8 Factors That Could Be Keeping You Awake at Night
Mental illness and stress
Insomnia is both a symptom and a cause of depression and anxiety. Since the brain uses the same neurotransmitters for sleep and mood, it's often hard to know which starts first. Stressful situations or events, such as money or marital problems, often kick off insomnia that can become a long-term problem.
Crossing over time zones throws off your internal clock, which tells your brain to sleep when it's dark and wake up when it's light. Your body can take up to three days to adjust to the new light/dark schedule in another time zone, and if you fly across time zones often, jet lag can cause chronic sleep problems.
A schedule that's contrary to normal wake-sleep hours—like those of doctors, nurses, or other shift workers—can upset your body's circadian rhythm. People who work rotating shifts have lower levels of serotonin, a hormone and neurotransmitter in the central nervous system that helps regulate sleep, according to a 2007 study at the Universidad de Buenos Aires, in Argentina.
Menopause, menstruation, and pregnancy are some of the primary sources of sleep problems among women. Hot flashes, tender breasts, and frequent urination all interrupt regular sleep patterns. According to the National Sleep Foundation, approximately 40% of perimenopausal women (those who are in their menopausal transition years) have sleep problems.
Often, sleep difficulties surface along with other medical conditions. With lung disease or asthma, for example, wheezing and shortness of breath can disrupt your sleep, particularly in the early morning. If you suffer from heart failure you may develop abnormal breathing patterns. Parkinson's and other neurological diseases count insomnia as a frequent side effect.
Medications, both prescription and over-the-counter, can disrupt your sleep, particularly if you take them close to bedtime or if your dosage is increased. If you notice sleep difficulties that coincide with a change in your medication regiment, ask your doctor about a possible connection.