๐ Night Waking
Why Do I Keep
Waking Up at Night?
The common reasons people wake in the middle of the night, what is normal, and what to do when you can’t get back to sleep.
Is It Normal to Wake Up at Night?
Yes โ some waking is part of normal sleep. It becomes a problem when it is long, frequent or leaves you exhausted.
Sleep is not one long, even block. Through the night you move through repeated sleep cycles, from light sleep into deep sleep and REM sleep and back again. Brief awakenings, often near the end of a cycle, are common and usually forgotten by morning. You can learn how these cycles work in Sleep Cycles Explained.
Sleep also changes as we get older. A large analysis of sleep-lab studies in healthy people found that in adults, time spent awake after first falling asleep increased with age, while sleep efficiency and deep sleep decreased.[1] So waking more often at 50 than at 20 is, to a degree, expected.
What matters is the effect on you. If you wake, fall back asleep quickly and feel rested, there is little to fix. If you lie awake for long stretches most nights, or feel tired through the day, look at the causes below. This page focuses on waking during the night; if your main problem is getting to sleep in the first place, see how to fall asleep fast.
Why You Wake at Night
Common causes and what the research shows
๐งญ NORMAL CHANGES
In adults, time awake after falling asleep rises with age.
๐ท HABITS & ENVIRONMENT
Disrupts sleep in the second half of the night.
Increases wakefulness and cuts deep and REM sleep.
Taken 6 h before bed, still cut sleep by more than 1 hour.
๐ฉบ WORTH CHECKING
Estimated adults aged 30โ69 worldwide with obstructive sleep apnoea.
A strongly recommended treatment for chronic insomnia.
7 Common Reasons You Wake Up at Night
Most night waking has an everyday cause you can change.
- 1
Alcohol in the evening
Alcohol can help you drop off, but research shows it disrupts sleep in the second half of the night.[2] That is why a drink at dinner can mean waking at 3 am. Keep it moderate and well before bed.
- 2
A warm or humid bedroom
Heat exposure increases wakefulness and reduces deep sleep and REM sleep, and humid heat adds to the effect.[3] A cooler room and lighter bedding often help.
- 3
Caffeine later in the day
Caffeine taken even 6 hours before bed reduced total sleep by more than 1 hour in a controlled study.[4] Check your cut-off with the Caffeine Half-Life Calculator.
- 4
Noise and light
Traffic, a partner’s snoring, a phone lighting up or early sunrise can pull you out of light sleep. Earplugs, an eye mask and blackout curtains are simple fixes โ see our sleep hygiene checklist.
- 5
An irregular schedule
Going to bed and waking at different times confuses your body clock, so the drive to stay asleep is weaker. Our guide to resetting your circadian rhythm explains how to steady it.
- 6
Stress and a busy mind
Worry can wake you and make it hard to drift back. Writing down tasks or concerns earlier in the evening can help you leave them on paper.
- 7
Breathing problems during sleep
Loud snoring, gasping or choking, or waking with a dry mouth or headache can be signs of obstructive sleep apnoea. It is very common: researchers estimated 936 million adults aged 30โ69 worldwide have it.[5] It needs a medical assessment.
What to Do When You Wake Up and Can’t Get Back to Sleep
How you respond in the middle of the night can decide whether you are awake for five minutes or two hours.
Don’t check the time. Seeing 3:12 am and calculating how many hours are left adds pressure. Turn the clock away.
Keep the lights low and screens off. If you need to get up, use dim light. Bright light and an engaging phone tell your brain it is time to be awake.
Get up if you have been awake for a while. If you feel you have been lying awake for about 20 minutes, go to another dim room and do something quiet, like reading a printed book, until you feel sleepy, then return. This stimulus-control approach is part of the behavioural treatments recommended for chronic insomnia.[6]
Use a calming focus. Slow breathing, relaxing each muscle group or picturing a calm scene gives your mind something gentle to do. Our guide on falling asleep fast covers these techniques in more detail.
Keep your wake-up time the same. After a bad night it is tempting to sleep in, but that makes the next night harder. Get up at your usual time and avoid long naps; if you need one, see the best time to take a nap.
| Instead ofโฆ | Tryโฆ |
|---|---|
| Checking the time | Turning the clock away from the bed |
| Scrolling on your phone | Reading a printed book in dim light |
| Lying in bed frustrated for an hour | Getting up and returning when sleepy[6] |
| A nightcap to get back to sleep | Avoiding alcohol close to bedtime[2] |
| Sleeping in to catch up | Keeping your usual wake-up time |
When Night Waking Needs a Doctor
Most night waking improves with better habits. Sometimes it is a sign of something that needs treatment.
Talk to a doctor if you wake up most nights and struggle to get back to sleep for several weeks, if you feel very sleepy during the day, or if someone notices you snore loudly, gasp or stop breathing in your sleep. Also speak to a doctor if night waking comes with pain, frequent trips to the toilet, low mood or anxiety, or started with a new medicine.
For long-lasting insomnia, a clinical practice guideline recommends cognitive behavioural therapy for insomnia (CBT-I) โ a structured programme that includes stimulus control and sleep restriction.[6] Suspected sleep apnoea needs a proper assessment, often with a sleep study.
Check how much sleep you are missing with the Sleep Debt Calculator and how efficiently you sleep with the Sleep Efficiency Calculator, and compare with how much sleep you need.
This guide is for general education about healthy sleep. It is not a diagnosis or a treatment plan, and it does not replace advice from a qualified healthcare professional.
๐ How Well Are You Sleeping?
Measure the time you actually spend asleep in bed.
Frequently Asked Questions About Waking Up at Night
Common reasons include alcohol earlier in the evening, a warm bedroom, late caffeine, noise or light, stress and an irregular schedule. Sleep is also naturally lighter later in the night. If it happens most nights and leaves you tired, keep a sleep diary and speak to a doctor.
There is no exact number. Brief awakenings are part of normal sleep, and time awake after falling asleep tends to increase with age. It becomes a concern when wakings are long, frequent or affect how you feel during the day.
If you feel you have been awake for about 20 minutes, getting up and doing something quiet in dim light until you feel sleepy is part of recommended behavioural treatment for insomnia.
Yes. Alcohol can help you fall asleep but disrupts sleep in the second half of the night.
It can be, especially with loud snoring, gasping or choking, or daytime sleepiness. Sleep apnoea is common and needs a medical assessment.
A cool, dark and quiet bedroom, a regular sleep schedule, limiting caffeine and alcohol, and managing stress all help. For ongoing problems, cognitive behavioural therapy for insomnia is the recommended treatment.
Related Sleep Resources
Put this guide into practice with our free calculators and in-depth guides.
References & Further Reading
- Ohayon MM, et al. (2004). Meta-analysis of quantitative sleep parameters from childhood to old age in healthy individuals: developing normative sleep values across the human lifespan. Sleep, 27(7), 1255โ1273. PubMed 15586779 ยท doi:10.1093/sleep/27.7.1255
- Ebrahim IO, et al. (2013). Alcohol and sleep I: effects on normal sleep. Alcoholism: Clinical and Experimental Research, 37(4), 539โ549. PubMed 23347102 ยท doi:10.1111/acer.12006
- Okamoto-Mizuno K, Mizuno K. (2012). Effects of thermal environment on sleep and circadian rhythm. Journal of Physiological Anthropology, 31, 14. PubMed 22738673 ยท doi:10.1186/1880-6805-31-14
- Drake C, et al. (2013). Caffeine effects on sleep taken 0, 3, or 6 hours before going to bed. Journal of Clinical Sleep Medicine, 9(11), 1195โ1200. PubMed 24235903 ยท doi:10.5664/jcsm.3170
- Benjafield AV, et al. (2019). Estimation of the global prevalence and burden of obstructive sleep apnoea: a literature-based analysis. Lancet Respiratory Medicine, 7(8), 687โ698. PubMed 31300334 ยท doi:10.1016/S2213-2600(19)30198-5
- Edinger JD, et al. (2021). Behavioral and psychological treatments for chronic insomnia disorder in adults: an AASM clinical practice guideline. Journal of Clinical Sleep Medicine, 17(2), 255โ262. PubMed 33164742 ยท doi:10.5664/jcsm.8986