Worry or anxiety about sleep
Preoccupation, apprehension, or fear specifically related to sleep itself – its quality, duration, or consequences of poor sleep. A key maintaining factor in chronic insomnia disorder.
Quick answer
Worry about sleep (ICD-10: F51.0; ICD-11: 7A00) is a central maintaining factor in chronic insomnia disorder. CBT-I, specifically stimulus control, sleep restriction, and paradoxical intention, has the strongest evidence. Mindfulness and herbal support are useful adjuncts.
Recognition
Do any of these feel familiar?
Racing thoughts about whether one will be able to sleep
Fear of the consequences of not sleeping (performance, health)
Clock-watching and calculating remaining sleep time
Avoidance of bed or pre-bedtime dread
Catastrophising about the impact of poor sleep the next day
What is Worry or anxiety about sleep?
Preoccupation, apprehension, or fear specifically related to sleep itself – its quality, duration, or consequences of poor sleep. A key maintaining factor in chronic insomnia disorder.
Approaches Commonly Explored
Commonly explored for conditions related to Worry or anxiety about sleep, grouped by mechanism — select your subtype above to highlight the most relevant path.
How to use these approaches
Most people begin with Stabilise approaches, then progress toward Resolve and Sustain.
Autonomic nervous system — sympathetic / parasympathetic balance.
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