Why My Brain Won't Let Me Sleep: The Neurodivergent, Trauma, and Recovery Edition
When your brain was already wired differently, then got scrambled by trauma, then got further fried by substances... and now you're in recovery wondering if you'll ever sleep like a "normal" person again.
Let me paint you a picture: It's 3 AM. I've been "going to bed" since 11 PM. My body is exhausted—like, bone-deep exhausted from doing All The Things that recovery demands. But my brain? My brain is running seventeen tabs, three of them frozen, one playing music I can't find, and there's definitely something downloading in the background that I didn't authorize.
Sound familiar? Yeah. I thought so.
The Triple Threat Nobody Warned Us About
Here's the thing they don't tell you when you're autistic and ADHD with a trauma history who also walked through the fire of addiction: each one of these things individually messes with your sleep. Combined? It's like your sleep center got hit by a meteor shower.
Let's break it down, because understanding the WHY actually helps when you're lying there at 4 AM wondering if you're broken beyond repair (spoiler: you're not).
The Neurodivergent Sleep Situation
First up: our brains were never running the same operating system as everyone else to begin with.
Research shows that autistic folks spend only about 15% of our sleep time in REM—that's the dream stage where your brain does all its emotional processing and memory consolidation. Neurotypical people? They get about 23-25%. That's a whole 10% less restorative sleep we're getting, every single night.
And for the ADHD brain? Our circadian rhythms are literally delayed. There's actual science showing that our melatonin (that sleepy hormone) kicks in later than it does for neurotypical folks. We're not just being difficult when we say we're "not tired" at midnight while being total zombies in the morning—our biology genuinely runs on a different schedule.
Add in the sensory stuff—the tag on the sheets that feels like sandpaper, the sound of your partner breathing that sounds like a freight train, the temperature that's somehow too hot AND too cold—and you've got a recipe for sleep disaster before trauma and substances even enter the chat.
Then Trauma Entered the Chat
Here's where it gets really fun (and by fun I mean absolutely brutal).
Trauma doesn't just mess with your mind—it rewires your entire nervous system. When you've experienced repeated trauma, your brain basically installs a permanent security system that's way too sensitive. It's called hyperarousal, and it means your nervous system stays on high alert even when you're "safe."
According to Polyvagal Theory, trauma survivors often get stuck in survival mode. Your nervous system keeps scanning for danger, even in your own bedroom, even under your weighted blanket, even when logically you know you're okay. Your body hasn't gotten the memo that the threat has passed.
This hypervigilance shows up at night as:
- Racing thoughts that won't quit
- Startling awake at the smallest sound
- Nightmares that feel more real than reality
- That lovely 3 AM anxiety spiral
- Feeling exhausted but too "wired" to sleep
Studies show that people with PTSD have elevated norepinephrine (stress hormone) levels even during sleep—which literally prevents your brain from entering the deep, restorative sleep stages your body desperately needs.
And THEN There's the Substance Use Piece
Okay, here's the part that makes me want to scream into the void: even in recovery, even doing everything "right," our sleep can remain absolutely wrecked for months or even years.
When I was using, I wasn't thinking about what I was doing to my brain's sleep architecture. I was thinking about surviving. About numbing. About making it through another day. But here's what was actually happening:
Substance use fundamentally changes the brain's alarm center—the locus coeruleus. During active use, this area gets suppressed. To compensate, your brain cells build up their internal messenger systems. Then when you stop using? Those amplified systems suddenly start firing at full blast with nothing to dampen them anymore. It's like your brain's alarm system got supercharged during active use, and now it won't turn off.
The research is honestly depressing but also validating:
- Sleep problems can persist for months to years after getting clean
- Over 90% of people with opioid use disorder in recovery report poor sleep quality
- Current addiction medications don't reverse sleep dysfunctions
- Persistent insomnia is directly linked to increased relapse risk
So when I say I "fried my sleep center"—I'm not being dramatic. The chronic changes to our brain chemistry from substance use can create lasting alterations to the areas that regulate sleep. Some of these can heal with time and abstinence. Some may require ongoing management.
The Triple Threat Multiplier Effect
Here's what breaks my heart about all of this: these three factors don't just ADD together—they MULTIPLY each other.
Neurodivergence already means less restorative sleep → Poor sleep worsens emotional regulation → Poorer emotional regulation makes trauma symptoms worse → Worse trauma symptoms increase the likelihood of using substances to cope → Substance use further damages sleep architecture → Round and round we go.
It's not a cycle—it's a spiral. And honestly? The fact that any of us manage to function at all is nothing short of miraculous.
So What Do We Actually DO About This?
I'm not going to give you the same "sleep hygiene" tips you've heard a thousand times. You know, the ones written for neurotypical people with no trauma history who've never known the specific hell of withdrawal insomnia. Those tips are about as useful as telling someone with a broken leg to "just try walking."
Here's what I'm actually learning works (or at least helps):
1. Honor Your Natural Rhythms
If you're a night owl, forcing yourself into a 10 PM bedtime is just setting yourself up for failure. Work with your body, not against it. Consistency matters more than the actual times—going to bed at 1 AM and waking at 9 AM regularly is better than chaotic sleep schedules trying to fit a "normal" mold.
2. Give Yourself More Transition Time
Neurotypical sleep advice says 30 minutes to wind down. Neurodivergent brains often need 2-3 HOURS. Yes, really. Start dimming lights, reducing stimulation, and shifting activities way earlier than you think you need to.
3. Address the Nervous System, Not Just the Sleep
Your sleep problems might actually be a dysregulated nervous system problem. Practices that help calm the nervous system—vagal toning, grounding techniques, weighted blankets, body-based approaches—might help more than traditional sleep interventions.
4. Sensory-Proof Your Sleep Environment
Blackout curtains. White noise. Temperature control. Sheets that don't make you want to crawl out of your skin. This isn't being "high maintenance"—it's accommodating a neurological reality.
5. Be Patient With Your Healing Brain
Recovery sleep timelines are measured in months and years, not days and weeks. Your brain is literally rebuilding neural pathways that were altered during active use. Neuroplasticity is real, healing happens, but it's not instant.
6. Talk to Providers Who Actually Get It
Find healthcare providers who understand the intersection of neurodivergence, trauma, AND recovery. This trifecta requires specialized understanding. Regular sleep advice wasn't made for us.
The Part Where I Keep It Real
Some nights, I still don't sleep. Some nights, I watch the hours tick by and wonder if my brain will ever feel "normal." But here's what I know now that I didn't know before:
My sleep struggles aren't a moral failing. They're the predictable result of a neurodivergent brain + trauma history + recovery from substance use. It's neurobiological, not character flaw.
I'm not broken beyond repair. Research shows the brain can and does heal in recovery. It just takes longer than we want, and it might look different than "normal."
I'm not alone in this. Up to 80% of autistic people experience sleep difficulties. The vast majority of people in recovery struggle with insomnia. Trauma and sleep problems go hand-in-hand. This is a shared experience among our community.
So if you're reading this at 3 AM because you can't sleep either—hi. I see you. Your struggles are real, they're valid, and they're rooted in actual brain science. You're not just "bad at sleeping."
We're working with brains that were built different, scarred by experiences they shouldn't have had to survive, and are now healing from chemical disruptions. The fact that we're still here, still trying, still fighting for our recovery?
That's not nothing. That's everything.
Welcome to the club nobody wanted to join. At least we're in it together. π
If you're in recovery and struggling with sleep, please know that help is available. Talk to your treatment team, find providers who understand the intersection of neurodivergence and recovery, and be gentle with yourself. Healing is not linear, and every day you choose recovery—even the sleepless ones—is a victory.
Mars | Space Cadet Collective
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