26 May 2026, 19:15

Wartime Insomnia: Restoring Sleep Under the Burden of Chronic Stress

Молода жінка лежить у ліжку з розплющеними очима під час нічної тривоги

Months of relentless missile and drone attacks have left many Ukrainians facing a severe, hidden health crisis: chronic sleep deprivation. Even after nights spent safely in shelters, individuals report an inability to fall asleep, sudden middle-of-the-night awakenings, and a persistent feeling of physical exhaustion. According to public health guidelines from the U.S. Centers for Disease Control and Prevention (CDC), these symptoms represent a natural, albeit highly damaging, neurological response to prolonged, survival-level stress.

When exposure to danger is constant, the human brain continuously triggers the evolutionary fight-or-flight response. This reaction floods the bloodstream with adrenaline and cortisol to ensure immediate survival. However, when sirens and explosions become a daily reality, the nervous system loses its ability to transition back into a state of recovery. This chronic hormonal imbalance disrupts the production of melatonin—the essential hormone responsible for deep, restorative sleep.

To combat this debilitating cycle, medical experts emphasize several practical strategies to signal safety to the brain and restore physical equilibrium:

First, establishing physical grounding before bed is crucial. Simple actions like deep breathing, stretching, or a warm shower help activate the parasympathetic nervous system, countering the effects of adrenaline.

Second, strict informational hygiene must be maintained. Checking news updates right before sleeping forces the brain to remain alert. Experts advise turning off screens at least 30 to 60 minutes before bedtime.

Third, maintaining a consistent sleep schedule—even after disrupted nights—helps stabilize circadian rhythms. Attempting to compensate for lost sleep by sleeping late into the afternoon only further derails the body’s internal clock. Finally, physical activity during the day serves as a vital tool to burn off residual stress hormones, while reducing stimulants like caffeine and nicotine in the evening prevents further neurological arousal.

When sleep disturbances persist for weeks and are accompanied by flashbacks, panic attacks, or emotional numbness, it may indicate a deeper traumatic stress reaction. In these instances, seeking professional psychological support is imperative. Reclaiming sleep is not merely a matter of comfort; it is a vital pillar of national resilience and long-term cognitive survival.