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Sleep

Trouble Falling Asleep

Difficulty initiating sleep, lying awake for extended periods before being able to fall asleep.

  • “why can't I fall asleep”
  • “mind won't turn off at night”
  • “lying awake for hours”
  • “trouble getting to sleep”

Also called insomnia, can't fall asleep, mind racing at bedtime, lying awake, sleep onset problems.

Can be part of

Generalized Anxiety Disorder, Major Depressive Disorder and 1 more

Not always mental health

7 other possible causes, like caffeine, especially later in the day

Get help if

Sleep problems persist for more than a few weeks

What it can look like

Everyday moments people describe.

Some people describe going to bed tired but then lying there with their mind suddenly active, reviewing the day or anticipating tomorrow.

Where it can come from

Many things can cause this. Only a clinician can tell which applies to you.

Trouble Falling Asleep in Generalized Anxiety Disorder

Worry often intensifies at bedtime when there are fewer distractions.

How clinicians describe it

  • “Sleep disturbance”
About Generalized Anxiety Disorder

Often comes with

When to get help

  • When sleep problems persist for more than a few weeks
  • When daytime functioning is significantly affected
  • When you've tried basic sleep hygiene without success
  • When accompanied by other concerning symptoms
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General information about a common experience, not a diagnosis or medical advice. What you are going through may have many explanations; a qualified professional can help you understand yours. Reviewed 2025-01-15.