How Chronic Stress Screws Up Your System It should be simple: You are tired and it's bedtime, so you drift away within minutes of putting head to pillow. But when you're stressed, things go haywire, and the exact opposite happens instead. Being even a little anxious can make your muscles tense, prompt your body to release the stress hormones cortisol and adrenaline, and elevate your heart rate.

The Primary Care Companion to the Journal of Clinical Psychiatry

Barry Krakow, MD; Victor A. Ulibarri, BS; and Edward A. Romero, BS

Background: Some chronic insomnia patients who take nightly prescription medication achieve less than optimal results. The US Food and Drug Administration (FDA) and the American Academy of Sleep Medicine (AASM) recommend reevaluation of this type of patient to assess for potential psychiatric or medical causes to explain this “failure for insomnia to remit.”