Sleep Issues: Why Yawning and Tears Don't Lead to Sleep - Neurology

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Hello doctor, my mother has been yawning and tearing up while lying in bed at night, but she just can't fall asleep.
What could be the issue?

katy, 20~29 year old female. Ask Date: 2009/10/26

Dr. Gao Chunde reply Neurology


How long has this situation been occurring? If it has been less than three months, it is classified as acute or short-term insomnia.
You may want to identify any situational factors or physical, psychological, or medication-related influences affecting your sleep.
If you can identify these factors, you can address the issues directly.
Additionally, try to avoid being near the bed when you are not feeling sleepy, and only go to bed when you are truly ready to sleep.
If you still have difficulty falling asleep, consider seeking assistance from a specialized sleep medicine clinic.

Reply Date: 2009/10/26

More Info


Yawning and tearing up while trying to sleep can be perplexing and distressing, especially when it seems like the body is signaling a need for rest but the mind refuses to cooperate. This phenomenon can be attributed to several underlying factors, both physiological and psychological.

Firstly, yawning is often associated with tiredness and the body's attempt to increase oxygen intake and regulate brain temperature. However, it can also be a response to stress or anxiety. When a person is anxious or stressed, their body may exhibit various physical symptoms, including yawning, even if they are not physically tired. This can create a cycle where the individual feels tired but is unable to relax enough to fall asleep, leading to frustration and further anxiety.

Tearing up, on the other hand, can be a response to emotional stress or discomfort. The act of crying can release pent-up emotions, and in some cases, it may be a subconscious reaction to the overwhelming feelings associated with stress or anxiety. If your mother is experiencing emotional turmoil or unresolved issues, this could manifest as tears when she is trying to sleep.

Moreover, sleep disorders such as insomnia can also play a significant role in this scenario. Insomnia is characterized by difficulty falling asleep, staying asleep, or waking up too early and not being able to go back to sleep. It can be triggered by various factors, including stress, anxiety, depression, or even medical conditions. In your mother's case, if she is experiencing persistent difficulty sleeping despite feeling tired, it may be beneficial for her to consult a healthcare professional for a thorough evaluation.

Another aspect to consider is the sleep environment. Factors such as noise, light, temperature, and comfort of the bedding can significantly impact sleep quality. If your mother’s sleeping environment is not conducive to relaxation, it may contribute to her inability to fall asleep despite her body's signals of tiredness.

To address these issues, it may be helpful for your mother to establish a calming bedtime routine. This can include activities such as reading, gentle stretching, or practicing relaxation techniques like deep breathing or meditation. Creating a sleep-friendly environment by minimizing noise and light, and ensuring the room is at a comfortable temperature can also be beneficial.

If these strategies do not lead to improvement, it may be advisable for her to seek professional help. A healthcare provider can assess her symptoms and may recommend cognitive-behavioral therapy for insomnia (CBT-I), which has been shown to be effective in treating sleep disorders. Additionally, if there are underlying emotional issues contributing to her sleep difficulties, therapy or counseling could provide her with the tools to manage her feelings more effectively.

In summary, your mother’s experience of yawning and tearing up while trying to sleep may stem from a combination of stress, anxiety, and potential sleep disorders. Addressing these factors through lifestyle changes, creating a conducive sleep environment, and seeking professional help if necessary can significantly improve her sleep quality and overall well-being.

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