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Understanding and Addressing Teen Insomnia Disorder: A Parent’s Guide 

Written by Evolve's Behavioral Health Content Team​:

Alyson Orcena, LMFT, Melissa Vallas, MD, Shikha Verma, MD, Ellen Bloch, LCSW, Lianne Tendler, LMFT, Megan Johnston, LMFT

Meet The Team >

Adolescence is a critical time of development, bringing with it physical, emotional, and psychological changes. Teen insomnia disorder can stunt that development and significantly affect a teenager’s daily life, impacting their mood, energy levels, and overall well-being. As a parent, understanding teen insomnia disorder, its causes, symptoms, and potential treatments is crucial in providing the necessary support and intervention. The guide below will equip you with the knowledge and resources needed to address and manage teen insomnia disorder effectively.

Understanding Insomnia Disorder in Teens

Insomnia disorder is characterized by a persistent difficulty in falling asleep, staying asleep, or experiencing non-restorative sleep, despite having the opportunity for adequate sleep. Teenagers with insomnia disorder often find themselves lying awake at night, tossing and turning, unable to switch off their active minds. Insomnia causes can vary, ranging from biological factors, such as hormonal changes during puberty, to psychological factors like stress and anxiety.

Causes and Risk Factors for Insomnia in Adolescents

Obviously, there is a relationship between anxiety and sleep, with heightened stress levels potentially leading to sleepless nights. Social pressures, academic demands, and an increased exposure to technology can further exacerbate insomnia symptoms. Parents should be aware that certain medical conditions and medications can also be potential insomnia causes.

Can puberty cause sleep problems? Absolutely. The hormonal shifts that occur during puberty can disrupt a teenager’s natural sleep-wake cycle, contributing to sleep problems. 

Teenagers and Technology: How Screen Time Affects Sleep

Unfortunately, the constant use of technology among teenagers can impact their sleep quality. Excessive screen time, especially during the evening hours, can expose teens to too much blue light, which can interfere with the natural sleep-wake cycle. Parents can encourage the responsible use of technology and enforce screen-free times to promote better sleep.

Peer Pressure, Stress, and Insomnia: Navigating Adolescence

Adolescence is fraught with peer pressure and stress, which can contribute to insomnia disorder. Parents should be vigilant and provide guidance on managing stress and resisting negative peer influences, fostering resilience and promoting healthy coping mechanisms.

Recognizing the Signs and Symptoms of Teenage Insomnia Disorder

Teenagers may not be willing to open up about the fact that they can’t sleep, but insomnia disorder may exhibit telltale signs and symptoms. Being attentive to these changes may be helpful in identifying teen insomnia disorder and seeking appropriate intervention:

Difficulty Falling Asleep: Teens with insomnia may lie awake for a long time before falling asleep. If you see your teen’s light on very late at night, they may not be able to fall asleep.

Frequent Wake-Ups During the Night: They might wake up during the night and have trouble going back to sleep.

Early Morning Awakenings: They may wake up too early in the morning and be unable to fall back asleep.

Non-Restorative Sleep: Even after a full night’s sleep, they might not feel rested or refreshed.

Fatigue or Low Energy During the Day: Insomnia can lead to feeling tired, fatigued, or having low energy levels throughout the day.

Mood Disturbances: Irritability, depression, or anxiety can be associated with insomnia.

Difficulty Concentrating: They might have trouble paying attention, focusing on tasks, or remembering things.

Decreased Performance in School or at Work: Insomnia can negatively impact a teen’s academic or work performance.

Behavior Problems: There might be an increase in errors or accidents.

Ongoing Worries About Sleep: Teens might worry about their inability to sleep, which can contribute to the cycle of insomnia.

Changes in Appetite: There could be changes in eating patterns or appetite.

Physical Symptoms: Headaches, gastrointestinal symptoms, and other physical issues can be associated with lack of sleep.

Social and Relationship Problems: Insomnia can affect a teen’s relationships with family and friends.

Use of Substances to Aid Sleep: Some teens might start using over-the-counter sleep aids, prescription medications, alcohol, or other substances in an attempt to help themselves sleep.

Decreased Motivation or Energy: They may show less interest in activities they used to enjoy.

Sleep Anxiety: Anxiety about sleep itself can become a problem. “Sleep anxiety” is a form of performance anxiety that can make going to sleep even more difficult and stressful. 

If you notice these signs in your teen, it is important to consult with a healthcare professional. Treatment for insomnia may include cognitive-behavioral therapy for insomnia (CBT-I), changes in sleep hygiene, and in some cases, medication. Professional help can also address any underlying issues, such as stress, anxiety, or depression, that may be contributing to insomnia.

Impact of Insomnia on Teenagers’ Physical and Mental Health

Insomnia disorder can have profound effects on a teenager’s physical and mental health. The connection between insomnia and teen suicide is a grave concern, with sleep deprivation potentially increasing vulnerability to depressive thoughts and behaviors. Furthermore, how sleep affects mental health is evident in the relationship between insomnia and heightened anxiety levels. Physically, a lack of sleep can lead to a weakened immune system, making teenagers more susceptible to illnesses.

Teenage Insomnia and Its Relationship with Academic Performance

Teen insomnia disorder can also negatively impact a teenager’s academic performance. The lack of restorative sleep can lead to difficulties in concentration, memory, and cognitive function, all of which are vital for academic success. Parents and educators should be alert to the signs of insomnia in students and provide the necessary support to mitigate its impact on education.

The Social and Emotional Challenges of Teen Insomnia

Additionally, teen insomnia disorder can pose various social and emotional challenges. Teenagers may experience feelings of isolation, frustration, and low self-esteem as a result of their sleep struggles. Providing a supportive and understanding environment, alongside encouraging engagement in social activities, can help in navigating these challenges.

Diagnosis and Assessment of Insomnia in Adolescents

If you suspect that your teenager is struggling with insomnia disorder, seek a professional diagnosis and assessment. Healthcare providers may conduct thorough evaluations, potentially involving sleep studies, to determine the presence and severity of insomnia. These assessments help in formulating an appropriate teenage sleep problems treatment plan tailored to the individual needs of the teenager.

Lifestyle and Behavioral Strategies for Managing Teen Insomnia

Managing teen insomnia often involves making changes to lifestyle and bedtime routines. Here are some strategies that may help:

1. Establish a Regular Sleep Schedule:

Encourage your teen to go to bed and wake up at the same time every day, even on weekends. Limit the difference in sleep schedule on school nights and weekends to no more than one hour.

2. Create a Bedtime Routine:

Develop a calming pre-sleep routine to unwind before bed, such as reading, taking a warm bath, or practicing relaxation exercises.

3. Create a Sleep-Conducive Environment:

Ensure the bedroom is dark, quiet, and cool. Consider using blackout curtains, earplugs, or white noise machines if necessary. Make sure the mattress and pillows are comfortable.

4. Limit Exposure to Screens Before Bed:

Encourage your teen to turn off electronic devices at least one hour before bedtime.

The blue light emitted by phones, tablets, computers, and TVs can interfere with the body’s ability to prepare for sleep.

5. Be Mindful of Food and Drink:

Avoid large meals, caffeine, and nicotine before bedtime. Encourage a light, healthy snack if your teen is slightly hungry.

6. Get Regular Physical Activity:

Encourage regular exercise for better sleep, but not right before bedtime.

7. Manage Stress:

Encourage stress management techniques such as deep breathing, meditation, or yoga.

Consider talking to a counselor or therapist if your teen is dealing with significant stress or anxiety.

8. Limit Naps:

If your teen takes naps, try to limit them to 20-30 minutes and not late in the afternoon.

9. Get Sunlight Exposure:

Encourage exposure to natural sunlight during the day, as it helps regulate sleep patterns.

10. Encourage a Wind-Down Period:

Encourage quiet activities in the hour before bedtime to help wind down.

11. Address Sleep-Interfering Thoughts:

Encourage your teen to write down any worrying thoughts before bed and set them aside for the next day.

12. Be Consistent with Wake-Up Times:

Even if your teen has a bad night of sleep, encourage them to get up at the usual time rather than sleeping in.

13. Limit Caffeine and Stimulants:

Pay attention to your teen’s consumption of caffeinated beverages and foods, and try to limit them, especially in the afternoon and evening.

14. Be Mindful of Medications:

Some medications can interfere with sleep, so consult with a healthcare provider if your teen is taking any.

15. Seek Professional Help if Needed:

If insomnia persists or significantly impacts your teen’s daily life, seek help from a healthcare professional.

Tips for Parents and Caregivers: Supporting Teens with Insomnia

Support from parents and caregivers is instrumental in helping teenagers navigate through insomnia disorder. Follow the steps above and maintain an open line of communication. Being empathetic to their struggles and fostering a supportive home environment are key. 

The Importance of Seeking Professional Help for Teenage Insomnia

When teen insomnia disorder significantly impacts a teenager’s daily functioning, seeking professional help is crucial. Insomnia treatments, including cognitive-behavioral therapy and medication when necessary, can provide relief and improve sleep quality. At Evolve, we provide treatment for teens that’s tailored to their specific needs. Reach out to us to learn more about how we can help. 

Seeking Professional Help for Teenage Insomnia Disorder

There are major benefits of sending your teen to residential treatment for insomnia disorder. Evolve Treatment Centers offer comprehensive treatment programs tailored for teenagers, providing holistic support to address insomnia and its associated challenges.

Get the Support You and Your Teen Need

More resources for parents are available now than ever before, providing guidance and support through this challenging time, and sending your teen to residential treatment can provide a structured environment conducive to recovery. Don’t hesitate to seek help and get the support you and your teen need to overcome insomnia disorder and pave the way for healthier sleep and a brighter future.

Frequently Asked Questions About Insomnia Disorder in Teens

How common is insomnia among teenagers?

Insomnia is relatively common among teenagers, with various studies indicating that a significant percentage of adolescents experience sleep problems.

Are there different types of insomnia in adolescents?

Yes, insomnia in adolescents can be categorized into different types, including sleep-onset insomnia (difficulty falling asleep) and sleep-maintenance insomnia (difficulty staying asleep).

How can parents differentiate between typical sleep problems and insomnia in teenagers?

Typical sleep problems are often temporary and may resolve on their own, whereas insomnia disorder is characterized by persistent sleep difficulties that occur at least three nights a week and last for at least three months.

Is it possible for teenagers to outgrow insomnia naturally?

While some teenagers may outgrow insomnia as they mature, others may require intervention to address and manage their sleep problems effectively.

Are there any medical conditions that can cause insomnia in adolescents?

Yes, various medical conditions, including sleep apnea, restless legs syndrome, and mental health disorders, can contribute to insomnia in teenagers.

Can medications be used to treat insomnia in teenagers?

Medications can be used as part of a comprehensive treatment plan for teen insomnia, but they are typically considered only after non-pharmacological treatments have been explored.

What are some effective non-pharmacological treatments for teen insomnia?

Cognitive-behavioral therapy, relaxation techniques, and lifestyle modifications are examples of non-pharmacological treatments that can be effective in managing teen insomnia.

How long should a teenager sleep each night, and how does this vary by age?

Teenagers generally require 8-10 hours of sleep per night, though individual needs may vary.

Can poor sleep habits during adolescence lead to long-term sleep problems in adulthood?

Yes, poor sleep habits during adolescence can contribute to persistent sleep problems and increase the risk of developing chronic insomnia in adulthood.

What role does caffeine consumption play in teen insomnia?

Caffeine is a stimulant that can interfere with sleep, and excessive consumption, especially in the afternoon and evening, can contribute to insomnia in teenagers.

Are there specific foods that can improve sleep in teenagers?

While no specific foods guarantee improved sleep, a balanced diet and avoiding heavy or large meals before bedtime can promote better sleep.

Can cognitive-behavioral therapy (CBT) help treat teen insomnia?

Yes, CBT is considered an effective treatment for insomnia, helping to address the thoughts and behaviors that contribute to sleep difficulties.

What are the consequences of untreated insomnia in teenagers?

Untreated insomnia in teenagers can lead to a range of negative outcomes, including poor academic performance, increased risk of mental health disorders, and impaired physical health.

Are there any natural remedies or supplements that can aid in teenage sleep?

While some natural remedies and supplements are marketed as sleep aids, their efficacy and safety have not been consistently proven, and consultation with a healthcare provider is recommended before their use.

Can excessive napping during the day contribute to insomnia at night in teenagers?

Yes, excessive daytime napping can disrupt a teenager’s sleep-wake cycle and contribute to difficulties falling asleep at night.

How can schools support students who are experiencing insomnia?

Schools can play a supportive role by providing accommodations, raising awareness about the importance of sleep, and promoting healthy sleep habits.

What is the recommended bedtime routine for teenagers to prevent insomnia?

A consistent and relaxing bedtime routine, including activities such as reading or gentle stretching, can help signal to the body that it is time to wind down and prepare for sleep.

Can hormonal changes during adolescence affect sleep patterns?

Yes, hormonal changes during adolescence can shift a teenager’s natural sleep-wake cycle, leading to later bedtimes and potential difficulties in morning wakefulness.

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