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Fight-or-Flight at Night? How to Stop Stress While Sleeping

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March 13, 2025

Fight-or-Flight at Night? How to Stop Stress While Sleeping

Medically reviewed by: 

Dr. Shiyan Ooi

School of Medical Sciences, University of Manchester

Introduction

Do you find yourself suddenly waking up in the middle of the night with your heart racing, muscles tense, and mind alert? If so, you may be experiencing the fight-or-flight response during sleep. This physiological reaction is meant to protect you in times of danger, but when it happens at night without reason, it can disrupt your rest and leave you feeling exhausted.

Understanding why this happens and learning how to calm your nervous system can help you achieve more restorative sleep. In this article, we'll explore the causes of nighttime fight-or-flight responses and provide actionable strategies to reduce stress while sleeping.

Why Does Fight-or-Flight Happen at Night?

1. Chronic Stress and Anxiety

High levels of stress and anxiety during the day can carry over into the night, triggering your body's stress response even when you're asleep. Elevated cortisol levels can keep your nervous system on high alert. Learn more about stress and sleep.

2. Sleep Apnea

Obstructive sleep apnea (OSA) can cause breathing interruptions, which trigger the brain to wake you up in panic mode. This can mimic the fight-or-flight response. Understand sleep apnea symptoms.

3. Poor Blood Sugar Regulation

Blood sugar drops during sleep can cause the body to release adrenaline, waking you up suddenly with a rapid heartbeat. Eating a balanced diet and avoiding sugar before bed can help stabilize glucose levels.

4. Trauma and PTSD

Past traumatic experiences can cause hyperarousal, leading to night terrors, panic attacks, and sudden awakenings. People with PTSD are more likely to experience sleep disturbances related to the fight-or-flight response. Read about PTSD and sleep.

5. Overstimulation Before Bed

Watching intense TV shows, scrolling through social media, or engaging in stimulating activities before bed can keep your nervous system on high alert, making it difficult to fully relax.

How to Stop the Fight-or-Flight Response at Night

1. Practice Deep Breathing

Controlled breathing exercises, such as diaphragmatic breathing, can activate the parasympathetic nervous system and counteract stress responses.

2. Engage in Progressive Muscle Relaxation (PMR)

PMR involves tensing and relaxing different muscle groups to release physical tension and promote relaxation. Learn how PMR improves sleep.

3. Limit Stimulants Before Bed

Avoid caffeine, alcohol, and heavy meals in the hours leading up to sleep, as they can elevate heart rate and contribute to nighttime arousal.

4. Establish a Relaxing Bedtime Routine

Incorporate calming activities such as reading, meditation, and light stretching before bed to help your body transition into a restful state.

5. Manage Blood Sugar Levels

Eating a small protein-rich snack before bed may help stabilize blood sugar and prevent nighttime adrenaline surges.

6. Consider Therapy for Trauma or Anxiety

If underlying anxiety or past trauma is contributing to nighttime stress, working with a therapist trained in cognitive behavioral therapy (CBT) or eye movement desensitization and reprocessing (EMDR) can help.

Better Sleep with Sleep Reset

At Sleep Reset, we provide expert-designed, non-medication solutions to help you calm your nervous system and achieve restful sleep. Our program incorporates CBT-I, guided relaxation, and personalized coaching.

Struggling with nighttime stress? Take our sleep quiz to discover the best strategies for you.

Conclusion

Experiencing the fight-or-flight response at night can be distressing, but by understanding its causes and implementing proven relaxation techniques, you can regain control over your sleep. Managing stress, improving sleep hygiene, and addressing underlying health issues are key steps to sleeping more peacefully.

If you need expert guidance, Sleep Reset offers evidence-based solutions to help you sleep better naturally and wake up feeling truly refreshed.

Dr. Shiyan Ooi

Dr. Shiyan Ooi is a medical doctor with over a decade of experience treating patients with chronic conditions. She graduated from the University of Manchester with a Bachelor of Medicine and Surgery (MBChB UK) and spent several years working at the National Health Service (NHS) in the United Kingdom, several Singapore government hospitals, and private functional medicine hospitals. Dr. Ooi specializes in root cause analysis, addressing hormonal, gut health, and lifestyle factors to treat chronic conditions. Drawing from her own experiences, she is dedicated to empowering others to optimize their health. She loves traveling, exploring nature, and spending quality time with family and friends.