"My sleep problem is not just that I can't fall asleep, but that I stay awake all night in anxiety" - This type of drug is really effective
1. Anxiety-related insomnia: Your brain is “ working overtime at night ”
The most typical symptoms of anxiety-type insomnia include:
• Difficulty falling asleep: The more you want to fall asleep quickly, the more awake you become
• Shallow sleep, frequent dreams, and frequent night awakenings
• Every time I wake up at night, I have racing thoughts, even palpitations and irritability.
• Sleep becomes a " psychological burden " , and the next day is worse
📌 This is not a mental problem, but an overactive arousal nervous system (orexin pathway) , which keeps you " alert " at night and prevents you from entering deep relaxation and restoration.
2. Why are traditional sleeping pills " useless " or even " worse " for you?
Traditional sleeping pills (such as diazepam, zopiclone, zolpidem, etc.) work by activating GABA-A Receptors achieve a sedative effect. Although it can quickly make you " fall asleep " , common problems for anxiety-type insomnia include:
• The body is calm, but the brain is still working anxiously
• It is easy to disrupt the deep sleep structure ( N3 stage), and the fatigue after sleeping is stronger
• Tolerance and dependence, anxiety + fear of drugs double pressure
• Rebound insomnia after stopping medication, causing psychological trauma
What you need is not to " black out " your memory, but to let your brain truly learn to " shut down " .
3. ORAs : Not painkillers, but sleep tools that “ regulate the system ”
Orexin receptor antagonists ( ORAs ) such as suvorexant, leborexant, and darilexant do not act on the GABA system and do not directly provide sedation, but instead:
• Inhibits wakefulness signaling ( OX1R/OX2R )
• Gently reduce brain alertness
• Let you enter the physiological state of " sleep " on your own
• Can preserve normal sleep structure and maintain deep restorative sleep
📌 Research confirms that:
• Sun et al., 2021 : No rebound anxiety or insomnia after long-term use of Suvorex
• Muehlan et al., 2022 : Dalelesin can effectively increase the proportion of deep sleep and does not affect cognition the next day
• Ueno et al., 2022 : Lebrosin showed the advantages of faster falling asleep and fewer night awakenings in people with anxiety-type insomnia
4. Recommended usage scenarios: These conditions require scientific intervention
• I lie down for several nights and my mind ca n't stop
• Light sleep, frequent dreams, waking up several times in the middle of the night
• Mood swings and difficulty concentrating during the day
• Fear of " addiction " and " inability to stop taking " medication
These are not " you are too sensitive " or " you have poor willpower " , but there is something wrong with your physiological rhythm.
✅ ORAs can be used during periods of stress (such as seasonal anxiety, postpartum anxiety, job changes, etc.)
✅ Or use CBT-I (cognitive behavioral therapy) as a rhythm restoration tool
✅ Safe, non-dependent, and non-rebound, it helps you “ sleep soundly and wake up easily ” .
Conclusion: It’s not that you can’t do it, it’s that your brain needs an “ adjustment key ”
For anxious insomniacs, the most painful thing is not " not being able to fall asleep " , but " I tried hard, but was still stuck awake late at night " . Traditional sleeping pills cannot really solve this problem. ORAs do not suppress, but restore your rhythm.
You deserve a way to improve your sleep in a sustainable way without losing your sense of control . It won't make you fall asleep, it will only help you find the self who can sleep peacefully.
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