Why Sleep is a Non-Negotiable for Anxiety Healing: What an Anxiety Therapist in Oakland Wants You to Know

We tend to see sleep as optional. Something we can cut corners on when life gets busy. But as an anxiety therapist in Oakland, I’m here to say something simple, but important: sleep is not optional. It’s essential—especially if you're struggling with anxiety, depression, or just feeling like your emotions are running the show.

Sleep isn’t a luxury or a bonus round at the end of your day. It’s one of the most powerful mental health tools we have. And while therapy, coping skills, and lifestyle changes all matter, if you’re not sleeping well (or sleeping too much), your brain is likely missing some of the key restoration it needs to heal and grow.

Sleep Disruption Is Nearly Universal in Mental Health Struggles

One of the things many people don’t realize is that sleep disruption—whether it’s not being able to fall asleep, stay asleep, or sleeping too much—is present in nearly every psychiatric diagnosis.

This includes:

  • Anxiety disorders

  • Depression

  • PTSD

  • Bipolar disorder

  • OCD

  • Even ADHD and substance use disorders

The tricky part? Sleep disruption can show up as a symptom of a mental health issue or it can contribute to its development or make it worse. It’s a two-way street, and when sleep is out of balance, so is everything else.

What Happens to Your Brain When You Don’t Sleep? An Anxiety Therapist in Oakland Explains


When we’re sleep-deprived—even just one or two hours less than we need—our brains start to shift how they function. The prefrontal cortex, the part responsible for problem-solving, emotional regulation, and long-term decision-making, gets sluggish. At the same time, the amygdala, which drives fear and emotional reactivity, becomes more active.

This means your brain has less capacity to pause, reflect, and respond—and more tendency to react, spiral, or panic. This is particularly important for folks managing anxiety or trauma.

👉 Research shows that a lack of REM sleep specifically affects emotional memory processing, making it harder to "reset" from emotionally intense experiences.
(PMC Article on Sleep and Emotional Processing)

In other words: your brain can’t do therapy work—or even basic daily functioning—when it's running on empty.

Breaking the Vicious Anxiety and Sleep Cycle with Anxiety Therapy in Oakland:

Many of my clients in Oakland come to me with trouble sleeping. Sometimes it’s falling asleep, sometimes it’s waking up at 3 a.m. with racing thoughts. Often, it’s both.

Here’s the thing: anxiety fuels sleep disruption—and sleep disruption fuels anxiety. It’s a loop that can feel impossible to break.

  • Anxiety increases cortisol (stress hormone) and keeps your body on high alert.

  • That makes it harder to relax into sleep or stay asleep.

  • When you sleep less, your brain is less resilient the next day, meaning more anxiety.

  • Which leads to...you guessed it—more sleep disruption.

How Modern Life Undermines Sleep

So why is good sleep so hard to come by?

Technology Overload

Asian woman, presumably exhausted, sleeping on ledge of an apartment building high above the ground.

Photo credit: Unsplash 4/16/2025

Blue light from phones and laptops confuses our brains into thinking it’s still daytime. Plus, all that scrolling can spike stress and comparison just when we need to wind down.

The “Productivity” Trap

Many people I work with—especially multicultural, high-achieving adults—have absorbed messages that rest = laziness. In some families or communities, rest was only earned through overwork. These narratives stick and can make it hard to give yourself permission to go to bed.

Unprocessed Stress

When your body finally slows down at night, that’s when the thoughts hit. We try to outrun our emotions all day, and they catch up when we lay our head on the pillow.

Irregular Schedules

Shift work, parenting, or caregiving responsibilities can throw off circadian rhythms. When your body doesn’t know when to expect rest, it can’t prepare properly.

But What About Sleeping Too Much?

Oversleeping is often overlooked, but it can be just as concerning. If you're sleeping 10+ hours and still feeling exhausted, that may be your body’s signal that something deeper is going on.

Excessive sleep can be a sign of:

  • Depression

  • Burnout

  • Avoidance behavior

  • Emotional exhaustion

Sleep is restorative, but it’s not a cure-all. If you’re using it to escape or finding it hard to wake up and face the day, that’s worth exploring—gently, and without shame.

The Invisible Weight of Cultural Pressure and Internal Conflict

As a therapist in Oakland who works with many second-generation adults, I’ve noticed something important: the pressure to succeed, perform, and never disappoint often pushes rest completely off the table. Sleep isn’t just a physiological act—it’s also emotional. And when you're raised between two cultures, with high expectations and sometimes conflicting values, it’s hard to truly rest.

If you grew up with immigrant parents, there’s a good chance you were raised in a household where:

  • Survival came before self-care

  • Rest was a reward—not a right

  • Emotional needs took a back seat to academic, professional, or familial expectations

  • Perfectionism: You’ve learned to work harder, achieve more, and rarely slow down

  • Guilt: Resting may feel selfish when you’re aware of your parents’ sacrifices

  • Anxiety: Being stuck between honoring your family and becoming your own person creates tension that doesn’t just turn off at bedtime

  • Lack of safety: If parts of you had to be hidden growing up—your identity, opinions, or lifestyle—rest may feel unsafe or unfamiliar

And as an adult? You might still be carrying those unspoken rules. Maybe you're doing all the “right” things—succeeding on paper—but feeling disconnected, unfulfilled, or overwhelmed inside. Your nervous system has been on high alert for years, and your brain is begging for rest.

Anxiety Therapy in Oakland Can Help you Reclaim Sleep as a Vital Part of Your Mental Health Plan

racoon peacefully asleep on a tree limb with all four legs dangling.

Photo Credit: Unsplash 4/16/2025

You don’t have to earn your rest. Sleep isn’t a sign of weakness but a vital process as necessary as food, water and air. It’s biological. Foundational. And absolutely necessary for your brain to regulate emotion, reduce reactivity, and process trauma.

And if sleep has been elusive for you, we can work on it together.

In our therapy sessions, we can:

  • Explore why sleep feels difficult to prioritize or access

  • Address any internalized messages that equate rest with laziness

  • Identify anxiety-based patterns that hijack your rest

  • Build practical, compassionate sleep hygiene strategies

  • Explore the cultural narratives or systemic pressures that have shaped your relationship with rest

Want to Learn More? These Research Studies Go Deeper:

These articles dive into the neurological impact of sleep deprivation on emotion regulation, memory, and stress response. They're dense, but fascinating.

5 Ways to Start Supporting Sleep Right Now

These are simple, therapist-approved ways to begin restoring your relationship with sleep:

  1. Name the Story
    What do you believe about sleep? Is it lazy? Indulgent? A waste of time? Notice the narrative. Changing your mindset about sleep is an essential first step to changing your relationship to sleep.

  2. Create Transitions
    Give yourself 30–60 minutes before bed to wind down. No screens, no work, no deep emotional convos. Just something soothing.

  3. Protect Your Sleep Window
    Pick a consistent bedtime and wake-up time—even on weekends. Your brain loves rhythm. Try to get exposure to morning sunlight upon waking if possible or as early in the morning that you can.

  4. Challenge the Guilt
    When guilt about resting shows up, ask: Who taught me that? Does it serve me now?

  5. Seek Support
    If sleep challenges are tied to anxiety, identity stress, trauma, or cultural dynamics—therapy can help

Healing Requires Rest: Anxiety Therapy in Oakland Can Help You Thrive

You don’t have to earn your rest or prove your worth through exhaustion. If you’ve been feeling wired but exhausted, anxious and emotionally overwhelmed, it may be time to look at sleep as a vital part of your healing. Therapy is not just about insight—it’s also about supporting the conditions you need to thrive. Sleep is one of those conditions and emotional healing requires rest.

As an anxiety therapist in Oakland, I work with clients to explore the deeper emotional and cultural blocks to rest and create space for real restoration—not just sleep, but true mental reset.


About Lara Clayman | Anxiety Therapist in Oakland

Lara Clayman Anxiety therapist outdoors, brown hair and eyes and glasses smiling at camera

Lara Clayman Anxiety Therapist in Oakland

I’m Lara Clayman, a licensed therapist based in Oakland, California. I work with adults navigating anxiety, trauma, identity exploration, and the emotional toll of living between two or more cultures. My work is grounded in compassion and deep respect for the complexity of your lived experience.

If you’re ready to explore therapy that honors both your story and your rest, book a free 15-minute consultation here.

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