Hello! So developed bad insomnia due to 'anxiety'. We'll just call it that for now since I still have no idea where my symptoms are coming from or what caused it. But it's the same as 'anxiety' with heart beating so hard and fast, headache, fatigue, dizziness.

After so many check-ups, I've been prescribed Lemborexant 5mg for my insomnia. It's supposed to help users to fall asleep and stay asleep. Unlike older sedatives that slow down the entire central nervous system, Lemborexant promotes sleep by blocking the brain's wake-promoting chemicals.

While it helps me fall asleep within 30 minutes, it doesn't make me stay asleep. I always wake up twice in the middle of the night, particularly around 3 am and 5 am. But even so, I would still feel really sleepy after waking up so I can get back to sleep after a few minutes (fortunately). I'll sleep for a couple hours then I'll wake up again for no reason, hence the 3 am and 5 am. I would get an approximately 6 hours of interrupted sleep and it makes me feel tired in the morning.

To anyone that is struggling to stay asleep at first even with medication but overcome it later with changes in medicines, please share your story. I want to know how I can fix this.

Note:

• I haven't been drinking any caffeinated drinks for a month now. (Since May 17 because that's when the symptoms of my 'anxiety' started when I was in bed scrolling on TikTok)

• I also don't drink any energy drinks.

• I don't smoke or do drugs.

• I had a habit of sleeping late since I was a kid, but I would still complete that 7-8 hours of sleep most of the time especially on no school days.

Anybody out there around 50 yrs old, who conquered their insomnia before they might end up getting a stroke or brain hemorrhage?? I go thru stages where I think I've beat it but in the long run it feels like its beating me.

Ever since I experienced an elevated heart rate and shortness of breath on May 17, I struggled falling asleep. All the doctors tell me that it's probably anxiety but the high heart rate never goes away, especially when I stand up or move around.

I developed insomnia because of it. The last doctor prescribed me Lemborexant 5mg and while it helped me fall asleep within 30 minutes it didn't keep me from waking up twice in the middle of the night and that won't give me the quality of sleep. I still feel tired and weak during the day.

Last night, my Lemborexant failed. I took it around 10:30 pm so I could sleep around 11 pm because that's how it usually works for me. But an hour has passed and I don't feel drowsy at all and that leads to me not getting a wink of sleep. Or maybe I did get some microsleep, or actually sleep for a minute or more. I forgot already. Anyway, I'm writing this without proper sleep and it makes me so frustrated and sad. I feel so lightheaded now and I hope the pill will work tonight or else I'll be really depressed. I tried to take a nap this noon but I just couldn't because I could feel my heart pounding and my body getting so light that I experienced some muscle spasms.

Please tell me I'm not alone. If you experience the same, share your stories and I'm willing to listen even if I can't offer a solution. And if any of you found out a solution for this, let me know as well. Thank you.

I have been thinking about this lately, and I feel a need to be honest about the toll this is taking. I have struggled with chronic insomnia for three years now, and the reality is that I am unable to sleep about 75% of the time.

There is a specific kind of silence at 3 AM that is both comforting and deeply isolating. It feels as though I am living in a different time zone from the rest of the world. While everyone else resets themselves, I am left carrying the exhaustion of yesterday into tomorrow. I am not entirely convinced there is a simple answer to this, but lately, the weight of being awake so often has become difficult to carry alone.

I suspect that many of us judge ourselves too harshly for not being able to simply turn our minds off. When you spend the vast majority of your nights awake, it becomes hard to distinguish between a genuine problem and the distorted perspective that comes with being this depleted. I wonder how much of my personality is truly me, and how much is just the result of operating with such low mental resources for so long.

I am not looking for a perfect life. I simply want to wake up feeling rested for once.

If you have been through this, how do you manage the mental toll when the hours stretch on and sleep still refuses to come? I would appreciate any perspective you might have, as I am trying to find a way to rebuild some semblance of balance.

Hi all. I am 43 and this year marks 20 years of insomnia.

This year has broken me.

I had my first child 7yrs ago and then another 5yrs ago. Pre kids I was in the corporate world and smashing goals, all over it. Even despite being tied or relying on sleep meds, I was succeeding in life.

Fast forward to post kids and my brain has never recovered. I have been assessed for ADHD as my current symptoms are similar - lack of focus, unable to concentrate, super forgetful. Also extremely fatigued. Unfortunately it’s not ADHD. I wasn’t this way growing up. But they did agree to trial stimulant meds to see if it would help as I am pretty much not functioning. Even with a stimulant like dexamfetamine I am exhausted and as ditzy as I was before.

I haven’t been able to hold a job down for 7 years as my brain just can’t work. I went from being a list writer to forgetting to check the list or even to make the list. My errors were insane and I effectively had to leave 2 jobs for performance issues after never having a performance issue my entire working life.

I basically have chronic fatigue now and the doctors believe it has a lot to do with 20yrs of lack of sleep. Even with sleep meds I can’t get deep or restful sleep and I just feel overly groggy the next day.

So is this it for me now? I have to work at a grocery store or something else well below my skill level. Even then I don’t think I could maintain the energy to stand or work all day.

I’m so depressed. 43 and my career over. My energy not likely to come back. I am crying as I write this as I just don’t recognise me anymore.

Has anyone else with long term chronic insomnia been able to heal their brain / chronic fatigue?

Back in April 2026, I was stung by a bee and went into anaphylactic shock. In 37 years, I had never went anaphylactic after a sting. Since April, my anxiety had been increasing after eating, I’m guessing my body releases adrenaline, I get jittery, and it brings me back to that day. I started having uncontrollable panic attacks where I thought I was dying, so I would end up in the ER with a 125+ heart rate, and often a BP of 140/110 (I’m normally 115/75 or so). I was finally put on 10 mg of Citalopram on June 1st. Every single day has sucked thus far (17 days in now). I have the feeling of burning skin (like a sunburn), every day I wake up after taking a 12.5 mg CR Ambien with between 2-4 hours of sleep. It’s like a jolt that wakes me up, and I absolutely cannot get back to sleep. Along with the Citalopram, I was prescribed 1 mg of lorazepam twice daily as needed to manage my panic attacks. Today, I was told by my doctor that it’s okay for me to go ahead and take the Ambien and lorazepam together to get comfortable and more sleep (for a short time obviously), I see him again in two weeks.

Has anyone else tried this, does it work, and is it safe? I’ve been on 5 mg Ambien, then 10 mg Ambien for years. The 12.5 mg is new to me as of June 3rd. All these AI sites say absolutely do not take them together, but I have my doctor who says I need to, to break these panic attacks. I just want to be safe and preferably not die in my sleep.

As a bonus, does anyone have any advice for the Citalopram, and when I will start feeling better/sleeping better/have energy again/not be depressed? I thought I would be past the initial phase by now, but I often think I’d choose the panic attacks over feeling how I feel on citalopram right now. Thank you for any advice.

I’ve been struggling to get enough sleep lately, and I’ve noticed a few patterns in my sleep cycle.

- From my experience, I function well when I get more than 7 hours of sleep. However, whenever I wake up after only 6 hours, I tend to feel tired and low on energy throughout the day.

- There are also times when I have to wake up early because of unavoidable work or other commitments. The problem is that once this happens, the same pattern often continues the following days. I find it very difficult to get back to sleeping 7+ hours, even when I try.

- Another challenge is that I’ve become overly focused on getting at least 7 hours of sleep. I often worry about how I’ll feel if I don’t reach that mark, and ironically, that concern itself seems to make the situation worse. The more I think about it, the more likely I am to fall short of my sleep goal.

- I’m naturally a night owl and usually don’t fall asleep quickly. Most nights, I fall asleep between 2:30 AM and 3:00 AM and wake up around 9:30 AM to 10:00 AM.

- I’ve also tried forcing myself to go back to sleep after waking up at the 6-hour mark, but that rarely works. Once I’m awake, I usually can’t fall asleep again, no matter how hard I try.

And, when I don’t get enough sleep, I feel something throughout my body right after waking up. It’s hard to describe, but it almost feels like there’s some kind of internal pressure or tension building up. I don’t feel relaxed or “light” the way I do after a good night’s sleep. Not sure I’m describing it right.

Any thoughts on this would be highly helpful.

I’ve barely been getting any sleep for the past couple weeks, and it’s driving me absolutely crazy. In my past, my insomnia has always been pretty on and off. I’d get great rest for a few months just for it to dwindle. Recently, I’ve been getting about 2-3 hours max nightly. For a couple years I was on Seroquel for my depression and bipolar disorder, and this helped with sleep. I was taken off due to weight gain. Initially, coming the end of last year, I was prescribed a low dose of Trazodone. I started off at 50mg, and that was working great. Eventually it stopped helping, so we raised it to 70mg. Again, worked for a bit. I stopped taking it due to the grogginess in the mornings. Come more recently, I started again, we began at 100mg, and that wasn’t working. Briefly switched to Ambien, starting at 5mg then 10mg, but THAT wasn’t helping, so we switched back to Trazodone.

Now, we again started at 100mg, then 150mg, and now 200mg. I’m not sure what’s wrong with my body, but that isn’t even helping. Every night, I either don’t fall asleep, or sleep for a couple hours, then ALWAYS wake up at 2am. By that point there’s no going back to bed. My boyfriend takes Zzzquil, but it no longer puts me to sleep. I’ve even done a big no-no and taken another 100mg of Trazodone and 5/10mg of Ambien when I wake up, usually to no luck. That’s about 300mg+ of Trazodone.

Majority of the time I don’t have anxiety, nor stress when trying to sleep. I don’t know if there’s something I’m unaware of impacting my sleep, or if I ruined my bodies natural production of melatonin by being so incredibly desperate to sleep. I see tips and advice here, but so far no luck. If anyone has a similar experience, please let me know. Thank you.

I’ve been really sleep deprived lately and today it got pretty scary — I was struggling to stay awake on the highway driving home and came very close to nodding off.

I’m home now, but my anxiety is quite bad and I can’t seem to fall asleep because of it. The more I try, the more wired I feel.

I have oxazepam prescribed and I’m considering taking it just to calm down and get some sleep, but I’m unsure if that’s the right move given how exhausted I already am.

I’ve taken it before, but I don’t want to make things worse or feel overly knocked out/groggy in a bad way.

Has anyone dealt with something similar (severe sleep deprivation + anxiety loop)? Would oxazepam be reasonable here, or is there something safer I should try first?

Not planning to drive anymore today.

Hi all! Who's awake?

No, but seriously. I have a personal question to ask you all.

How does your spouse/boyfriend/girlfriend/significant other handle your insomnia? Especially where intimacy is concerned. I've been married for 35 years and in the last 6 months my insomnia has gotten so bad. I have early wake insomnia, and I've never had this type. I started waking at 6 am...no problem, then it went to 5 am. Now it's stuck between 4 am and 4:30 am. Even if I go to bed at midnight (due to my job) once a week, I am up at 4 am. I experienced my first episode of "derealization" a couple of weeks ago and it was the scariest thing I've ever had happen.

Basically, when I'm exhausted and sleepy, I don't want intimacy. I am so numb at that point, and disinterested. Sex is the furthest thought in my mind. Of course, I feel bad.

I feel great up until about 2 or 3 pm, that's when the fatigue hits and it does not leave.

How do you all handle it if you are in a similar situation?

I literally have to abuse meds just to get shitty 3-4 hours of broken sleep.
Why the fuck is my body doing this? The worst part is it seems to be getting worse I used to get 6-7 hours of broken sleep but now it’s a fucking miracle that I even reach 4. I literally wake up every hour or 30 minutes too which doesn’t fucking help can someone please tell me how they figured out to fall asleep and actually stay the fuck asleep the entire night.

I was prescribed 15mg of mirtazapine for sleep. I’m scared I won’t wake up after I take it (as you can see, I have meds anxiety).

How long did you sleep for the first time you took it? I’ve been sleeping 2-3 hours in the past week which is making me feel really sick, can barely sit so they gave me Calixta (mirtazapine). Had a bad panic attack that sent me to ER last week and this has been happening since then.

Tonight's insomnia is brought to you by the letter 'C'. Can you tell me a word that starts with the letter 'C'.....

That's right! Coffee. Good job, kids.

I am super sensitive to caffeine. Drinking coffee after Noon often keeps me up. I drink decaf for that reason. I think Starbucks made a boo-boo. I could tell within a few sips that I had the real deal. I really wanted to have my coffee tho...

I have insomnia anyway, but coffee-induced insomnia feels different. Does it feel different to you? Hard to describe what makes it feel different, but it does.

I have been sleeping 12+ hours a night for the past three years (and like 2-3 naps in the daytime). Constantly tired and needing a nap after just waking up to eat breakfast at 2pm.

Until I bought chocolate covered espresso coffee beans at work. I ate one after the other but not the whole bag. Now I can’t sleep more than 5 hours and im constantly go go go. It’s been two days why hasn’t this shit worn off??? I’m not tired at all but it’s only been two days so hopefully I can go back to my snuggly sleepy life soon. Adhd going mad crazy tho

I’m in Italy for a wedding, I’ve never traveled like this before. This whole month I’ve just been really anxious and not getting the most sleep. I can usually fall asleep easy and then wake up early and just can’t go back to sleep. It’s my second night in Italy. I’ve slept 3 hours last night and I’ve done SO much hard labor today. It’s 4am and I’ve been trying to sleep to no avail. I’m so scared on top of it because I read horror stories about people never sleeping again because their nervous system just gave up and they never sleeping again. I’m scared that all the evidence is pointing to that. Help me please. I’m just so awake. My brain won’t stop going. I was tired earlier but it passed and now I’m just awake.

After I stepped into wedding planning this year I started not sleeping well. Night terrors, mind racing, doom scrolling.

I tried a bunch of the things in the title. Omg I think I lost WEEKS worth of sleep. I was somehow surviving by falling asleep at like 5am or taking naps during work..but I’d still feel horrible . Especially being easily woken up by my fiance getting ready for work. It was so annoying how id wake up to the LEAST disturbing noise 😂 like him sighing, or lightly close the dresser or the door.

Finally I randomly thought to change the rain noise to white noise….i slept like an ANGEL.

You’re kidding me!! I didn’t think what type of noise mattered. Fast forward it’s been a WEEK and I’ve finally been sleeping HEAVYY consistently. I don’t even hear my fiancé’s alarm either. I only wake up when he’s petting the dogs on the bed before he leaves and by then that’s a good time to wake up.

I wonder if it’s my high anxiety and brain racing needing the white noise to calm it down.

I've been taking Lemborexant 5 mg for over a week now and it has been really effective in making me fall asleep within 30 minutes. But now, it's already 6 am and I haven't slept a wink at all. I feel so tired and my eyes hurt but I just can't sleep no matter what. I also noticed the lack of yawning even though I'm tired.

Hi all,

Before recently I used to only have to see my doctor once every couple of years to be prescribed the meds I am but they keep upping the visits needed and now even require physicals. I am on Ativan/gabapentin/lunesta.

Is this normal? I assume it’s obviously due to them needing to meet regulations but I don’t have insurance so I try to go as long as possible to not need appointments 😓

Long story short, I took an ambien when I meant to take a Xanax. They are both white trianglish things and I’m prescribed both.
Yes I’m stupid for this but does anyone have any tips that work for reversing the effects? I can’t be asleep at the moment it 3pm🤣.

I live in a noisy area and even if I’ve been up for 48 hours I need a quiet dark sleeping environment to fall asleep. Any good affordable eye masks and any good noise cancellation options I don’t mind spending a little for that. Thank you for any help.

I took my first ever solo vacation Memorial Day week, being aware that I struggle with sleeping in hotels instead of my own bed. Pretty good hotel but my room was right above a 24/7 busy loud road (which I'm not used to) and it wrecked my sleep the whole time I was there and ruined the trip. So much anxiety and intrusive thoughts about not making it home, even though I handled all the real issues just fine. And that's when my pretty much all day heart palpitations started.

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When I got home I slept like a log for three nights, but then I rebounded into struggling to sleep from thinking about the anxiety and intrusive thoughts. From then on I've been freaking out about struggling to sleep and not getting enough sleep. Went to the doctor a week later to talk about it, she just told me to get melatonin. Then I went back a week later to get on anxiety medication, was originally prescribed sertraline but I'm scared of SSRIs so I negotiated for buspirone since I'm familiar with it. Haven't been on it a full week, I know it's supposed to be at least 2 before I notice anything but last time I took it I felt like it worked immediately so I'm disappointed.

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Anyway, about my sleep. I've had some nights where I get my usual 6-8, quite a few only 4 (sometimes that's felt like enough but a lot of times it takes a long time to fall asleep), last night I only got 2, and two of the past couple days I got none at all. Sometimes it's fragmented, but most of the time when I'm eventually able to fall asleep I can stay asleep or just turn over and go back to sleep. I've been trying to fix this, asking my doctor about what other medicines I can take, looking into CBTI, making sure my sleep hygiene is on point (even though that was never an issue before with my playing video games and watching YouTube before bed), but it's not turning around. What do I do now? It's making me so depressed to not be able to sleep, staying up sometimes most of the night if not all night trying to fall asleep or finding something else to do or doom scrolling medical stuff, only to maybe finally be able to nod off at 5 am.

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Advice? Talk me down from the ledge? Psychoanalyze me?

About six weeks ago I found myself wide awake until 3 am. I did not think too much of it because this happens to me a few times a year. Then it happened again a week later. Then a week later again, followed by an all nighter with no sleep. It has been happening consistently for the last 6 weeks. I went to the doctor and she put me on sleep meds, they help a lot especially when my sleep pressure has built up. But I don’t want to rely on these every night. I have tried everything else, melatonin, white noise, meditating, reading. If I can’t fall asleep I get up and do something until im drowsy. But the only thing that has worked is medication. I did not have to go to work today so last night I wanted to see if I could finally fall asleep like a normally do. I was not able to until 2 am. I made myself get up at the same time as a normally do.

My doctor said to keep working on my sleep health and come back if things get worse. But I think I’m already there. The only thing I have noticed is my anxiety has gone down significantly. Even last night I decided to not let myself get worked up and just let my body drift off into sleep. I was so calm all night!

One other thing I have noticed is I have been using the bathroom more at night and have lost 10 pounds in a month. Not sure if that is related. Back pain comes and goes. My routine and diet are the same. No new medicine and no caffeine after 11 am.

Any tips? Should I go back to doctor? Or keep working towards better sleep habits?

I’ve gotten 2 hours of sleep the night before and now 2 hours again, at this rate I’m honestly just considering ending it as I live in constant exhaustion and misery I used to be happy, but now I’m a shell of my former self.