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Sleep and Anxiety

Table of Contents

1. Influence of Sleep over Anxiety
2. Anxiety at Night
3. Suggestions to Help Manage Anxiety at Night
4. Lifestyle Changes to Reduce Anxiety
5. Meditation and Therapies for Anxiety Disorder
6. Integrative Psych's Role in Assisting with Anxiety Disorder
7. Frequently Asked Questions


Influence of sleep over anxiety

The influence of sleep on anxiety is a significant and bidirectional relationship. Poor sleep can contribute to developing or exacerbating anxiety, while anxiety can also lead to sleep disturbances. When you don't get enough sleep, your brain and body's ability to manage emotions effectively is compromised, increasing anxiety and stress. Additionally, chronic insomnia, characterized by difficulty falling or staying asleep, is closely linked to anxiety disorders, further reinforcing the connection.

On the other hand, good sleep is a protective factor against anxiety, enhancing resilience, emotional well-being, and cognitive functioning, all contributing to better stress and anxiety management. Addressing sleep problems can be a crucial aspect of treating anxiety, as improving sleep quality can significantly impact anxiety levels, and managing anxiety can lead to better sleep patterns. Thus, maintaining a healthy sleep routine and seeking help for chronic sleep problems or severe stress is essential for overall well-being.

Anxiety at night

Experiencing anxiety feelings at night is a common phenomenon for many individuals. Several factors contribute to this nighttime anxiety:

  • Quiet and Solitude: At night, the world tends to quiet down, and there are fewer distractions, which can lead to increased focus on one's thoughts and feelings. Silence can intensify anxious thoughts and make them feel more overwhelming.


  • Ruminating Thoughts: Nighttime can provide a breeding ground for overthinking and rumination. People may replay past events or worry about future scenarios, triggering anxiety.


  • Fatigue: When people are tired, their ability to cope with stress and anxiety may be diminished. Fatigue can lead to increased emotional sensitivity and make anxiety feel more pronounced.

  • Lack of Distractions: During the day, people often engage in various activities, which can help divert their attention from anxious thoughts. However, when distractions are reduced at night, anxiety may become more noticeable.


  • Biological Factors: Our body's natural circadian rhythm influences physiological and psychological processes. Hormonal fluctuations at night can affect mood and emotions, potentially leading to feelings of anxiety.


  • Unresolved Stress: If there are ongoing stressors in one's life, they may become more salient at night when there are fewer distractions and opportunities to cope actively.
  • Fear of Sleep Disturbances: Individuals who have experienced sleep disturbances, such as nightmares or insomnia, may develop anxiety about being unable to sleep, creating a cycle of stress at bedtime.


  • Generalized Anxiety Disorder (GAD): People with GAD may experience a pattern of excessive worry and anxiety that can be more noticeable at night when there are fewer external demands.


  • Safety and Security: For some individuals, the nighttime can evoke feelings of vulnerability, as darkness may trigger concerns about safety and security, further exacerbating anxiety.


  • Lack of Social Support: At night, social interactions and support networks are often less accessible, leaving some individuals feeling isolated with their anxious thoughts.

Suggestions to Help Manage Anxiety at Night

  • Establish a routine: Create a consistent bedtime routine that includes winding down and engaging in relaxing activities, such as reading or taking a warm bath. Routine can signal to your body that it's time to sleep.

  • Limit screen time: Exposure to screens close to bedtime can disrupt the production of melatonin, a hormone that regulates sleep. Avoid screens at least an hour before bed to help improve sleep quality.

  • Practice relaxation techniques: Engage in activities that promote relaxation, such as deep breathing exercises, progressive muscle relaxation, or meditation.

  • Create a sleep-friendly environment: Ensure your bedroom is cool, dark, and quiet. You may want to use blackout curtains, a fan, or a white noise machine to create a more comfortable environment for sleep.

  • Limit caffeine and alcohol: Both substances can disrupt sleep and exacerbate anxiety. Avoid consuming them, particularly in the hours leading up to bedtime.

  • Write down your thoughts: If you are ruminating or worrying while trying to sleep, try keeping a notepad and pen beside your bed. Please write down your thoughts to help clear your mind and prevent them from cycling through your head.

  • Exercise regularly: Regular physical activity can help reduce anxiety and improve sleep quality. Aim for at least 150 minutes of moderate-intensity aerobic exercise each week, but avoid exercising too late.

  • Seek professional help: If your anxiety continues interfering with your sleep, consider speaking with a mental health professional. They can help you develop coping strategies and may recommend therapy or medication to manage your anxiety.

Lifestyle Changes to Reduce Anxiety

Making lifestyle changes can significantly reduce anxiety and enhance overall well-being. Regular exercise releases endorphins, acting as natural mood boosters and stress reducers. A balanced diet, including wholesome foods while limiting caffeine and sugar intake, supports stable energy levels and emotional regulation. Prioritizing adequate sleep and establishing a soothing bedtime routine promotes better rest, aiding anxiety management. Mindfulness and meditation cultivate present-moment awareness, reducing excessive worry. 

Breathing exercises calm the nervous system during stressful situations.

Seeking social support from friends and family helps alleviate anxiety by fostering connections and emotional understanding. Effective time management can reduce being overwhelmed and stressed. Replacing negative self-talk with positive affirmations bolsters self-esteem. Engaging in hobbies and activities that bring joy and relaxation is a natural stress reliever. Limiting exposure to distressing news and considering professional support, such as therapy or counseling, offers valuable tools for managing anxiety. By incorporating these lifestyle changes, individuals can proactively address concerns and cultivate a more balanced, fulfilling life.

Meditation and Therapies for Anxiety Disorder

Meditation and therapies are valuable and practical approaches for managing anxiety disorders. Meditation, such as mindfulness, deep breathing, and guided imagery, fosters relaxation and mindfulness, allowing individuals to control anxious thoughts and emotions better. Cognitive Behavioral Therapy (CBT) challenges negative thought patterns and equips individuals with coping skills to manage anxiety. 

Exposure therapy gradually desensitizes individuals to anxiety triggers, reducing their fear responses. Acceptance and Commitment Therapy (ACT) encourages the acceptance of anxious thoughts and promotes psychological flexibility. Dialectical Behavior Therapy (DBT) addresses emotion dysregulation in individuals with anxiety. In some cases, medication may also be prescribed to help regulate brain chemistry and reduce anxiety levels. Combining meditation and therapy creates a powerful synergy in providing individuals with valuable tools to understand, cope with, and overcome anxiety, leading to a more fulfilling and balanced life. Seeking guidance from qualified mental health professionals ensures personalized treatment for the best possible outcomes.

Integrative Psych's Role in Assisting with Anxiety Disorder

Integrative Psych is dedicated to providing comprehensive and compassionate care for individuals struggling with anxiety disorders. With a team of experienced mental health professionals, including licensed psychiatrists, psychologists, therapists, and counselors, we offer specialized assessments to create personalized treatment plans for each patient. 

Our evidence-based approaches include cognitive-behavioral therapy (CBT) to address negative thought patterns, exposure therapy to confront fears gradually, and mindfulness and relaxation techniques to promote emotional regulation. 

Medication management is also available for those who may benefit from it. We foster a supportive and understanding environment where patients can openly discuss their concerns and work towards recovery. 

Embracing a holistic approach, we promote healthy lifestyle habits and offer patients and their families education and resources. Our commitment extends to providing follow-up care and aftercare programs, ensuring ongoing support for our patients as they navigate their journey to overcome anxiety and regain control over their mental health.

At Integrative Psych, we are your premier destination for integrative and evidence-based therapy in New York City. Our Anxiety Psychiatrist in New York specializes in providing compassionate care and evidence-based treatments to support individuals in managing and overcoming anxiety disorders. Our team of experienced and compassionate therapists specializes in a wide range of mental health services, tailored to meet your unique needs. Whether you are seeking assistance with psychodynamic therapy nyc, bipolar disorder nyc, high-functioning anxiety nyc, complex PTSD nyc, or any other mental health concerns, we are here to support you on your healing journey.

For those suffering from high-functioning anxiety nyc, we offer specialized therapy to help you better understand and cope with your anxiety in a productive and healthy manner. Our therapists are trained in cutting-edge techniques such as mindfulness-based cognitive therapy nyc and can work with you to develop skills that will enable you to effectively manage your anxiety and live a more fulfilling life.

Frequently Asked Questions

Can anxiety cause sleep problems?

Yes, anxiety can cause sleep problems. Stress can lead to racing thoughts, excessive worrying, and physical symptoms like restlessness, making falling or staying asleep difficult. It can also cause nightmares and night sweats, further disrupting sleep patterns.

How does poor sleep impact anxiety levels?

Poor sleep can exacerbate anxiety levels. When we don't get enough restful sleep, our ability to cope with stress and manage emotions effectively diminishes. Poor sleep can lead to increased irritability, heightened emotional reactivity, and a decreased ability to handle anxiety-provoking situations.

Is it normal to feel more anxious at night?

Yes, feeling more anxious at night is a common experience for many individuals. The quiet and solitude of nighttime may lead to an increased focus on anxious thoughts, and fatigue can also contribute to heightened emotional sensitivity.

Can anxiety medications affect sleep?

Some anxiety medications, such as benzodiazepines and certain antidepressants, may have sedative effects and can help improve sleep in individuals with anxiety-related sleep problems. However, working with a healthcare professional to determine the most suitable medication and dosage for individual needs is essential.

How can I break the cycle of anxiety affecting my sleep and vice versa?

Breaking the cycle of anxiety affecting sleep involves implementing healthy sleep habits, managing stress and anxiety through relaxation techniques and therapy, and addressing any underlying issues contributing to anxiety and sleep disturbances. Creating a consistent sleep schedule and maintaining a relaxing bedtime routine can also help break the cycle.

When should I seek professional help for sleep and anxiety issues?

If sleep disturbances and anxiety significantly impact your daily life, well-being, or ability to function, seeking professional help is essential. A healthcare provider or mental health professional can assess your situation, diagnose it correctly, and offer appropriate treatment options tailored to your needs.

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