A quick technical overview of insomnia

About 10%-15% of people experience chronic insomnia

How often would you say you struggle to stay or fall asleep? If it's more than three times per week (and has been going on for at least one month), then you might have one of the most common sleep disorders: insomnia.

Clinical insomnia is defined as trouble sleeping for three nights per week for at least one month

The term "insomnia" is often used in popular culture to refer to general difficulty sleeping or staying asleep. In the US, insomnia transitions to a clinical disorder when symptoms—dissatisfying, nonrestful, and life-disrupting sleep—occur at least three nights per week for at least one month and cause "clinically significant" distress in important areas of life.

The overlooked physical causes of insomnia

Persistent lack of sleep is dangerous for anyone, but women are especially unlikely to have their symptoms taken seriously. This article highlights the physical causes of insomnia—a condition often written off as solely psychological—and the importance of early diagnosis. The writer, Courtney Maum, was diagnosed with an anterior nasal valve collapse as the source of her insomnia.

A framework for the various potential causes of insomnia

Insomnia typically occurs in people dealing with life stressors and physical or mental health conditions, though the exact cause continues to elude researchers. Generally, the factors can be broken down into external (such as stress, medication, etc.) or internal (neurological) factors.

What it's like to live with insomnia

The biological process Shakespeare referred to as the chief nourisher of life's feast is necessary for the body and mind to rest and repair from the activities of daily life. As sleep evades the exhausted, sufferers also lose emotional stability, mental clarity, social connections, and more while simultaneously gaining waves of interrupted biological processes that can lead to disease and death.

Genetics play a role in the reliability of the body's biological clocks

Growing evidence suggests genetics influence when, how long, and how well one sleeps, meaning insomnia may have a genetic component. While exact insomnia biomarkers have yet to be determined, some genes, including those related to psychiatric disorders, have been implicated.

What happens when we sleep

Sleep is a highly specialized and complex process that begins via signals from a region of the brain called the hypothalamus. As explained in this overview video from The Economist, the hypothalamus maintains our circadian rhythm by using light cues from our environment to regulate sleep via a compound known as melatonin. Once asleep, the brain begins the "sleep cycle" and progresses through the four stages of sleep over and over again each night.

Sleep is often viewed individually, when its impact and meaning may be more communal

At any given point, roughly 2 billion people may be asleep on Earth. The typical scientific description of sleep focuses on its individual impact, but the phenomenon shapes whole cultures and eons. This essay prompts a fresh rethinking of the importance of sleep for humanity.

Understanding the stages of sleep

Do you have trouble keeping the different stages of sleep straight and organized in your mind? Us too. Sometimes it helps to have a straightforward listing of what each stage is and why it’s important. Look no further than this resource from Lumen. It is a basic outline of the four stages of the sleep cycle, along with the brainwaves and attributes that characterize each. If you’re brave enough, test yourself on the built-in quiz!

Narcolepsy occurs when the brain loses its ability to control its sleep-wake cycle

Narcolepsy not only makes people fall asleep at random moments, but it can also cause hallucinations, insomnia, and sleep paralysis. The disorder is tied to cells in the brain’s hypothalamus called hypocretin, which are neuropeptides responsible for keeping you awake and controlling your dreaming from coming on too quickly.

High-quality sleep is effectively a superpower

Sleep is critical to maintaining healthy biological functions. From restoring energy to consolidating memories, aiding immune system functions and balancing hormone production, optimizing sleep habits are one of the most important ingredients to healthy living.

Sleep apnea explained

While sleep apnea is directly tied to an increased risk of cardiovascular and metabolic health problems, many affected people are unaware of their problem. Sleep apnea occurs when upper airway muscles relax during sleep and pinch off the airway, which can cause breathing to pause for 10 seconds or more at a time. Sleep partners (rather than those inflicted) are often the first to notice breathing pauses or loud snoring in their bedmates.

Obsessing over sleep metrics leads to worse sleep quality

Over one-third of Americans have used wearable technology to track their sleep, and the anxiety over having perfect sleep data, or orthosomnia, has made getting a good night's sleep more difficult. Experts agree that most devices cannot correctly assess sleep details, making the data unreliable.

Poor sleep increases the risk of developing Alzheimer's

Brain imaging studies reveal poor sleep leads to production of amyloid beta proteins—molecules linked to Alzheimer’s—which are cleaned from the brain during high-quality sleep. These findings suggest conditions like sleep apnea and insomnia increase the risk of developing the disease.

The US loses roughly $400B a year in productivity due to sleep deprivation

For an article about a woman who built a business empire telling bedtime stories, the Hustle created this graphic showing the estimated GDP loss associated with chronic insomnia. The United States had a much more significant loss than other countries.

Temperature and certain medications can also affect your circadian rhythms

Although light and dark have the largest influence on circadian rhythms, temperature, stress, and certain medications are among the factors that also play a role. Persistent trouble sleeping or staying asleep may signal it’s time to see your doctor to get a better sleep-wake schedule.

Sleepwalking, or somnambulism, is a bit of a misnomer since many things can occur during this state, including speaking, using the bathroom, and more.

Sleep disorders can exacerbate neurological and other health conditions

Brain regions that control sleep sit adjacent to those that regulate the autonomic nervous system, which controls involuntary bodily functions like heart and breathing rates. These neighbors influence each other, meaning poor sleep can impair or negatively impact the ANS, further disturbing sleep.

The deadly genetic disease that steals shut-eye

Few are haunted by fatal familial insomnia. This neurodegenerative disease is typically carried through bloodlines via genetic mutation of the prion protein gene, forcing the body to create abnormal and pathological protein variations that can corrupt normal versions. This article follows a musician as they attempt to come to terms with the FFI plaguing their family (and, possibly, their future).

Explore a series of bedtime exercises to improve sleep

Low-impact, mindful movements can potentially help the body and mind relax before sleeping. Such exercises could be a helpful complement to regular exercise during the day.

External factors, not aging itself, lead to sleep loss in older adults

Though it is often believed that people need less sleep as they age, the recommended sleep guidelines for all adult age groups are almost identical. However, factors such as medication use, lack of physical activity, and loneliness can lead to sleep problems, and thereby lead older people to believe that they actually need less sleep than they do.

Olympians view sleep as a performance tool, prioritizing routine and environment

Elite athletes emphasize consistent sleep routines, dark and cool environments, the well-placed nap, and tools like eye masks, white noise machines, and supplements like melatonin (particularly for jet lag). This priority belies a core principle: recovery and performance are inseparable. Read more ways Olympians "sleepmaxx" here.

Hotels around the world now offer packages focused especially on sleep

A Belmond Hotel in London, for example, has partnered with a meditation and holistic coach to create a service called the Sleep Concierge, which includes meditation recordings, a pillow menu, and the option of a weighted blanket, among other customized options. Medical experts believe that hotel experiences such as this one can be beneficial to those lacking sleep, provided certain provisions (such as an on-call medical professional) are also provided.

Why do we sometimes jolt awake before falling asleep?

Around 70% of people are estimated to experience the sensation of falling and jerking awake right as they're about to drift to sleep. That mysterious phenomenon is called hypnic jerking. As common as it is, hypnotic jerking remains disconcerting and hard to explain. While we don't yet have clear answers, peruse this article in Popular Science for some possible explanations as to why this happens.

The study of dreams, formally called oneirology, has evolved over the centuries, from anecdotal interpretations to advanced brain imaging.

Light pollution is giving oysters insomnia

Oysters, bivalve mollusks that have light-detecting cells along their skin, can't sleep with all this artificial light. According to a 2022 study, oysters' sleep cycles are disturbed by light dimmer than that provided by the full moon. As with humans, it's possible that these bouts of insomnia could have adverse health effects and contribute to the development of disease over time.

The evidence for the best sleep positions

For a behavior so crucial to human health, sleep positions are reportedly understudied by researchers. This article summarizes some of the more recent studies, taking into account the various forms of problems encountered during sleep: neck and back pain, snoring, acid reflux, and facial skin damage. Most studies point to side-sleeping as the most optimal, with sleeping on one's front as the least helpful. Read the piece to see which position is best for you.

Forty to 110 minutes of deep sleep is recommended per night

Adults typically spend 10% to 20% of the night in deep sleep, also known as slow-wave sleep, with the rest of the night spent either in light sleep or REM states.

How to end bedtime procrastination

Finally done with external obligations, you might plop onto the sofa and dive into a hobby or bit of media, pushing past sleepiness to have some time to yourself and enjoy doing what you want. This is known as "revenge bedtime procrastination," a behavior that feels relaxing but impairs sleep hygiene.

Sleep training: risks and benefits

Sleep training, which can range from implementing a nighttime routine to letting your baby cry it out, is controversial, but does it work? While dozens of studies have found sleep interventions to be effective, it appears that many of these studies...

An overview of 200 years of diabetes treatment

Diabetes treatment became truly effective after the advent of insulin injections in the early 1900s. Diabetes is becoming increasingly common. Current trends estimate one in three Americans will have diabetes by 2050. This overview explores two centuries of diabetes treatment—starting in 1812—and outline potential challenges to treatment and prevention.

Sleep deprivation may slow metabolism

This article explains that, according to research from Penn State, restricting sleep for just a few days can affect how the human body metabolizes fats and change how satisfied people feel after a meal. The study found that people who don’t get...

Testing five common beliefs about bedbugs

Bedbugs are one of the most stigmatized pest infestations due to their resilience and tendency to dwell where humans are most unconscious for long periods of time: beds. A bedbug problem can lead to horror stories and intensive interventions to...

Nightmares are unpredictable, but are linked to stress, anxiety, trauma, and more.

SAD uniquely affects people with attention-deficit hyperactivity disorder

Those with ADHD—chronic issues with attention and executive function—are primed for SAD. Many are disproportionately evening chronotypes (more awake in the evening), have a delayed sleep phase, and have low sensitivity to light in the morning. This podcast explores the overlap between these two groups.

Key tips for helping the depressed—including listening without judgment

Major depressive disorder is a clinical diagnosis and is not a lifestyle choice. Those who struggle with depression can express persistent feelings that are difficult to process and make sense of for friends and family. This guide walks through some counterintuitive perspectives, including resisting the urge to force a depressed person to do the things that would make them feel better.

Estimates suggest inactivity contributes to 6% of deaths worldwide

The World Health Organization identifies physical inactivity as the fourth leading modifiable risk factor for global mortality, just behind hypertension, tobacco use, and high blood glucose. Latest estimates are that inactivity contributes to 6% of deaths and significantly increases the burden of chronic diseases like heart disease, diabetes, and cancer.

The WHO defines burnout as an occupational phenomenon

While it’s not a medical condition, the World Health Organization defines burnout as an occupational phenomenon in the International Classification of Diseases (ICD-11), and considers it separate from general stress.

Addiction is defined as chronic compulsive drug use despite adverse consequences

This resource from the National Institute on Drug Abuse provides a comprehensive look at addiction as a complex brain disorder. It explores why people initially take addictive substances and how continued use alters the brain’s reward system.

A third of US couples have opted for a 'sleep divorce'

A 2023 survey of roughly 2,000 US adults showed roughly a third of the participants opted to stay in a different room from their partner at night. Reasons for the so-called "sleep divorce" varied, from snoring issues to offset schedules. The survey, run by the American Academy for Sleep Medicine, also revealed the most sleep divorces within millennials. See the study for more on this change in sleep habits.

How one autoimmune disease patient is questing for inflammation cures

This article's writer, who has Hashimoto's Disease and characteristic symptoms from her body attacking her thyroid—like exhaustion, hair loss, and brain fog—shares big take-aways from an anti-inflammatory retreat in Italy. The writer suggests that a holistic approach to eating, sleeping, and stress management, are the only sustainable ways to lower inflammation.

Are you hypnotizable?

What causes some people to genuinely fall under the spell of hypnosis and others not? The technique only appears to work easily on about 10% of people, and a variety of both genetic and psychological factors determines one's susceptibility. Researchers suggest effective hypnosis has more to do with a person's self-control than with external influence—and the technique can have tangible benefits.

Explore this deep dive into how SSRIs work

This 101-style explainer on selective serotonin reuptake inhibitors explains how they work in the brain—complete with classroom-style whiteboard drawings. It covers common SSRIs, why someone might try this medication, and a deeper discussion about potential side effects.

Dangers of a record-breaking, sleep-skipping stunt

In 1963, 17-year-old Randy Gardner decided to stay awake for as long as it took to break the current world record. He managed to stay awake for 11 days. In 2017, the then-71-year-old Gardner told NPR that his experience had come back to haunt him as insomnia. The challenge has since been removed from the Guinness Book of World Records due to its dangerous consequences.

Migrane 101: data, symptoms, and treatments

Living with migraine, however often the neurological condition attacks, is a journey fraught with pain and isolation. This migraine guide offers insight into the condition, common triggers, possible treatments, personal stories, and tips for managing life with migraine.

Moon 101: NASA's complete overview of our lunar companion

From modulating our tides to impact our climate, Earth's lone natural satellite plays a key role forming the planet's habitat. Before diving into the rest of the resources on this page, check out NASA's overview of the basics of the Moon—how it got its name, its size and distance from Earth, its structure, and much more.

How the feared self fuels OCD

Obsessive-compulsive disorder is characterized by intrusive thoughts that prompt people to enact compulsions—behaviors intended to relieve the anxiety or stress from the obsession. A significant intrusive thought OCD sufferers endure is the fear they will become a dangerous or immoral person. Therapeutic approaches try to show patients this is just a story that can be set aside.

One person dies from opioids every 7 to 8 minutes

This collection of infographics by the National Institute for Health Care Management helps put the crisis into perspective. The opioid epidemic has had three waves. Opioid-related deaths increasingly involve synthetic versions of the drug class, contributing to 83 percent of all opioid-related deaths in 2020. Use these infographics to learn more about the crisis.

Schizophrenia symptoms often appear suddenly

Schizophrenia is a particularly shocking mental illness because its symptoms may appear seemingly without any prior signs of illness after a person has had no symptoms for the first couple of decades of their life. Among teens, symptoms may look like typical adolescent behaviors—withdrawal, being irritable, and having trouble sleeping.

What is space sickness?

Mix motion sickness minus gravity with a host of other variables, and you’ve got a recipe for space adaptation syndrome. It can hit anyone, even astronauts who escaped the issue previously. This article details the history and science behind space sickness.