“After get off work, I scroll through my phone until 2am, feeling sleepy but unable to fall asleep”? You may not be procrastinating, but your rhythm may be disrupted

1. “ Looking tired, but unable to fall asleep when lying down ” : This is not laziness, but a misalignment of biological rhythms

In a healthy state, human sleep is coordinated by two major systems:

•       Circadian system (melatonin regulation) : controls when you feel sleepy

•       Wakefulness maintenance system (orexin regulation) : controls when to " stay awake "

Common factors affecting high-pressure working life:

•       Work + commuting stimulates delayed melatonin secretion

•       Continuous use of mobile phones and tablets after get off work causes blue light to affect sleepiness

•       The pressure is not relieved and the arousal system is still in an excited state

📌 This means that even if you are physically tired, you are unable to trigger the " sleep start command " .

 

2. Suvorexant: It is not a sedative, but a scientific sleep-aiding mechanism that “ persuades wakefulness ”

Suvorexant is a type of orexin receptor antagonist ( ORAs ) with a completely different mechanism of action from traditional sleeping pills:

•       It is not to forcibly calm the nerves, but to accurately block the awakening signal

•       Turn off your brain before bedtime to naturally create a sleeping rhythm

•       Does not affect cognition or cause morning sluggishness

•       Can be used long-term or periodically without dependence ( Sun et al., 2021 )

Clinical data show:

•       The average bedtime is 20 to 25 minutes earlier

•       Reduce nighttime awakenings by more than 50%

•       There was no decrease in attention and reaction speed on the second day ( Michelson et al., 2014 )

 

3. People who procrastinate on falling asleep: They need not only medicine but also habit adjustment

It is recommended that suvorexant be combined with the following interventions:

Intervention	Suggested content
📱 Limit blue light	Stop using your phone one hour before bedtime and use a blue light filter or night mode
🕰️ Fixed sleep window	Try to go to bed at the same time even on weekends to reset your body clock
🧠 Relieve brain excitement	Avoid work emails or highly stimulating information (such as short videos) before going to bed
💤 Phased medication	Using Suvorexant for 1-2 weeks can help the brain build "sleep memory"

📌 The key is not " relying on medicine to fall asleep " but " using medicine to rebuild the ability to fall asleep. "

 

4. Which group of people is this type of insomnia particularly common among?

•       Workers who get off work late and do mental work

•       People with high brain pressure such as Internet, design, finance, etc.

•       Those who have long believed that “ the night is their only free time ”

•       Those who cannot fall asleep independently during the initial stage of CBT-I

•       Those with strong self-discipline but severe rhythm disorder

 

Conclusion: It’s not that you can’t sleep, but that your brain is not ready to rest

Stop blaming yourself for " staying up until 2 a.m. " and stop believing that " willpower can make you sleepy. " When rhythm disorder and overexcitement of the brain are the main causes, what you need is not to force yourself, but scientific adjustment . The new generation of sleep aid represented by Suvorexan does not anesthetize you, but guides you to feel sleepy again and restart the ability to fall asleep naturally . It does not control your sleep, but helps you remember how to sleep.

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