Can’t Sleep, Too Anxious
Anxiety can keep us up. Maybe it’s anxiety over exam season at the University of Virginia, relationship stress, or general anxiety about pretty much everything—anxiety is a sleep killer. But a lack of sleep can also cause anxiety.
This toxic loop of anxiety -> no sleep -> more anxiety can spiral into panic attacks, insomnia, and other health issues. If you’re struggling with a lack of sleep and anxiety, talk to a Charlottesville anxiety therapist.
How Does Lack of Sleep Cause Anxiety?
Anxiety and lack of sleep are closely related. One can lead to another in a cycle of worsening symptoms. The loop of anxiety and lack of sleep looks like:

The cycle starts with a lack of sleep. Insomnia or restless sleep means our brains don’t get the time they need to reset and recover. Our cognitive functions decline, meaning we are less able to make good decisions, handle stress, and respond to challenges.
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Exhaustion leads to brain fog, difficulty making decisions, emotional dysregulation, and so much more. Sleep is a vital part of our brain and body’s optimal functioning, so when we lose out on sleep, we lose out on a lot.
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Have you noticed how emotions feel so much bigger when you’re tired? Exhaustion can lead to difficulty coping with stress, obstacles, and conflict. This, in turn, can lead to improperly managed decisions, actions not aligned with your values, and a lot more to be stressed about.
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When you act outside of your values or fail to meet your expectations for yourself (as is common when you’re operating on little sleep), you might start to experience low self-esteem. Negative self-talk starts to creep in with things like, “You’ll never be able to do this,” or “You’re so stupid. Why even try?” These are cognitive distortions and are negative, untrue thought patterns.
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All of this culminates in anxiety. You might feel it in your body with heart palpitations, trouble breathing, and shakiness. Or you might be having racing thoughts full of worst-case scenarios. You might have both! Regardless, anxiety is known to interfere with a healthy sleep schedule. This means more restless nights. . . and more anxiety.
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Worsened Physical Health
Lack of sleep reduces your body’s ability to fight off illness. Over time, you may get sick more often and take longer to recover because your immune response isn’t functioning at full strength. Lack of sleep is also linked to a higher risk for heart disease, obesity, diabetes, high blood pressure, and stroke. Physical health is also tied to our mental health, so worsening physical health means worsening mental health.
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Risk for Depression
Poor sleep can increase irritability, anxiety, and symptoms of depression. It affects how your brain regulates emotions, making it harder to cope with stress and leading to mood swings or feeling overwhelmed more easily. Over time, chronic sleep issues can trigger depression, which can worsen anxiety symptoms.
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Cognitive Impairment
Not getting enough sleep affects attention, memory, and decision-making. You may find it harder to concentrate, solve problems, or stay productive, and you’re more likely to make mistakes in daily tasks. This can lead to anxiety as you feel ill-equipped to handle life’s challenges, make poor choices that don’t align with your values or goals, and feel overwhelmed.
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