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Insomnia in Teens: Causes, Symptoms, and Treatment

Teen sits awake in a dark bedroom, holding her head in exhaustion, illustrating insomnia in adolescents.

Do you suspect your teenager struggles to fall and stay asleep? If you do, talk to them and seek professional intervention upon their confirmation. While insomnia may affect teens differently, its primary symptoms are difficulty falling (or staying) asleep or waking up too early. The condition is more prevalent in teens, with 34.5% of participants in a former study reporting related symptoms. 

At Nexus Teen Academy, we promote positive teen development and well-being by diagnosing, treating, and managing several issues specific to teen behavioral health. We also share valuable insights to promote early identification of teen challenges by educators, caregivers, and teenagers. Through this blog, we will explore the causes of teen insomnia, common signs to look out for, its most effective treatments, and the associated potential risks if left untreated. Contact us for professional treatment and support if your teenager has sleep difficulties. 

Common Causes of Insomnia in Teenagers

Teenager lies in bed under covers, staring at a glowing phone screen late at night.

Understanding the root causes of teen insomnia can help with prevention and timely treatment. It is commonly attributed to biological, psychological, behavioral, lifestyle, environmental, and medical factors. Below is an in-depth breakdown of every factor: 

Biological Factors

Biological factors can trigger teen insomnia in the following ways: 

  • Puberty causes a natural shift in the circadian rhythm, or internal clock. This may lead to a delayed sleep phase, where teens feel more awake at night and sleepier later in the morning or during the day. 
  • Teenagers release melatonin, the sleep-promoting hormone, later at night (compared to children or adults). As a result, some struggle to fall asleep during regular sleeping hours.

Psychological Causes

Common psychological causes of teen insomnia include: 

  • Mental health issues like teen depression or anxiety.
  • Overthinking life, school, and social relationships at night. 
  • Mental restlessness (leads to racing thoughts and diminished ability to wind down at night).

Behavioral and Lifestyle Causes

Teenagers’ behaviors or way of life may affect their sleep quality and duration. For example: 

  • Teenagers who scroll their phones late at night, play video games late, or consume excessive amounts of caffeine may overstimulate their brains, preventing them from falling or staying asleep.
  • Inconsistent sleep schedules (such as sleeping in or staying up late on weekends) can negatively affect the body’s sleep rhythm, leading to issues. 

Environmental Triggers

Sleep problems may also stem from a teenager’s environment, as shown below: 

  • Constant noise or frequent family conflicts may disrupt a teenager’s sleep patterns or prevent them from falling or staying asleep. 
  • Teens may study late into the night to meet parental expectations or academic pressure, disrupting their sleep patterns. 

Medical Conditions and Sleep Disorders

Teen insomnia may arise from certain medications (as a side effect) or underlying health conditions. For example, teens with apnea or restless leg syndrome often struggle with sleep. Treat such conditions early to protect your teenager from prolonged sleep difficulties.

Signs and Symptoms of Insomnia in Teens

Teen lies awake in bed, wide-eyed and restless, unable to fall asleep.

To identify teen insomnia, check how your teen behaves during the day or at night. You should also monitor their emotions and academic performance. Below are the common signs and symptoms of insomnia in adolescents. 

Nighttime Symptoms

Teens struggling with insomnia may experience the following at night: 

  • Struggle to fall asleep despite feeling exhausted. 
  • Waking up several times during the night. 
  • Restlessly tossing and turning. 
  • Racing thoughts. 

If your teenager complains of being unable to “shut off” their brain at night, they may be dealing with insomnia. 

Daytime Symptoms

A night of inadequate sleep translates to a tiresome day. Most adolescents with insomnia experience the following during the day:

  • Daytime sleepiness. 
  • Lack of energy or willpower. 
  • Increased irritability. 
  • Visible lack of focus. 
  • Difficulties staying awake in class. 

Does your teen complain of frequent headaches during the day? Schedule an appointment with us, as they are probably struggling with insomnia.

Emotional and Academic Impacts

Insomnia can wreak havoc on teenagers’ emotions, making them grumpy, sad, or frustrated. Watch out for consistent mood swings, noticeable frustration, and increased sadness. Additionally, teens with insomnia rarely perform well in school due to decreased motivation or inadequate resilience. 

Risks of Untreated Insomnia in Teens

an image of a teen with insomnia

Insomnia can lead to complications or serious consequences if left untreated. Parents, educators, and teens should always watch out for symptoms and intervene swiftly to prevent the issues below. 

Mental Health Complications

Sleep plays a huge role in emotional regulation, cognitive functioning, and overall health. Without enough sleep, teens can become more vulnerable to severe mental health struggles, such as suicidal thoughts, anxiety, and depression. 

Academic and Social Consequences

Sleep deprivation always creeps into a teenager’s school and social life, making them unable to keep up socially or academically. Teens may cut off their close social relations, lose interest in school, or constantly be at odds with parents or teachers due to depression-induced irritability, apathy, mood swings, hopelessness, or recklessness. 

Physical Health Risks

The body needs rest to function normally. Inadequate sleep may weaken the immune system, lead to weight gain, and increase the appetite for unhealthy foods. It can also heighten the risk of chronic health challenges like heart disease and diabetes. 

How to Treat Insomnia in Teens

Teen insomnia is a treatable condition. Treatment professionals mostly use multiple interventions, including healthy lifestyle changes. In some instances, they may even administer medications. Below are the standard methods used in insomnia treatment. 

Behavioral Strategies and Sleep Hygiene

A fundamental requirement in insomnia management is practicing good sleep hygiene. For positive results, teens with insomnia should: 

  • Keep a consistent sleep schedule, including during the weekends. 
  • Create a relaxing bedtime routine. 
  • Maintain a dark, quiet, and relaxing sleep environment. 
  • Turn off screens at least an hour before bed. 

Cognitive Behavioral Therapy for Insomnia (CBT-I)

Therapeutic techniques help address different mental health conditions. Treatment professionals can tailor Cognitive Behavioral Therapy (CBT) to address insomnia, giving rise to CBT-I. Benefits of CBT-I include: 

  • It can help minimize nighttime anxiety. 
  • It can help teenagers identify and challenge unhelpful beliefs regarding sleep. 
  • It can help teens develop better habits. 

If properly administered, CBT for teen sleep problems has high success rates. It does not usually require medication. 

Lifestyle Adjustments

Daily routines matter when managing teen insomnia. Here are a few recommended adjustments:

  • Basking in the morning sun to reset the internal clock. 
  • Minimizing caffeine intake, especially in the afternoon. 
  • Regularly engaging in physical activity. 

When Medications Might Be Needed

Most sleep problems can be resolved through behavioral interventions, therapy, or lifestyle adjustments. However, certain instances, such as the following, require medication: 

  •  Chronic or severe insomnia. 
  • When the insomnia is tied to or occurs alongside another condition. 

Medications should only be used as a last resort. They must be prescribed, administered, and adjusted by a qualified doctor or psychiatrist. 

The Role of Professional Support

Professional support can be life-changing for teens with psychological issues. Treatment professionals play the following roles in teen insomnia management: 

  • Diagnosing and treating underlying mental health issues like depression and anxiety. 
  • Tailoring and administering evidence-based therapies. 
  • Helping teens establish healthy routines
  • Identifying and helping teens incorporate positive lifestyle adjustments. 
  • Monitoring progress and adjusting treatment. 
  • Prescribing medication if necessary. 
  • Offering teens a safe space to express and manage stress. 

How Teen Holistic and Behavioral Health Treatment at Nexus Teen Academy Helps Teens Rest, Recover, and Thrive

Teen insomnia may be challenging to manage, but it is treatable. At Nexus Teen Academy, we recognize understand the role of sleep in teen development, cognition, and overall wellness. Our qualified team of specialists offers personalized, evidence-based care to help teens manage stress, build healthy routines, and improve their sleep patterns. We use tailored interventions to assess teenagers and determine the right level of care before all the stakeholders in personalized treatment plan development. 

Don’t let your teenager suffer a day more. Contact us to learn more about our behavioral health treatment and how it can help with your teen’s insomnia.for professional insomnia treatment and support. 

Frequently Asked Questions (FAQs)

Teenagers may stay late chatting with friends or catching up on their favorite TV show. However, one who constantly struggles to sleep or wakes up exhausted despite spending a reasonable amount of time in bed may have insomnia. 

Adolescents should get 8-10 hours of sleep for effective development, optimal functioning, and general wellness. 

Delayed sleep phase syndrome is the natural, expected shift in a teenager’s internal clock. It often makes adolescents sleep or wake up later than usual. 

Insomnia may vanish on its own. However, chronic insomnia typically requires professional support or significant behavioral changes. 

Yes. Therapy can help your teenager sleep better by identifying and addressing the underlying psychological and emotional sleep inhibitors, such as stress, anxiety, and depression. At Nexus Teen Academy, we administer Cognitive Behavioral Therapy for Insomnia (CBT-I) to help teens manage racing thoughts, reframe negative beliefs about sleep, and develop positive sleep routines. 

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Executive Director Hannah Carr, LPC and nexus_admin