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Insomnia is rarely just about not sleeping — it’s usually about how the brain has learned to stay alert at night. Here you’ll find clear explanations of what keeps insomnia going, why it can become persistent, and how evidence-based approaches like CBT-I help rebuild natural sleep. These articles are a good place to start if sleep has begun to feel unreliable or stressful.
How to Enrol in a CBT-I Programme in the UK (2026 Guide)
In the UK, adults can enrol in a CBT-I programme through four main routes: NHS Talking Therapies self-referral, NHS-commissioned digital CBT-I via Sleepio or Sleepstation
Revenge Bedtime Procrastination: What It Is and How to Stop It
Revenge bedtime procrastination is the deliberate delay of sleep, without any external reason, to reclaim personal time that the day swallowed. The name comes from
ADHD Medication and Sleep: What You Need to Know
ADHD medication and sleep have a complicated relationship. Stimulant medications can delay sleep onset, particularly when taken too late — but for some people they
Why the ADHD Brain Won’t Switch Off at Night
The ADHD brain struggles to downshift at night because of three overlapping mechanisms: a nervous system that runs at elevated arousal, a default mode network
CBT-I for ADHD: Does It Actually Work?
If you have ADHD and chronic insomnia, you may have been told to “try CBT-I” without much explanation of what it is or whether it
ADHD and Perimenopause Insomnia: Why Sleep Gets Doubly Hard
When Two Sleep-Disrupting Systems Collide If you have ADHD and are also going through perimenopause, you are navigating two of the most potent sleep-disruptors known
ADHD and Insomnia: Why Your Brain Won’t Let You Sleep
Why ADHD and Sleep Problems Are So Closely Linked If you have ADHD and struggle to sleep, you are not alone and you are not
Best Insomnia Treatment for Women in Perimenopause: Evidence, Options, and How to Choose
For perimenopausal insomnia, a hormonal trigger often leaves behind a learned pattern of hyperarousal. Why HRT helps hot flushes but not conditioned insomnia, and how to choose the approach that fits.
CBT-I vs ACT-I for Insomnia: What’s the Difference, and When Does Each Work Best?
CBT-I changes sleep-disrupting thoughts and habits; ACT-I eases the fear and struggle that amplify sleeplessness. What sets them apart, and why an integrated approach often treats chronic insomnia most completely.
Memory and Treatment Progress Assessment
Is your insomnia treatment working? Memory is a surprisingly unreliable judge. Why recall skews towards the worst nights, and why daytime functioning — not sleep hours — is the better measure.
Endometriosis can roughly double the odds of insomnia, as pain, inflammation and hyperarousal feed a vicious cycle. The good news: your sleep can improve without waiting for symptoms to settle first.
Wide awake at 3am, again? It’s rarely random. Circadian timing, a cortisol rise, learned wakefulness and worry all play a part — and why sleep hygiene alone won’t settle it.
You’re exhausted, you’ve tried everything, and still sleep won’t come. The reassuring truth: your sleep system isn’t broken — it’s learned to stay alert. Here’s how that happens, and what helps.
What does a sleep therapist actually do, and how is it different from another list of tips? The evidence-based therapies that treat insomnia at the root — no pills or gadgets.
Cognitive Behavioural Therapy for Insomnia (CBT-I)
CBT-I is the number-one recommended treatment for insomnia, and the most effective in the long term. What it actually involves, and why it’s not the same as sleep hygiene.
Acceptance and Commitment Therapy for Insomnia (ACT-I)
ACT-I changes your relationship with sleep instead of forcing it, using acceptance and mindfulness to ease the pressure and anxiety around being awake — a compassionate path when CBT-I isn’t ideal.
What is a Hypnic Jerk – Why do I jerk awake as I fall asleep?
That sudden jolt that pulls you back as you drift off? It’s a hypnic jerk. What causes it, why fearing sleep makes it worse, and how to ease the cycle.
Perimenopause and Insomnia: Why Sleep Gets Harder and What Actually Helps
Perimenopausal insomnia is rarely ‘just hormones’. Hormone shifts and hot flushes start it, but worry and sleep-monitoring keep it going. Why CBT-I and ACT-I target what HRT alone can’t reach.
High standards can become a wired, racing mind at night. How perfectionism and insomnia feed each other through rumination, harsh self-talk and rigid sleep rules — and how to loosen the grip.
Tired but wired? That’s hyperarousal — the over-revved nervous system at the heart of chronic insomnia. Why exhaustion alone won’t tip you into sleep, and how this vigilance can be retrained.
Circadian System and Insomnia Treatment
Sometimes it isn’t insomnia at all — it’s your body clock running to a different schedule. How circadian timing and sleep drive interact, and why that difference changes what actually helps.
You’re certain you barely slept, yet you slept more than it felt. That gap is real, not imagined. What drives paradoxical insomnia, and why your experience deserves to be taken seriously.
How Acute Insomnia Turns Chronic
A few rough nights are normal. So why does insomnia dig in and stay? Meet the 3P model — and the everyday coping habits that quietly keep sleeplessness going.
What insomnia really is, and why it sticks around. Insomnia is maintained more than simply caused — which is hopeful, because it means a different relationship with sleep can set you free.