What to Do If You Wake at 3am?

Ever found yourself staring at the ceiling at 3am, tossing and turning several hours before your alarm is set to go off and you cannot get back to sleep?

Here is what you should do (and should not do) for the dreaded early morning waking.


Don’t force yourself back to sleep

No one sleeps for a solid 8 hours. We sleep in roughly 90 minute cycles and around 3am we are in lightly stages of sleep when it is easier to wake up. Often we wake for a trip to the bathroom, but rest assured that most people are waking around this time. The difference is whether we can easily fall back to sleep. Most of us do not have a sleep problem, instead we have a problem quietening our minds so we can fall back to sleep.

The biggest mistake is to look at your phone. As soon as you see it is 3am, you will have negative thoughts associated with inadequate sleep “I’m going to be so tired in the morning” … “I need to get back to sleep” … “how am I going to cope at work” … “It is easy to catastrophise about anything and everything and soon we are wide awake and in no state to sleep. Don’t try to fall asleep. Lying very still with your eyes tightly shut will not induce sleep.


Instead get out of bed, go to another room and do something relaxing until you feel sleepy again. Keep the lights low or off, listen to a podcast or sleep story, try some mediation or deep breathing or do some gentle yoga. Avoid the lure of your phone.


Why can’t you fall back to sleep?

The next step is to understand why you are having trouble falling back to sleep.

Alcohol – drinking alcohol causes disruption to the normal sleep pattern particularly in the second half of the night. As you get older you are more susceptible to the effect of alcohol causing overnight waking. The festive season especially can play havoc on our sleep.

Caffeine – 1 or 2 cups of coffee before midday should not interfere with sleep but there is genetic variation in our ability to tolerate caffeine. You may need to adjust your intake and see what impact this has. Resist an after-dinner coffee.

Menopause – sleep problems are very common for women in their 40s as the level of oestrogen in the body drops. This may cause night sweats or disrupted sleep and mood changes. If you have noticed changes to your menstrual cycle and poor sleep, talk to your GP about oestrogen therapy.

Pain – chronic pain and other medical conditions can make sleep difficult. Ensure you talk to your GP or specialist about this.

Bedroom environment – the ideal environment for sleep is a bedroom that is dark, cool and quiet. You may need to lower the temperature in your bedroom, buy a lighter doona or window coverings that block out all light. If noise is a problem, try ear plugs or use background noise such as a fan or try an app to provide a soothing sound of rain.