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Why am I exhausted but cannot sleep?

Exhaustion and poor sleep can be part of burnout. Prospective studies found that burnout predicted later insomnia. According to the WHO, disturbed sleep can also be a symptom of depression and anxiety disorders. The German fatigue guideline recommends asking about both specifically.

The WHO lists disrupted sleep as a possible symptom of depression and trouble sleeping as a possible symptom of anxiety disorders. A systematic review of prospective studies in PLoS One (2017) found that burnout predicted later insomnia.

The German fatigue guideline, as summarised by AMBOSS, recommends asking about sleep and screening for depression with two short questions and asking about anxiety disorders.

The UK National Health Service (NHS) also recommends, for example, regular sleep times, a calm, dark bedroom and no screens in the hour before sleep.

What can be raised at a medical check-up about insomnia with exhaustion, meaning being tired yet awake?

  • how long falling asleep takes and how often waking occurs
  • mood and interest in the last two weeks
  • worries that come up at night
  • caffeine, alcohol and medicines

Exhaustion can have many causes, including illnesses that need treatment. For this reason a medical assessment comes before coaching, usually starting at the GP practice.

Which sources support the answer on insomnia with exhaustion, meaning being tired yet awake?

How do the questions on insomnia with exhaustion, meaning being tired yet awake connect?

Each button opens the answer.

Why am I exhausted but cannot sleep? This question Why am I exhausted but cannotsleep? Follow-up question Why do I wake up at 3 or 4 a.m.? To the answer → Follow-up question Why am I still exhausted after afull night of sleep? To the answer → Related question Why am I constantly tense,irritable and exhausted? To the answer →

The content on exburnout.com is for information and orientation. It is no substitute for a medical examination, diagnosis or treatment. In an emergency: 112 (EU), 999 (UK).

By Johannes Faupel · Certified by IGST and SG, network partner in the sysTelios network · Created on