When Worry Takes Over at Night

Notice the Particular Loop

Nighttime worry can take different forms: replaying a conversation, planning every possible outcome, or feeling that you must solve a problem before sleeping. Naming the specific loop gives the conversation more direction than calling yourself an overthinker. You can describe what happens without diagnosing the cause.

Look Beyond the Last Thought

A therapist may ask about what happened earlier in the day, what you do when the worry starts, and how it affects your routine. Checking a message, searching for reassurance, and staying in bed thinking may each have a different role. The point is to understand your experience, not blame you for it.

Make the Goal Concrete

Perhaps you want to spend less of the evening preparing for a meeting, or stop revisiting a conversation for hours. A clear everyday goal can help guide treatment discussions. There is no promise that one exercise will solve sleep problems, and persistent sleep concerns may also warrant a medical conversation.

Ask About Starting

Marie works with teens and adults and describes a practical, collaborative CBT approach. A free 15-minute consultation is available to discuss fit. Ask about online therapy in Oregon or current Portland office availability before scheduling.

Questions You May Have