What Should You Do If You Can’t Fall Asleep?

If you’re lying awake right now, the single most effective thing you can do is get out of bed. It sounds counterintuitive, but staying in bed while frustrated trains your brain to associate the bed with wakefulness. Go to another room, do something quiet and unstimulating, and return only when you feel genuinely sleepy. This technique is the foundation of the most effective insomnia treatment in existence, and it works whether your sleeplessness is a one-time thing or an ongoing problem.

The 20-Minute Rule

If you’ve been trying to fall asleep for roughly 15 to 20 minutes, get up. Don’t check the clock obsessively to time it. If it feels like it’s been a while and you’re not drifting off, that’s your cue. Move to a different room, keep the lights dim, and do something low-key: flip through a boring book, fold laundry, listen to a calm podcast. The key is avoiding anything with a screen or anything that gets your mind revving. When your eyelids start to feel heavy, go back to bed.

If you get back in bed and still can’t sleep, repeat the process. You may need to do this two or three times in one night. That’s fine. Over a few nights, this retrains your brain so that climbing into bed triggers drowsiness instead of anxiety about whether you’ll fall asleep.

Calm Your Body First

When you can’t sleep, your nervous system is often stuck in a slightly activated state, even if you don’t feel anxious. A breathing technique developed at Stanford called cyclic sighing can shift you out of that state in a few minutes. Here’s how it works: breathe in through your nose until your lungs feel comfortably full. Then take a second, shorter sip of air to expand your lungs as far as they’ll go. Slowly exhale through your mouth until every bit of air is gone. Repeat this cycle for about five minutes. The extended exhale activates the calming branch of your nervous system and lowers your heart rate more effectively than equal-length breathing or meditation.

Quiet a Racing Mind

If thoughts keep looping, you need to give your brain something to do that’s just engaging enough to interrupt the loop but too boring to keep you awake. A technique called cognitive shuffling does exactly this.

Pick a random letter, say “B.” Now visualize unrelated objects that start with that letter: a banana, a bicycle, a bridge, a blanket. Spend a few seconds picturing each one in detail before moving on. The images should be emotionally neutral and have nothing to do with each other. When you run out of B words, move to another letter. A more advanced version: pick a word like “garden,” then think of a word starting with each letter (giraffe, apple, river, duck, elephant, nest) and visualize each one vividly. Adding sensory detail helps. Don’t just picture a beach; hear the waves, feel the sand. This works because your brain can’t simultaneously generate random imagery and sustain a coherent worry narrative. Most people fall asleep within a few minutes.

What to Avoid Tonight

If you drank coffee in the afternoon, that may be your problem. Caffeine has a long half-life, meaning half of it is still circulating in your blood five to six hours after you drink it. A standard cup of coffee should be consumed at least 8 to 9 hours before bedtime to avoid cutting into your total sleep. Higher-caffeine drinks like pre-workout supplements need a buffer of 13 hours or more. Even when caffeine doesn’t prevent you from falling asleep, it reduces deep sleep by about 11 minutes per night, which can leave you feeling unrested the next day.

Alcohol is the other common culprit. It makes you drowsy at first by boosting the activity of calming brain chemicals, which is why a nightcap seems like it helps. But as your body metabolizes the alcohol, this effect reverses. In the second half of the night, sleep becomes fragmented, with more periods of light sleep and wakefulness. Alcohol also suppresses REM sleep, the stage most important for memory consolidation and emotional processing. Even moderate drinking in the evening can leave you wide awake at 3 a.m.

Set Up Your Room for Sleep

Your bedroom temperature matters more than most people realize. The optimal range for sleep is around 66 to 70°F (19 to 21°C). Your body needs to drop its core temperature slightly to initiate sleep, and a cool room helps that process along. If your room is too warm, you’ll toss and turn even if nothing else is wrong.

Light is the other factor worth addressing tonight. Your brain’s sleep hormone is extremely sensitive to light exposure. Even dim light at the level of a table lamp can suppress its production. Blue light from phones and laptops is especially disruptive, suppressing this hormone for about twice as long as other light wavelengths and shifting your internal clock by up to three hours. If you’re scrolling your phone in bed, you’re actively telling your brain it’s daytime. In the hour before bed, switch to dim, warm-toned lighting and put screens away.

Build Better Sleep Habits

If you can’t sleep on a regular basis, the nightly fixes above will help, but the real leverage comes from a few consistent habits. Wake up at the same time every day, including weekends. This anchors your internal clock more powerfully than any other single change. Avoid napping during the day, even if you’re exhausted. The sleep pressure that builds from staying awake all day is what makes falling asleep at night feel effortless. Use your bed only for sleep and sex. Working, watching TV, or doomscrolling in bed weakens the mental association between your bed and sleepiness.

These aren’t random wellness tips. They’re the core components of cognitive behavioral therapy for insomnia, or CBT-I, which is the first-line treatment recommended by every major sleep medicine organization. Unlike sleeping pills, which stop working when you stop taking them, CBT-I produces lasting changes in sleep quality by reshaping the behaviors and thought patterns that maintain insomnia.

Supplements That May Help

Magnesium is one of the better-supported natural sleep aids. It enhances the activity of calming neurotransmitters in the brain, reduces neuronal excitability, and promotes muscle relaxation by regulating calcium levels in muscle fibers. A form called magnesium bisglycinate has the added benefit of delivering glycine, an amino acid that promotes deeper sleep partly by helping lower core body temperature. A typical dose used in clinical trials is 250 mg of elemental magnesium taken 30 to 60 minutes before bed. It’s not a knockout pill; think of it more as lowering the threshold so your body can do what it already knows how to do.

When Sleeplessness Becomes Insomnia

Everyone has the occasional rough night, especially after a stressful event, a time zone change, or a disrupted routine. Acute insomnia is defined as difficulty falling or staying asleep at least three nights per week for anywhere between one week and three months, usually with a clear trigger you can point to. Most acute insomnia resolves on its own or with the behavioral strategies above.

Chronic insomnia is a different category. It’s diagnosed when sleep problems occur at least three nights per week for three months or longer, cause significant daytime impairment or distress, and persist despite having adequate opportunity to sleep. A common benchmark: if it regularly takes you 30 minutes or more to fall asleep, or you’re awake for 30-minute stretches during the night, that crosses the clinical severity threshold. Chronic insomnia rarely fixes itself and responds best to structured CBT-I, which is available through therapists, sleep clinics, and several validated digital programs.