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The Connection Between Anxiety and Sleep: Unraveling the Complex Relationship

Anxiety can lead to various sleep disturbances, including insomnia, or difficulty falling and staying asleep
Anxiety and sleep

The Bidirectional Relationship

Anxiety and sleep disturbances share a bidirectional relationship. This means that just as anxiety can lead to sleep problems, sleep issues can also fuel anxiety. The American Sleep Association explains that "the relationship between sleep and anxiety is complex, as insomnia, delayed sleep phase syndrome, sleep apnea, and nightmares are all common symptoms of anxiety disorders"1.

How Anxiety Affects Sleep

Anxiety can lead to various sleep disturbances, including insomnia, or difficulty falling and staying asleep. It's estimated that over half of adults with generalized anxiety disorder struggle with sleep problems2. When you're anxious, your body is in a state of heightened arousal, making it difficult to relax and fall asleep. Your mind may race with worries, keeping you awake into the wee hours of the morning.

How Sleep Deprivation Fuels Anxiety

On the flip side, sleep deprivation can also contribute to heightened anxiety. A study published in the Journal of Neuroscience found that sleep deprivation increases anticipatory anxiety by stimulating regions in the brain associated with emotional processing3. Essentially, lack of sleep can make us more susceptible to anxiety by amplifying our brain's anticipatory reactions.

Managing Sleep-Related Anxiety

Understanding the connection between sleep and anxiety is the first step towards better managing your sleep health. Techniques such as Cognitive Behavioral Therapy (CBT) have been proven to be effective in treating both anxiety and sleep disorders4.

Other strategies include maintaining a regular sleep schedule, creating a relaxing bedtime routine, and making your sleep environment as comfortable as possible. If you find that you're struggling with anxiety and sleep, it may be beneficial to seek help from a mental health professional.


The relationship between anxiety and sleep is complex, and it's clear that one can significantly impact the other. By understanding this connection and implementing strategies to manage anxiety and promote better sleep, we can take steps towards improved mental and physical health. Remember, it's always okay to reach out for help if you're struggling.

Stay tuned to our Summit Counseling blog for more insights into mental health and wellbeing, and don't hesitate to reach out to our team for personalized, compassionate care.


  1. Harvard Medical School, Division of Sleep Medicine. (2007, December 18). Sleep and Mental Health.

  2. Goldstein, A. N., & Walker, M. P. (2014). The Role of Sleep in Emotional Brain Function. Journal of Neuroscience.

  3. Harvard Health Publishing. (2019, April). Treating Anxiety and Sleep Disorders.

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