A woman lies wide awake in bed as abstract "loud" shapes bounce around her

Wide Awake When Your Head Hits the Pillow?

Have you ever been so sleepy you thought you might not make it to the bedroom only to find that you become utterly awake with a buzzing mind the minute your head hits the pillow?

It used to happen to me every night. It was incredibly frustrating!

It's a pervasive experience for those with insomnia. But why does this happen? This phenomenon is called conditioned arousal.

Arousal is a state where our mind and body are on alert

If we think something is worrisome, needs watching, or is an outright threat to us, our arousal system kicks in like a radar dish, scanning for problems.

It is a useful state to be in if you are trying to avoid being hit by a car or if a bear is chasing you. Our big human brains can sometimes think things are more problematic than they are in reality, and our thoughts can run away with us. This can make us apprehensive and anxious when it's not helpful.

If you then add in worrying about not sleeping, our arousal radar gets pointed at the sleep issue - and makes it even harder to sleep. These are powerful "protective" emotions in us for our evolutionary survival, but in this circumstance, they are misplaced, and instead of protecting us, they cause us more problems.

The makings of chronic insomnia

This arousal is thought to be part of what turns short-term sleeplessness into chronic insomnia. It ironically is also what helps people with insomnia function on so little sleep, as it is present in both the daytime and the nighttime.1

When we stay in bed, tossing and turning with anxiety and worrying about what could happen the next day, our bed becomes less a place for sleeping over time. It becomes a place of frustration, worry, and anxiety, creating a vicious circle.

The vicious cycle grows

This "arousal" gets associated (or "conditioned") to the bed. During the day, we are busy with other things occupying our minds if we are lucky. So the arousal isn't as noticeable to us. Then, when the day down and we go to bed, our mind and body say, "This is the place we turn on our threat radar, crank up the adrenalin and become more sensitive to noise."

As a survival mechanism, this keeps us awake, and a vicious circle grows from the dynamic of worrying about sleep and not sleeping.

How stimulus control can help

So what can be done about it? Cognitive behavioral therapy for insomnia (CBTi) is a highly effective treatment for people with insomnia. CBTi uses cognitive approaches to work through the unhelpful and incorrect thinking that can trigger this "radar", while at the same time using techniques called stimulus control.2

The idea behind stimulus control is to break the association between anxious feelings and the bed and reinforce the bed's association with sleepy feelings. This is done by only being in bed while actually sleeping and getting out of bed when we find ourselves lying there trying to sleep.

Have you ever had the experience of waking up when you hit the pillow? What did you do about it? We'd love to know what helped you!

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This article represents the opinions, thoughts, and experiences of the author; none of this content has been paid for by any advertiser. The Insomnia.Sleep-Disorders.net team does not recommend or endorse any products or treatments discussed herein. Learn more about how we maintain editorial integrity here.

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