Why Sleep Is So Disrupted with Chronic Fatigue or Long COVID
Many symptoms of Long COVID and Chronic Fatigue Syndrome (CFS) are similar. Non-restorative sleep is one of the most incapacitating.
Even if you lie in bed for hours, your body doesn’t get better. This is because these illnesses frequently create alterations in the structure of sleep. REM cycles are disrupted. The stress hormone cortisol may remain high at night. Your brain is unable to fall into the slow wave, deep sleep it requires. Neuroinflammation, or inflammation of the brain, is thought to be a factor in Long COVID instances. Changes in circadian cycles also do this. Additionally, the immune system may keep acting as if it is battling an infection, which interferes with sleep. This combination results in a very real sleep issue that people frequently misinterpret. It’s not sleeplessness as we know it. It’s more complicated. This is when comprehensive, specialist approaches come in handy.Sleep Patterns in Chronic Illness
Let’s look at what research tells us. A 2023 NIH meta-analysis found that over 70% of people with Long COVID report sleep issues, including waking often at night and difficulty falling asleep. Chronic fatigue syndrome shows even higher rates, close to 80% in some clinical reports. But these aren’t simply cases of bad habits or racing thoughts. These are deeply rooted neurological changes. Conventional sleep aids tend to either not work at all or cause rebound effects. That is the case, yawning and vibing techniques that include pacing, mindfulness, and calming the nervous system are becoming more popular.Resetting the Body Clock
Living with fatigue often means resting at unusual hours. This can confuse your circadian rhythm. And that rhythm is the body’s sleep anchor. Here are gentle ways to help reset it:- Morning light exposure: Get outside within 30 minutes of waking, even if just for 5-10 minutes.
- Consistent wake time: Try to wake up around the same time daily, even if you had a poor night.
- Reduce blue light at night: Use warm light and avoid screens 1 hour before bed.
- Soothing evening cues: A warm bath, herbal tea, or stretching helps signal the body to wind down.
The Mind-Body Connection in Sleep Recovery
Your sleep quality is influenced by your neurological system. The sympathetic nervous system (fight-or-flight mode) is heightened by stress and anxiety. This is where mindfulness comes into play. The goal of mindfulness is not to fall asleep. It’s an attempt to make a room large enough to observe and calm the internal turmoil that keeps people from falling asleep. Inflammation indicators are decreased by simple mindfulness exercises. They control the vagus nerve, which governs digestion, healing, and relaxation. They are therefore perfect for long-term COVID recuperation and chronic fatigue. Key techniques include:- Body scanning: A slow mental sweep through your body, focusing on each part without judgment.
- Breath awareness: Noticing the inhale and exhale rhythmically to slow brain activity.
- Progressive relaxation: Tensing and releasing each muscle group to unwind tension.
- Guided meditation: Especially those designed for bedtime meditation for chronic illness .
The Role of Bedtime Rituals
Healing isn’t just about what happens at night. It starts during the day. Creating gentle transitions between activity and rest can improve sleep significantly. This matters even more if your system is in a state of overdrive. Helpful transitions include:- Quiet reading before bed
- Mindful journaling
- Stretching for five minutes
- Using scent, like lavender or sandalwood
- Listening to calming sounds or white noise
Understanding Insomnia in Chronic Illness
Many people with chronic fatigue or Long COVID experience what’s known as “wired but tired.” You feel bone-deep exhaustion yet can’t fall asleep. This is a hallmark of insomnia chronic fatigue syndrome . It often comes from an overactive brain. The brain is caught in alert mode. Even with no stress present, it stays on. Mindfulness helps shift this. So do techniques rooted in body awareness. Gentle yoga or somatic therapy can also support this switch from alertness to restoration. Another tool is pacing. It teaches you how to manage energy throughout the day so that your nervous system doesn’t stay overstimulated by evening.Relaxation Techniques That Work
When you live with chronic illness, common advice like “just relax” feels hollow. Real relaxation involves more than sitting still.
Relaxation for better sleep includes:
- Breathing exercises like 4-7-8 breathing (inhale 4 sec, hold 7, exhale 8)
- Grounding : Place your hands on your belly and chest, and notice the rise and fall
- Sound therapy : Listening to low-frequency vibrations can ease anxiety
- Visualizations : Picture calming environments like a forest or ocean while breathing
Aligning with a Mindfulness-Based Healing Program
A systematic approach to mending has an impact. Unstructured wellness advice frequently causes annoyance. The cacophony of YouTube videos and online advice could overwhelm you. Here’s where a guided path comes in handy. Mindfulness-based programs don’t provide a magic bullet. They assist you in creating a rhythm that you can maintain. Even in instances of chronic weariness, many people may restore their sleep in some way with assistance. These programs have the advantage of meeting you where you are. They don’t strive for efficiency. Calm is their goal. This is in line with the requirements of a healing, not a running, nervous system.What to Do When Nothing Works
There may be nights when nothing helps. These are moments when you lean into trust. Trust in your body’s natural capacity to heal. Even if you don’t sleep, rest is still valuable. Quiet time helps the brain slow down. That matters. During rough nights:- Avoid checking the clock
- Stay off your phone
- Practice non-resistance: “I am awake now, and that’s okay.”
- Use a body scan or breath meditation gently
- Rest in stillness, even if sleep doesn’t come

