health/illness anxiety, you might experience an increase in nighttime anxiety due to being less busy – which might allow those thoughts to move in and take over.Post-traumatic stress disorder: For those for whom trauma happened at night or who experience trauma-related nightmares or night terrors, going to sleep can become terrifying and lead to anxiety before bed.Ingesting caffeine in the afternoon or evening (or caffeine addiction): Caffeine is a stimulant which affects the nervous system resulting in increased energy and alertness, and decreased sleep duration and efficiency.It can also be the result of negative thought patterns or behaviors that interfere with the ability of your body and mind to start the process of relaxing and preparing for sleep.Ĭommon causes of nighttime anxiety can be linked to certain behaviors or physiological conditions: 9,8,11,10,12,13 Rumination (i.e., repeatedly focusing on specific anxious thoughts)Īnxiety at nighttime can be caused by several physiological or psychological factors.Although many specific symptoms are associated with anxiety, your experience of nighttime anxiety is unique to you.Ĭommon nighttime anxiety symptoms you might be experiencing include: 8 Anxiety at Night SymptomsĪnxiety symptoms at night might be similar to or different from the anxiety symptoms you experience during the day. 1,5,6 It might also arise due to certain behaviors you engage in or physiological conditions you are experiencing. Nighttime anxiety and insomnia typically happen for short periods of time and are not always related to an anxiety disorder, but having nighttime anxiety can increase symptoms of anxiety disorders (e.g., GAD or panic disorder). Nighttime anxiety isn’t a diagnosis but describes what some people experience and may cause insomnia and/or poor sleep quality.
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