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Insomnia: why can't I sleep, and what can help?

Trouble falling asleep, waking during the night or waking too early? Learn what to record, which habits to review and when to seek help for insomnia.

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What counts as insomnia?

Insomnia can involve taking a long time to fall asleep, waking and struggling to get back to sleep, or waking earlier than intended. It is also important to consider whether you had enough opportunity to sleep and how you feel and function during the day. Staying up to finish work is not necessarily the same problem as allowing time for sleep but being unable to sleep.

You do not need to diagnose yourself from one night or a clock reading. Describe the pattern: what is difficult, how long it has lasted and whether it is a recent change. This is more useful than comparing your hours with a friend’s.

Which habits should you review?

Look at your wake-up and bedtimes, naps, work shifts, caffeine, alcohol, screens and bedroom disturbances. Pain, stress and some medicines may also be involved. A list of possible factors cannot identify the cause in your individual case.

For example, if you began having an extra afternoon coffee during a busy period, record both the coffee and the workload. A single change does not prove what caused the problem. Do not stop prescribed treatment because you suspect it affects your sleep; discuss that concern with your doctor or pharmacist.

For more information on the subject: A bedroom for better sleep: light, noise and temperature.

Keep a simple diary, without tracking every minute

For a week or two, you can make a short morning note of bedtime, estimated time to fall asleep, awakenings, wake-up time, naps and how you feel during the day. You do not need to check the clock whenever you wake. The aim is to notice a pattern, not score every night.

If two people contribute to the diary, let each person describe their own sleep. A partner can add observations about snoring or movement, but cannot measure from outside how long you were awake.

Practical first steps

Choose a wake-up time you can keep reasonably consistent, allow a quiet wind-down period and go to bed when sleepy. If you remain awake in bed and become frustrated, you can switch to a quiet activity and return when sleepy. Aim for a comfortable, dark and quiet sleep environment.

Start with one manageable habit, such as preparing what you need for the morning a little earlier. You do not need new equipment or a complete overhaul of your day on the first evening.

What is CBT-I?

Cognitive behavioral therapy for insomnia, or CBT-I, is a structured treatment addressing sleep-related habits and thoughts. It is commonly recommended as a first treatment for persistent insomnia. It involves more than general advice about dark bedrooms and caffeine.

Treatment may include carefully adjusting time spent in bed. Do not devise an extreme sleep-restriction plan yourself. Ask for a professional trained in CBT-I who can adapt treatment to your health, work and level of daytime sleepiness.

When to seek help

Arrange an assessment if the problem persists, habit changes do not help or daily functioning suffers. Mention loud snoring, breathing pauses, uncomfortable leg sensations or unusual sleepiness. Do not wait to finish a diary if the problem is significant.

Do not drive or operate dangerous equipment when sleepy. Before your appointment, prepare your diary, a list of medicines and supplements, and the concern that matters most to you: falling asleep, nighttime awakenings or how you feel during the day.

What to record before an appointment

Information to prepare for a discussion with a health professional; not a diagnostic tool.
What to pay attention toWhat to record
Date and contextWhen did it start, how often does it happen and what has changed in the routine
Daytime effectsDrowsiness, difficulty concentrating, mood and function
Treatments and habitsMedicines and supplements, caffeine, alcohol and sleeping hours

Frequently asked questions

Does every short night mean insomnia?

No. Distinguish between not allowing enough time for sleep and being unable to sleep despite adequate opportunity. Daytime effects matter too.

Does melatonin solve insomnia?

It is not a general solution for all sleep difficulties. Suitability depends on the cause, timing and your health. Seek advice before taking it.

Do I need a smartwatch?

No. A rough morning diary can help a professional assessment. A consumer watch is not required and cannot diagnose insomnia.

Sources and scope

Source check: September 22, 2026. The information was checked against the sources listed here. The selection tips are designed to help you compare; They are not based on product tests we conducted ourselves.

By MyViro.

General information to familiarize yourself with the subject, which is not diagnosis or medical treatment. How we prepare our guides

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