Have sleep problems? Potential causes, patterns & home treatments
Written by Dr Nelson Lau, MBBS FRACGP, GP & Digital Health Specialist.

Contents

Summary
Struggling to fall asleep or stay asleep? Common culprits include stress, poor sleep environments, caffeine, irregular schedules, and physical discomfort. Simple home remedies like a calming bedtime routine, cutting screen time, and adjusting your sleep space can help. If insomnia persists or you're extremely fatigued during the day, it’s time to consult a doctor. Telehealth offers a convenient way to start that conversation from home.Why am I staring at the ceiling all night?
Ever lie in bed wondering why you’re wide awake while everyone else seems to be snoozing happily? Lack of sleep can wreak havoc on your mood, energy, and even physical health. Below, we’ll look at some typical culprits behind those restless nights, the patterns to watch for, and simple home strategies that might help you catch those elusive Z’s.Common causes, patterns, and home treatments
Stress & anxiety
- Pattern: Racing thoughts, heart pounding, tossing and turning because you can’t turn off your brain. Maybe you’re replaying the day’s events or worrying about tomorrow’s to-do list.
- Home treatments:
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- Wind-down ritual: Set aside 20–30 minutes before bed to do something calming: gentle stretches, breathing exercises, or journaling.
- Limit screen time: Blue light can trick your brain into thinking it’s daytime. Try to switch off phones/tablets at least half an hour before lights out.
- Stress management: If you’re anxious all day, a few deep breaths at bedtime may not cut it. Consider daily mindfulness or short meditations (even 5 minutes can help!).
Poor sleep environment
- Pattern: You might be dozing off but keep waking up if the room is too hot, too bright, or if the neighbour’s dog won’t stop barking.
- Home treatments:
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- Bedroom = Sleep sanctuary: Keep it dark, cool, and quiet. If noise is an issue, try earplugs or a white noise machine.
- Light control: Invest in blackout curtains if early-morning sunshine blasts your eyes at 6 a.m.
- Tech check: Television and gaming devices can tempt you to stay up. If possible, keep them out of the bedroom altogether.
Feeling sick and unsure why? Speak with a GP online in 15 minutes.
Caffeine or stimulants
- Pattern: You enjoy that afternoon latte but find yourself buzzing when bedtime rolls around, or you notice that if you have soda or chocolate too late, you’re restless.
- Home treatments:
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- Cut down gradually: If you love coffee, consider switching to decaf after lunch.
- Track your intake: Keep a mini journal to see if you’re sneaking in more caffeine than you realize—tea, chocolate, energy drinks, etc.
- Hydrate with water: Sometimes we just need a different warm beverage at night (herbal tea, for instance).
Irregular schedules
- Pattern: Shifting bedtime daily, jet lag, or working night shifts can throw off your circadian rhythm. You might find it tough to fall asleep at the “normal” hour if your body clock is all over the place.
- Home treatments:
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- Stick to a routine: Try waking up and going to bed at the same time every day—even weekends if possible.
- Sunlight by day: Natural light in the morning can help reset your internal clock.
- Avoid long naps: If you’re exhausted, a short power nap might help, but napping for hours can make nighttime sleep elusive.
Physical discomfort or health issues
- Pattern: Back pain, heartburn, or frequent bathroom trips that jolt you awake. Or conditions like restless legs syndrome that make lying still uncomfortable.
- Home treatments:
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- Pillows & bedding: A supportive mattress or a different pillow height can reduce aches.
- Diet tweaks: Avoid large meals or spicy foods close to bedtime if heartburn is an issue.
- Gentle stretching: If you have restless legs, try a light leg stretch or a warm bath before bed.
Overstimulation before bed
- Pattern: Late-night exercise or intense gaming sessions can spike adrenaline, leaving you revved up when you should be winding down.
- Home treatments:
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- Timing workout: Morning or early afternoon workouts might be better for sleep if late-night cardio winds you up.
- Relaxing activities: Swap that action movie for a mellow podcast or soothing music.
- Set a “digital sunset”: Decide on a cutoff time for high-stimulation activities (including scrolling social media).
Cause | Pattern | Home Treatments |
---|---|---|
Stress & anxiety | Racing thoughts, heart pounding, can’t switch off your brain. | - Wind-down routine: stretches, journaling - Limit screens before bed - Try mindfulness or meditation during the day |
Poor sleep environment | Waking up due to noise, light, heat. | - Keep room cool, dark, quiet - Use earplugs/white noise - Use blackout curtains, remove tech |
Caffeine or stimulants | Restlessness after afternoon coffee, soda, or chocolate. | - Switch to decaf after lunch - Track intake (coffee, tea, choc) - Try herbal tea or warm water instead |
Irregular schedules | Trouble sleeping at usual times due to shift work, jet lag, or inconsistent bedtime. | - Stick to regular sleep/wake times - Get morning sunlight - Avoid long naps |
Physical discomfort/health | Pain, heartburn, restless legs, frequent bathroom trips. | - Use supportive bedding - Avoid heavy/spicy meals late - Try light stretching or a warm bath |
Overstimulation before bed | Gaming, workouts, or action shows too close to bedtime make it hard to unwind. | - Exercise earlier in the day - Swap screen time for calm activities - Set a digital sunset (no high-stimulation activity before bed) |
When to call the doctor?
- Chronic insomnia (More than a few weeks): If you’re regularly struggling to fall or stay asleep for an extended period, a GP or sleep specialist can help identify deeper causes—like sleep apnoea, depression, or thyroid issues.
- Excessive daytime sleepiness: If you’re dozing off at work, behind the wheel, or can’t function because you’re so tired, that’s a big flag.
- Physical pain or other symptoms: If you suspect an underlying condition (e.g., restless legs, severe reflux) that’s messing with your sleep, definitely reach out for medical advice.
How can telehealth help?
- Initial consult: You can chat with a GP online about your sleep struggles, patterns, and possible triggers. It’s convenient—no commute needed, which is a plus when you’re tired.
- Medical certificates 24/7: Tired from no-sleep? Get rest by requesting for a medical certificate online in Australia within 15 minutes.
- Prescription support: Hola doctors can issue an online script if needed and have it sent directly to your phone.
- Follow-up appointments: If a doctor wants you to track your sleep or try a specific routine, you can update them via video call without heading to the clinic.
- Online GP referrals Australia: If they suspect something like sleep apnoea, they might refer you to a sleep lab or specialist. But telehealth can be a handy first step.
Final thoughts
A good night’s rest is more than just feeling alert in the morning; it’s crucial for your mental health, immune system, and overall well-being. Whether stress, diet, or an irregular schedule is keeping you up, it’s worth experimenting with small lifestyle tweaks to see if they make a difference. If your troubles persist—or if you’re dealing with red-flag symptoms—your GP or a sleep specialist is the next stop. And consider the convenience of telehealth for those first steps.Need time off to recover? Get your medical certificate online within 15 minutes.
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Disclaimer
This content is created for informational purposes only. It is not intended to be a substitute for professional medical advice. Always seek the guidance of your doctor or other qualified health professional with any questions you may have regarding your health or a medical condition. For emergencies please immediately contact 000.
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Get affordable healthcare on your terms, with quick access to qualified, Australian-registered telehealth doctors & health practitioners, 24/7, 365 days a year. No more searching for ‘doctors near me‘ – Hola connects you instantly.
Call 000 for emergency or urgent medical help.
Address: 79 St Georges Terrace, Perth WA 6000
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