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There are treatments available and steps you can take to help manage your cancer-related sleep problems.
Sleep problems can be very different for each person. Start by describing your symptoms to your health care team. This helps them figure out the best way to treat your problem.
Your health care team might suggest that you meet with a sleep specialist. A sleep specialist may be able to help you figure out why you’re having trouble sleeping. Ask your health care team about a referral, if needed.
Below are some common ways to treat cancer-related sleep problems. You might need to use more than one way to help with your sleep.
Thinking or worrying about sleeping can make your sleep problems worse. Cognitive behavioral therapy (CBT) is one way to help you feel less anxious about sleep. The goal of CBT is to recognize your sleep habits and patterns and then find ways to manage them.
There are many ways to relax, calm your thinking, and wind down before bed. Relaxation methods can help you fall asleep, stay asleep, and go back to sleep if you wake up during the night.
Some examples of relaxation methods are:
You might be able to learn these methods on your own. But if you’d like help, ask your cancer care team for resources or a referral to a sleep specialist.
Learn more about mindfulness and other relaxation methods.
Sometimes, medicine is used to manage sleep problems. Your health care team can help you decide if this is right for you.
Other types of medicine can cause sleep problems. This includes steroids and hormones, and some medicines for pain, seizures, anxiety, and depression.
Don’t make any changes to your medicines without first talking to your health care team. Tell them about any medicines you are taking.
The side effects of your cancer or cancer treatment might cause sleep problems. Many of these side effects can be managed, and this might help you sleep.
You might sleep better if these cancer-related side effects are well managed:
Learn more about treating cancer-related side effects.
Cancer and cancer treatment are not usually the cause of sleep apnea, but many people with cancer have sleep apnea for other reasons. This needs to be treated to prevent other problems.
A continuous positive airway pressure device (CPAP) is the usual treatment for sleep apnea. A CPAP helps you breathe while you sleep. Tell your cancer care team if you have, or think you might have, sleep apnea.
There are many things you can do to help manage your sleep problems.
It’s important to have good habits before bedtime. (This is often called sleep hygiene.) Examples of good sleep hygiene include:
If you can’t fall asleep within about 20 minutes, or if you wake up and can’t go back to sleep, it’s time to try something new. Get up and go to a different part of your home. Stay in a darkened room and do something relaxing, like reading a book. Don’t go back to bed until you feel sleepy again.
What you eat and drink before bed can also affect your sleep.
It can also help if you set up your room for a good night’s sleep.
What you do during the day can make a big difference in how you sleep at night.
If you need help figuring out what physical activity or stretches to do, talk to your cancer care team. They might be able to help you find an exercise routine. Or they can refer you to a physical therapist to learn stretches that relax your muscles.
Sometimes it helps to keep track of your sleep habits so you can figure out patterns and problems.
Call your health care team if you:
The American Cancer Society medical and editorial content team
Our team is made up of doctors and oncology certified nurses with deep knowledge of cancer care as well as editors and translators with extensive experience in medical writing.
American Society of Clinical Oncology. Sleeping Problems: Hypersomnia, Somnolence Syndrome, and Nightmares. Accessed on cancer.net. Content is no longer available.
American Society of Clinical Oncology. Sleeping Problems: Insomnia. Accessed at cancer.net. Content is no longer available.
Büttner-Teleagă A, Kim YT, Osel T, Richter K. Sleep Disorders in Cancer-A Systematic Review. Int J Environ Res Public Health. 2021;18(21):11696. Published 2021 Nov 7.
National Comprehensive Cancer Network (NCCN). Palliative care. Version 1.2024. Accessed at https://www.nccn.org/ on April 12, 2024.
National Comprehensive Cancer Network (NCCN). Survivorship. Version 1.2024. Accessed at https://www.nccn.org/ on April 12, 2024.
Oncology Nursing Society (ONS). Symptom interventions: Sleep-wake disturbances. Accessed at https://www.ons.org/pep/sleep-wake-disturbances on April 12, 2024.
Last Revised: July 16, 2024
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