Let’s Really Talk About Insomnia: The Silent Toll and How to Cope
- Anissa Bell, LMFT
- Mar 27
- 4 min read
Updated: Apr 9
The Insomnia Struggle Is Real
Insomnia isn’t just about not being able to fall asleep. It’s about waking up too much, waking up too early, or feeling like you got zero sleep even when you were in bed all night. If that sounds familiar, you’re not alone. Millions of people deal with insomnia, and it’s not just a total pain in the butt—it’s a serious mental health issue.

But beyond the tiredness, insomnia can feel terribly lonely. While the rest of the world is snoozing, you’re stuck in an endless loop of tossing, turning and watching the clock tick by. The isolation is real—there’s something uniquely miserable about lying awake in the middle of the night knowing no one else is having the same struggle in that exact moment. And even though millions of others suffer from insomnia, it doesn’t feel that way when you’re alone in the dark, staring at the ceiling, wondering if you’ll ever sleep again. It’s like you’re in a time zone all your own, disconnected from everyone else, running on fumes while the world keeps moving at full speed. Over time, this isolation can lead to feelings of hopelessness, anxiety and even depression—because when you’re sleep deprived, everything is just harder to deal with.
Why Won’t My Brain Just Let Me Sleep?
The answer isn’t always simple. Insomnia has many triggers but some of the biggest culprits are stress, anxiety and depression. Your brain doesn’t just decide to shut down when you tell it to – it goes into overdrive the second your head hits the pillow.
Chronic stress is a huge player in keeping you awake. If your brain is in high alert mode (thanks anxiety) sleep takes a backseat. And if you’re dealing with depression sleep becomes even trickier. Some people with depression sleep too much, others can’t sleep at all. Either way insomnia and mental health go hand in hand feeding into each other like an exhausting loop you can’t escape.
The Vicious Cycle: Insomnia and Mental Health
Here’s where things get even more frustrating – insomnia doesn’t just come from mental health struggles; it actually makes them worse. Poor sleep can make anxiety feel more intense, crank up irritability and leave you feeling emotionally drained before the day even starts.Sleep messes with the part of your brain that regulates emotions so everything feels harder to deal with. That small inconvenience? Suddenly it’s a catastrophe. That slightly awkward conversation? Now it’s replaying in your head on an endless loop. When your brain is running on empty it can’t keep things in perspective and everyday stressors feel overwhelming.
So… What Can You Do About It?
If you’re stuck in the insomnia cycle the good news is there are ways to break free. The trick is to stop fighting sleep and start working with it. Here’s how:
1. Therapy Can Help—Even If You Think It Won’t
If anxiety or depression is fueling your insomnia therapy can be a huge help. Talking to a professional can give you tools to manage stress, reframe negative thoughts and work through underlying issues that might be keeping you up at night.
For those who prefer convenience online sleep therapy is now a thing and it’s making insomnia treatment more accessible than ever. No need to drive to an office—you can get help from the comfort of your own home (in your pajamas if you want).
2. Sleep Hygiene: More Than Just a Buzzword
Good sleep hygiene is all about setting yourself up for sleep success. This includes:
Sticking to a schedule (yes even on weekends!)
Limiting screen time before bed (blue light = bad news for melatonin)
Keeping your room cool and dark (your body sleeps best this way)
Avoiding caffeine late in the day (sorry afternoon coffee lovers)
These small changes may not seem like much but they add up and can make a real difference in how well you sleep.
3. Ditch the ‘Sleep Performance Anxiety
Do you stress about not sleeping… which then makes you more awake? That’s sleep performance anxiety in action. The more pressure you put on yourself to fall asleep the more elusive it becomes. Instead of fixating on the clock and mentally calculating how many hours you have left until morning (we’ve all been there) try accepting that some nights just won’t be great—and that’s okay. paradoxically easing up on the pressure can actually help you sleep better.
When to Seek Help
If insomnia is messing with your daily life it’s time to take it seriously. Signs you might need professional help include:
Feeling anxious or depressed because of your sleep struggles
Having trouble functioning at work or in relationships because of exhaustion
Feeling hopeless about your ability to ever get a good night’s sleep
Sleep isn’t a luxury—it’s essential for mental and emotional well-being. The sooner you address insomnia the better you’ll feel in all areas of life.
Final Thoughts: You’re Not Alone
Insomnia has a way of making you feel isolated but the truth is millions of people are dealing with the same struggle. Whether it’s through therapy, medical interventions, or simply changing the way you think about sleep, there is hope.
So if you’re reading this at 2 AM wondering if you’ll ever sleep again—take a deep breath. There are solutions that can help improve your sleep.
For more tips and professional support, visit www.sandiego-therapy.com. Fill out the contact form to schedule a free 15-minute consultation with Anissa Bell, LMFT, and find out if this treatment approach is right for you.
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