What are the causes and treatments for being unable to sleep at night and unable to wake up during the day?

Trouble falling asleep at night and excessive sleepiness during the day can generally be divided into two categories: non-disease factors and disease-related factors. Common disease-related causes include autonomic nervous system dysfunction and anxiety disorders. Appropriate management strategies can be selected based on the specific cause. The detailed analysis is as follows:

1. Non-disease factors

If the issue results from chronic late-night habits, excessive physical activity before bedtime, or long-term irregular sleep patterns—leading to nervous system overexcitement or disrupted sleep rhythms—it is recommended to maintain a regular sleep schedule. Avoid eating or exercising before bed, and adjust indoor lighting to minimize exposure to bright light.

2. Disease-related factors

2.1 Autonomic Nervous System Dysfunction

If sleep disturbances are caused by autonomic nervous system dysfunction, medications that regulate nerve function may be used under medical guidance, such as vitamin B1 tablets, oryzanol tablets, or mecobalamin tablets. Additionally, maintaining a regular daily routine and avoiding staying up late are essential.

2.2 Anxiety Disorder

If the condition is due to an anxiety disorder, with patients remaining in a prolonged state of anxiety, treatment under a doctor's supervision may include medications such as paroxetine hydrochloride tablets, venlafaxine hydrochloride sustained-release tablets, or estazolam tablets. Regular physical activities like hiking or running can also help relieve anxiety and improve mood.

Besides the above, conditions such as coronary atherosclerotic heart disease could also be potential causes. It is advisable to seek timely medical evaluation, identify the underlying cause, and follow physician recommendations for treatment.