--- title: Causes of Insomnia | Push Doctor description: There are lots of different causes of insomnia. Take a look at our list of possible causes as to why you might have this sleep disorder and see if any of them apply to you, then book an online consultation with one of our experienced doctors to get a diagnosis and treatment. image: https://www.pushdoctor.co.uk/hubfs/PDR_Global_6_logo_images/PD%20Logo.png --- ![Providing NHS services logo](https://www.pushdoctor.co.uk/hubfs/Providing-NHS-Services.png) ** A1 /what-we-treat/sleep-disorder/insomnia/causes PP /what-we-treat/sleep-disorder/insomnia/causes PP /what-we-treat/sleep-disorder/insomnia/causes PP /what-we-treat/sleep-disorder/insomnia/causes PP /what-we-treat/sleep-disorder/insomnia/causes PP /what-we-treat/sleep-disorder/insomnia/causes PP /what-we-treat/sleep-disorder/insomnia/causes PP /what-we-treat/sleep-disorder/insomnia/causes PP /what-we-treat/sleep-disorder/insomnia/causes PP /what-we-treat/sleep-disorder/insomnia/causes PP /what-we-treat/sleep-disorder/insomnia/causes PP /what-we-treat/sleep-disorder/insomnia/causes PP 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/what-we-treat/sleep-disorder/insomnia/causes CCC what-we-treat CCC sleep-disorder CCC insomnia ![Dr Sarah Marshall](https://www.pushdoctor.co.uk/hubfs/Dr-Sarah-Big.jpg) Medically reviewed by: ### Dr Sarah Marshall - Medical Officer ** Updated: **Aug 18, 2021** ** Next review: **Aug 18, 2022** CCC causes BBB /what-we-treat/sleep-disorder/insomnia/causes CCC what-we-treat CCC sleep-disorder CCC insomnia CCC causes BBB /what-we-treat/sleep-disorder/insomnia/causes CCC what-we-treat CCC sleep-disorder CCC insomnia CCC causes BBB /what-we-treat/sleep-disorder/insomnia/causes CCC what-we-treat CCC sleep-disorder CCC insomnia CCC causes BBB /what-we-treat/sleep-disorder/insomnia/causes CCC what-we-treat CCC sleep-disorder CCC insomnia CCC causes BBB /what-we-treat/sleep-disorder/insomnia/causes CCC what-we-treat CCC sleep-disorder CCC insomnia CCC causes BBB /what-we-treat/sleep-disorder/insomnia/causes CCC what-we-treat CCC sleep-disorder CCC insomnia CCC causes BBB 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/what-we-treat/sleep-disorder/insomnia/causes CCC what-we-treat CCC sleep-disorder CCC insomnia CCC causes BBB /what-we-treat/sleep-disorder/insomnia/causes CCC what-we-treat CCC sleep-disorder CCC insomnia CCC causes BBB /what-we-treat/sleep-disorder/insomnia/causes CCC what-we-treat CCC sleep-disorder CCC insomnia CCC causes BBB /what-we-treat/sleep-disorder/insomnia/causes CCC what-we-treat CCC sleep-disorder CCC insomnia CCC causes ** ** ## How does a person get insomnia? Insomnia can be triggered by a number of factors. During your consultation, our doctor will work out which of these potential causes is responsible, in order to prescribe the most [effective treatment](https://www.pushdoctor.co.uk/what-we-treat/sleep-disorder/insomnia/treatment). It could be a single issue, or a number of different problems contributing to your sleepless nights. Here are just a few of the possible reasons behind your insomnia: ** ** ## Mental health Mental health issues such as [stress](https://www.pushdoctor.co.uk/what-we-treat/mental-health/stress), [anxiety](https://www.pushdoctor.co.uk/what-we-treat/mental-health/anxiety) and [depression](https://www.pushdoctor.co.uk/what-we-treat/mental-health/depression) can all contribute towards insomnia. If you’re spending a lot of time feeling anxious or worried, this can make it very difficult to get to sleep. Problems that affect your mental wellbeing, such as the loss of a loved one, are among the biggest causes of acute insomnia. This is a short bout of sleeplessness that passes once you have had a chance to process the traumatic event. However, long term stress or depression, as well as serious conditions such as Alzheimer’s or Parkinson’s disease, can also lead to chronic insomnia. This can cause months, or even years of difficulty sleeping. ** ** ## Other sleep problems While insomnia is a sleep disorder in itself, it can sometimes be caused by a separate sleep-related problem. These include: [**Snoring**](https://www.pushdoctor.co.uk/what-we-treat/sleep-disorder/snoring) Some people suffer from a serious sleep disorder known as sleep apnoea. This is when your throat muscles relax and block your airways, interrupting your sleep and often resulting in very loud snoring as air is forced through. Sometimes people may even seem to stop breathing, so its important that someone observes your snoring pattern. Of course, your insomnia could also be caused by someone else’s snoring keeping you awake! If your (or your partner’s) snoring is keeping you awake at night, see a doctor for ways to deal with it. **A poor sleep environment** It’s important that your bedroom provides the most comfortable environment for sleep. This may not be the case if: - You live in a noisy building or neighbourhood. - You have thin curtains that allow a lot of light into the room. - You have a lot of electronic devices in your room. - You have an illuminated alarm clock that makes it easy to constantly check how long you’ve been awake. - Your room is too hot or too cold. - Your bed is uncomfortable. - You allow pets to share your room. Fortunately, these are all things that you can easily change. Try [our handy guide to getting a good night’s sleep](https://www.pushdoctor.co.uk/blog/43-ways-to-sleep-better). **Nightmares** Nightmares can affect anyone, at any age. For some people, they can be so bad that the person will make a conscious effort to stay awake for as long as possible. **Sleepwalking** It’s thought that up to a third of us will experience sleepwalking at some point in our lives. While some sleepwalkers return to bed without waking up, others may wake up during an episode and find it difficult to get back to sleep. [**Narcolepsy**](https://www.pushdoctor.co.uk/what-we-treat/sleep-disorder/narcolepsy) As narcolepsy can cause you to sleep a lot during the day, it can sometimes mean that it’s harder to sleep at night.   ** ** ## Lifestyle and habits Your lifestyle choices can have a huge impact on how easy it is to get to sleep. You should pay particular attention to what you do in the hours leading up to a bedtime. The following factors can all make sleep more difficult for people with insomnia: **Smoking** Nicotine is a stimulant that upsets your circadian rhythm. It also increases your chances of developing sleep apnoea. **Drinking alcohol** Alcohol disrupts your natural sleep pattern, so it may cause ‘maintenance insomnia’, a form of insomnia where you find it difficult to stay awake for your full night’s sleep. Also, if you have been drinking heavily and stop drinking, you may get withdrawal which may present as agitiation, night sweats and make it difficult to sleep. It's important you speak to a GP if you think you drink too much and get their advice before contemplating stopping drinking. **Caffeine** As you probably know, caffeine is a stimulant. It actually stays in your system for several hours after it’s consumed, so it’s best to lay off the coffee after lunch. **Large evening meals** If you eat a large meal too close to bedtime, your body will still be digesting it by the time you go to bed. Lying down on a full stomach can cause issues such as [indigestion](https://www.pushdoctor.co.uk/what-we-treat/digestive-problems/indigestion) and acid reflux, which can disrupt sleep. **Exercise** While we all know that exercise is good for you, hitting the gym too close to bedtime could be a factor in your insomnia. Exercise releases endorphins and gives you a bit of a buzz, which isn’t what you’re after just before bedtime. If you prefer to exercise after work, try to do so in the early evening, so that your body has time to wind down. **Electronic devices** Watching TV, using your laptop or looking at your smartphone in bed can all make it hard to nod off. That’s because they give off something called ‘blue light’, which tricks your body into thinking it’s still day time. ** ** ## Physical health conditions Your physical health can certainly have an impact on your sleep. If the problem is particularly serious, it can lead to insomnia. Any of the following conditions could be a cause: **Heart problems** If you’ve been diagnosed with a heart condition, its symptoms can sometimes cause insomnia. For example, you may be prone to sleep apnoea or find it difficult to catch your breath when you’re lying down. Additionally, the stress of having a serious health condition can make it difficult to get to sleep. The medication given to patients with heart problems can cause side effects that affect sleep too, such as making you need to pee more often. **Respiratory problems** Anything that affects your breathing can make it hard to relax when you’re trying to get to sleep. Allergies such as [asthma](https://www.pushdoctor.co.uk/what-we-treat/allergies/asthma) are a common reason for this, so make sure you invest in hypoallergenic bedding, keep pets out of your room and dust regularly. **Urinary incontinence** This can occur for a number of reasons, from old age to the side effects of medication. If it’s keeping you up at night and stopping you from getting to sleep, you should see a doctor about it. **Joint pain** If you suffer from a chronic condition such as [arthritis](https://www.pushdoctor.co.uk/what-we-treat/joint-pains-and-aches/arthritis), it can be difficult to get comfortable enough to fall asleep. Ask our doctors about ways you can cope with your symptoms during the night. Insomnia can also be a problem for people with an injury to their neck, [shoulder](https://www.pushdoctor.co.uk/what-we-treat/joint-pains-and-aches/shoulder-pain), [back](https://www.pushdoctor.co.uk/what-we-treat/joint-pains-and-aches/back-pain), [knee](https://www.pushdoctor.co.uk/what-we-treat/joint-pains-and-aches/knee-pain), or any other joint. However, this is likely to be a short term issue and you shouldn’t experience any sleep problems once the injury has healed. **An overactive thyroid** This can stimulate your nervous system and cause symptoms such as night sweats, which can make it hard to get a good night’s sleep. ** ** ## Work patterns Sometimes, your job can be to blame for your insomnia. This is particularly true if: - You work an irregular shift pattern that means your bedtime is different from week to week. - You travel abroad for work and have to constantly deal with jet lag and adjust to different time zones. ### Sleep related articles ### **NHS - trained and registered doctors Every one of our doctors is registered with the General Medical Council and can be found on the NHS National Performers List, so you know you are only ever receiving the best possible care and advice. They are experienced in treating a wide range of conditions, and can help with almost everything your regular GP could in a physical surgery. You can meet some of our doctors [here](https://www.pushdoctor.co.uk/meet-our-doctors). Push Doctor also has an in-house Medical team, who support our doctors day in, day out, and enable our doctors to do what they do best. They are also responsible for the ongoing training and development of doctors on our platform. ![close button](https://www.pushdoctor.co.uk/hubfs/SVGs/close-black.svg) ### **CQC regulated The [Care Quality Commission (CQC)](https://www.cqc.org.uk/) is the independent regulator of health and social care in England. They are the foremost authority in our industry, assessing health providers' ability to provide people with safe, effective, compassionate and high-quality care – be they offline or online doctors. Push Doctor is registered with the CQC under the name 'Push Dr Limited', with the registration number [1-5345986073](https://www.cqc.org.uk/location/1-5345986073). Our most recent inspection took place in May 2019, concluding that the service we provide is safe, effective, caring, responsive and well-led – gaining a 'Good' rating overall. You can read the report in full on [our CQC profile](https://www.cqc.org.uk/location/1-5345986073). ![close button](https://www.pushdoctor.co.uk/hubfs/SVGs/close-black.svg) ### **Same day prescriptions Our NHS-trained GPs can, if appropriate, issue prescriptions online following a consultation. Once your consultation is complete, our team will search for the closest pharmacy to you which has your medication available. We'll then send you a text when your prescription is ready to collect. To collect your medication, simply hear to the nominated pharmacy to collect and pay for your prescription. You will need to take a valid form of ID to show the pharmacist when you arrive. This process is almost always done within the same day of your consultation. ![close button](https://www.pushdoctor.co.uk/hubfs/SVGs/close-black.svg) ### **Instant fit (sick) notes Our GPs can send a sick/fit note directly to you if necessary following an online consultation. These can be sent directly by email or first-class post. Fit notes include recommendations about how and when you'll be able to return to work or education, or whether you're able to return to work with amended duties (e.g no heavy lifting or reduced hours). They can also contain detailed advice about managing your medical issue in the workplace. ![close button](https://www.pushdoctor.co.uk/hubfs/SVGs/close-black.svg) ```json { "@context" : "http://schema.org", "@type" : "WebPage", "description" : "There are lots of different causes of insomnia. Take a look at our list of possible causes as to why you might have this sleep disorder and see if any of them apply to you, then book an online consultation with one of our experienced doctors to get a diagnosis and treatment.", "name" : "Causes of Insomnia | Push Doctor", "publisher" : { "@type" : "Corporation", "name" : "Push Doctor" } } ```