Overthinking and Insomnia: Coping with Mental Exhaustion in Busy Lives - Psychiatry

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Intrusive thoughts, recurrent nightmares, and insomnia?


During the day, I work as an accountant, and in the evenings, I work part-time as a registration assistant at a clinic.
This busy lifestyle is exhausting.
The fatigue I experience is primarily psychological.
I often suffer from insomnia at night.
During the day, my mind is constantly racing with intrusive thoughts.
It seems that my evening job is more demanding, leaving me with no time to ruminate.
I keep telling myself to stop thinking, but it doesn't help.
My mind continues to wander, and I feel very depressed.

qq5400, 20~29 year old female. Ask Date: 2000/10/19

Dr. Li Junren reply Psychiatry


I apologize for the delayed response due to issues with the hospital's email system.
Working late or engaging in other stimulating activities can keep the central nervous system in an excited state, often leading to overthinking or difficulty falling asleep.
Forcing yourself to "not think" will only increase your anxiety.
I recommend trying the following methods:
1.
Take a warm bath after returning home to help relax your body and mind.

2.
Avoid going to bed on an empty stomach, as hunger can exacerbate your symptoms.
You can eat some non-stimulating foods or drink milk.

3.
Only go to bed when you feel sleepy.
Forcing yourself to sleep when you’re not tired will only increase your anxiety.

4.
Engage in relaxing activities before bedtime.

5.
If these methods are still ineffective, some anxiolytics may help resolve your issues.
You can consult a psychiatrist or a psychosomatic medicine specialist for assistance.

Reply Date: 2000/10/19

More Info


Coping with mental exhaustion, especially in our fast-paced lives, can be incredibly challenging. Your situation, balancing a full-time job as an accountant during the day and working part-time as a registration assistant at a clinic at night, is undoubtedly demanding. The mental fatigue you experience, compounded by insomnia and overthinking, is a common issue many face in similar circumstances.

Overthinking often stems from stress and anxiety, particularly when juggling multiple responsibilities. It can create a cycle where the mind races with thoughts, making it difficult to relax and fall asleep. This is especially true when your mind is preoccupied with work-related tasks or personal concerns. The busy nature of your evening job may provide a temporary distraction, but once you settle down at night, your mind may revert to its racing thoughts.

To address these issues, consider the following strategies:
1. Establish a Relaxing Bedtime Routine: Create a calming pre-sleep routine to signal to your body that it’s time to wind down. This could include activities such as reading, gentle stretching, or practicing mindfulness meditation. Aim to go to bed and wake up at the same time every day to regulate your body’s internal clock.

2. Mindfulness and Meditation: Practicing mindfulness can help you become more aware of your thoughts and feelings without becoming overwhelmed by them. Techniques such as deep breathing, progressive muscle relaxation, or guided imagery can be effective in reducing anxiety and promoting relaxation.

3. Limit Stimulants: Be mindful of your caffeine intake, especially in the hours leading up to bedtime. Caffeine can stay in your system for several hours and may contribute to insomnia. Similarly, avoid heavy meals, alcohol, and nicotine close to bedtime, as these can disrupt sleep.

4. Physical Activity: Regular exercise can significantly improve sleep quality and reduce anxiety. Aim for at least 30 minutes of moderate exercise most days of the week. However, try to avoid vigorous workouts close to bedtime, as they may energize you instead of helping you relax.

5. Journaling: Consider keeping a journal to express your thoughts and feelings. Writing down your worries before bed can help clear your mind and reduce the tendency to ruminate. This practice can also help you identify patterns in your thinking and develop strategies to address them.

6. Seek Professional Help: If your insomnia and overthinking persist, it may be beneficial to consult with a mental health professional. Cognitive-behavioral therapy (CBT) has been shown to be effective in treating insomnia and anxiety. A therapist can help you develop coping strategies tailored to your specific situation.

7. Limit Screen Time: The blue light emitted by screens can interfere with your ability to fall asleep. Try to limit screen time in the hour before bed and consider using blue light filters if you must use electronic devices.

8. Create a Sleep-Conducive Environment: Ensure your sleeping environment is comfortable, dark, and quiet. Consider using earplugs or a white noise machine if noise is an issue, and keep the room cool to promote better sleep.

9. Practice Gratitude: Focusing on positive aspects of your life can shift your mindset from negative thoughts. Consider writing down three things you are grateful for each day, which can help foster a more positive outlook.

In conclusion, while your busy lifestyle can contribute to mental exhaustion and insomnia, implementing these strategies can help you regain control over your thoughts and improve your sleep quality. Remember that it’s essential to be patient with yourself as you work through these challenges, and don’t hesitate to seek professional support if needed. Taking proactive steps to manage your mental health is crucial for your overall well-being.

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