Skip to content
Better
Next Days

Can Anxiety Make You Tired?

Young man placing a notebook on a bedside table at night
AI-generated editorial illustration.

Anxiety can make you tired. Persistent worry, muscle tension and difficulty sleeping can leave you worn out, even when you feel too alert to rest. Fatigue is also recognised among symptoms of generalised anxiety disorder, but tiredness alone does not diagnose it. NIMH: generalised anxiety disorder

Notice the loop without blaming yourself

You may worry about tomorrow, sleep poorly, feel less able to cope, and then worry more. Recognising that pattern can help you choose a useful interruption. It does not mean you could solve the problem simply by deciding not to worry.

Try putting one concern into a practical form: what is the issue, what is the next action, and when can you take it? If no action is possible tonight, write down when you will return to it.

Make a smaller evening plan

Reduce one avoidable source of stimulation or uncertainty. Finish a task at an agreed point, prepare what you need for morning, or stop repeated checking that is not changing the decision.

A calm activity or comfortable breathing may help you settle. Do not treat relaxation as a test you must pass before sleep is allowed. If it increases frustration, choose something simpler.

Review caffeine and medicines with care

Caffeine can worsen anxiety or sleep problems in some people. Note the amount and timing, including energy drinks and supplements. Ask a pharmacist or prescriber about medicine effects; do not abruptly stop prescribed treatment. FDA: caffeine and individual sensitivity

Get support for the anxiety and the fatigue

If worry is hard to control, persists or limits ordinary life, professional support can help. Assessment may lead to psychological treatment, medication or a combination suited to you. NIMH: generalised anxiety disorder

Also mention symptoms that do not fit your usual anxiety pattern. A mental-health explanation should not prevent appropriate investigation of physical illness.

Better Next Days offers practical arrangements for the evening and the morning after. They can support everyday functioning alongside care, but the book is not treatment for an anxiety disorder.

Related reading

The 3 a.m. Card offers a simple fallback when worry keeps you awake. Explore the free Better Next Days toolkit.

For a more complete approach to sleeping better, recovering properly and planning better days, explore Julian Talbot’s Better Nights, Better Next Days. Buy the book and companion pack.