Insomnia
Insomnia is a sleep-related condition listed in the mental category. The outcome is considered in terms of changes in sleep quality, sleep pattern, and insomnia rather than as a general measure of well-being.
Insomnia is listed in the mental category, providing a focused starting point for exploring the condition.
This list shows research findings, not treatments. Nothing here replaces medical care. If you have this condition, talk to a doctor.
What may help
What studies found for each option, best evidence first.
29 options:1 good evidence3 some evidence14 not enough evidence10 not tested in people1 no benefit found
AcupuncturepracticeGood evidence it helpsSize of effect: Not known
Good human studies found a benefit, and they mostly agree. This is about what studies measured, not a cure.
All 4 studies with a clear result found a benefit.
A meta-analysis of 13 randomized trials found improvements in clinical efficacy and scores on PSQI and TCMSS. A separate network meta-analysis ranked routine acupuncture combined with auricular acupuncture highest for improving PSQI scores.
Open the Acupuncture pageMeditationpracticeSome evidence it helpsSize of effect: Not known
Some human studies found a benefit. More research could change this.
All 4 studies with a clear result found a benefit.
Open the Meditation pageTai ChipracticeSome evidence it helpsSize of effect: Not known
Some human studies found a benefit. More research could change this.
All 2 studies with a clear result found a benefit.
A pooled analysis whose designs were not recorded found improved PSQI scores. In a separate trial of 35 community-dwelling older adults at a senior care centre, global PSQI scores and several components improved, although participants did not have a diagnosed sleep disorder.
Open the Tai Chi pageTranscendental MeditationpracticeSome evidence it helpsSize of effect: Not known
Some human studies found a benefit. More research could change this.
All 2 studies with a clear result found a benefit.
An RCT in 80 people found a reduction in ISI scores compared with control, while a 2023 quasi-experimental study in 130 people found improved Insomnia Severity Index scores at 3 months.
Open the Transcendental Meditation pageAcceptance and Commitment Therapy (ACT)practiceNot enough evidence
Too few or too small studies to know if it works.
4 of 6 studies found a benefit; 2 found none.
Pooled randomized trials found reduced insomnia symptom severity versus waitlist or standard controls; another analysis across 3 RCTs found a smaller reduction versus passive control. Findings are not fully consistent: one RCT found significant improvement, while other studies found no significant effect on sleep, and several populations in one analysis did not have clinically diagnosed insomnia.
Open the Acceptance and Commitment Therapy (ACT) pagePsychotherapypracticeNot enough evidence
Too few or too small studies to know if it works.
The one study found a benefit.
Open the Psychotherapy pageBrisk WalkingpracticeNot enough evidence
Too few or too small studies to know if it works.
The one study found a benefit.
A 2025 randomized controlled trial in 71 people with Insomnia found a reduction in PSQI total score with brisk walking compared with control.
Open the Brisk Walking pageCardiopracticeNot enough evidence
The expert view shows every study, dose protocol and source.
What may help
Interventions recorded as helping with this condition29 listedHighest probability, strongest evidence
- →PracticesAcupunctureCertaintyHighSourceRCT
A meta-analysis of 13 randomized trials found improvements in clinical efficacy and scores on PSQI and TCMSS. A separate network meta-analysis ranked routine acupuncture combined with auricular acupuncture highest for improving PSQI scores.
Who was studied
- People with a condition
- Anxiety Disorder
- Bipolar Disorder
- Cancer
- Depression
- Heart Disease
- Insomnia
- +1 more
Open AcupunctureStudy result
Meta-analysis of 13 RCTs showing significant improvement in clinical efficacy, PSQI, and TCMSS.
Medium probability(3)
- →PracticesMeditationCertaintyMediumSourceRCT
Meta-analysis of 3 RCTs (n=352) showing significant sleep quality improvement (SMD = -1.1, P=0.002) on PSQI, GRADE certainty low
Open MeditationWho was studied
- People with a condition
- →PracticesTai ChiCertaintyMediumSourceRCT
A pooled analysis whose designs were not recorded found improved PSQI scores (MD −1.16, 95% CI −1.62 to −0.71, P < 0.00001). In a separate trial of 35 community-dwelling older adults at a senior care centre, global PSQI scores and several components improved, although participants did not have a diagnosed sleep disorder.
Who was studied
- People with a condition
Open Tai ChiStudy result
Meta-analysis of 21 RCTs: PSQI MD −1.16, 95% CI −1.62 to −0.71, P < 0.00001
- →PracticesTranscendental MeditationCertaintyMediumSourceClinical
An RCT in 80 people found a reduction in ISI scores compared with control (p=0.05), while a 2023 quasi-experimental study in 130 people found improved Insomnia Severity Index scores at 3 months.
Who was studied
- Healthy people and patients
Open Transcendental MeditationStudy result
Significant reduction in ISI scores compared with control (p=0.05)
Low probability(24)
- →PracticesAcceptance and Commitment Therapy (ACT)CertaintyLowSourceMeta-analysisSmall effect
Pooled randomized trials found reduced insomnia symptom severity versus waitlist or standard controls (SMD -0.67, 95% CI -1.08 to -0.25); another analysis across 3 RCTs found a smaller reduction versus passive control (SMD −0.40, 95% CI −0.64 to −0.16). Findings are not fully consistent: one RCT found significant improvement, while other studies found no significant effect on sleep, and several populations in one analysis did not have clinically diagnosed insomnia.
How big is the effect
Small effectA small but noticeable difference on average.
Who was studied
- Healthy people and patients
- Insomnia
Open Acceptance and Commitment Therapy (ACT)Study result
Pooled RCTs show ACT improved insomnia symptom severity (ISI) versus waitlist/standard controls (SMD -0.67, 95% CI -1.08 to -0.25).
- →PracticesPsychotherapyCertaintyLowSourceMeta-analysis
Among people with PTSD symptoms and insomnia, CBT-I improved sleep symptoms (SMD=−1.00) and PTSD symptoms (SMD=−1.18) in the insomnia subgroup. The findings concern people with PTSD and insomnia symptoms, not insomnia in general.
Who was studied
- People with a condition
Open PsychotherapyStudy result
When patients have insomnia symptoms, psychotherapy is preferable; CBT-I significantly improved PTSD symptoms (SMD=−1.51) and insomnia subgroup showed significant improvement in PTSD (SMD=−1.18) and sleep symptoms (SMD=−1.00).
- →PracticesBrisk WalkingCertaintyLowSourceRCT
A 2025 randomized controlled trial in 71 people with Insomnia found a reduction in PSQI total score with brisk walking compared with control.
Who was studied
- People with a condition
- Insomnia
Open Brisk WalkingStudy result
RCT showing significant reduction in PSQI total score with brisk walking compared to control.
- →PracticesCardioCertaintyLowSourceRCT
Pooled sleep outcomes improved (MD -2.51), but the ISI subgroup did not show a significant change.
Who was studied
- People with a condition
Open CardioStudy result
Pooled sleep outcomes showed significant improvement (MD -2.51), but ISI subgroup non-significant.
- →PracticesGratitude JournalCertaintyLowSourceRCT
In a randomized trial involving 312 people, the TGT group had a greater improvement in PSQI than the waitlist group at 4 weeks (−1.15, 95% CI −2.08 to −0.23), but the effect did not persist to 8 weeks.
Who was studied
- People with a condition
Open Gratitude JournalStudy result
PSQI, the primary endpoint, improved at 4 weeks in the TGT group versus waitlist (−1.15, 95% CI −2.08 to −0.23); the effect did not persist to 8 weeks.
- →PracticesMindfulness MeditationCertaintyLowSourceRCT
A pooled analysis whose study designs were not recorded found sleep improvement in clinical populations that included people with insomnia (Hedges' g = 0.45, p < 0.001). A separate RCT found improvement on the Athens Insomnia Scale that remained at 6-month follow-up, while another pooled analysis did not find a significant effect; the pooled findings differ.
Who was studied
- People with a condition
Open Mindfulness MeditationStudy result
Clinical populations including insomnia showed moderate sleep improvements (Hedges' g = 0.45, p < 0.001); multiple included trials targeted insomnia (Chapoutot, Huberty, Kennett, Lappalainen, Li, Low)
- →PracticesPilatesCertaintyLowSourceRCT
A 2020 meta-analysis of 6 randomized controlled trials found an improvement in PSQI total score (MD = -3.60, p=0.0001).
Who was studied
- People with a condition
- Chronic Kidney Disease
- Menopause
Open PilatesStudy result
Meta-analysis of 6 RCTs showing significant improvement in PSQI total score (MD = -3.60, p=0.0001)
- →PracticesYogaCertaintyLowSourceRCT
Sleep quality improved across included randomized trials, but a pooled analysis of two randomized controlled trials found no statistically significant change in ISI scores; participants met the inclusion criterion ISI ≥ 8. The sleep-quality findings and the non-significant ISI result concern different measures.
Who was studied
- Healthy people and patients
- Anxiety Generalized
- Breast Cancer
- Cancer
- Chronic Kidney Disease
- Depression
- Dialysis
- +10 more
Open YogaStudy result
Pooled ISI analysis of two RCTs (non-significant) and inclusion criteria of ISI ≥ 8; evidence very low certainty per authors.
- →PracticesHot BathCertaintyLowSourceClinical
A review of randomized trials found that warm baths improved perceived and measured sleep outcomes in healthy older people with insomnia across three crossover studies.
Who was studied
- People with a condition
- Insomnia
Open Hot BathStudy result
Warm bath evaluated in healthy elderly people with insomnia across three crossover studies; sleep outcomes improved as perceived and measured in those studies.
- →PracticesYin YogaCertaintyLowSourceClinical
In a 2018 randomized trial with 105 participants, Yin Yoga and a combined program both reduced Insomnia Severity Index scores more than the control group.
Who was studied
- People with a condition
Open Yin YogaStudy result
Both Yin yoga and YOMI groups showed significantly greater pre-post reductions in Insomnia Severity Index scores than control.
- →PracticesYoga NidraCertaintyLowSourceClinical
A pilot study in 74 participants found a reduction in sleep onset latency.
Who was studied
- People with a condition
- Anxiety Disorder
Open Yoga NidraStudy result
Significant reduction in sleep onset latency in a pilot study.
- →PracticesBreathworkCertaintyLowSourceReview
A narrative review reported that combining mindful breathing with sleep-inducing exercise improved the long-term effectiveness of insomnia treatment.
Who was studied
- People with a condition
Open BreathworkStudy result
Mindful breathing combined with sleep-inducing exercise significantly improved long-term effectiveness of insomnia treatment (Hui et al.)
- →PracticesFinnish SaunaCertaintyLowSourceReview
One small study found increased deep sleep and reduced wakefulness after a sauna session.
Open Finnish SaunaStudy result
One small study showed increased deep sleep and reduced wakefulness after sauna session.
- →PracticesForest Bathing (Shinrin-yoku)CertaintyLowSourceReview
A review described a small prospective study suggesting forest therapy may help with insomnia in postmenopausal women. Other studies cited in reviews reported improved sleep quality in postmenopausal women and stressed medical staff.
Who was studied
- Healthy people and patients
- Anxiety Generalized
- Cancer
- Depression
- Fibromyalgia
- Heart Failure
- Hypertension
- +3 more
Open Forest Bathing (Shinrin-yoku)Study result
A small prospective study suggested forest therapy may be effective for insomnia in postmenopausal women.
- →PracticesAlternate Nostril Breathing (Nadi Shodhana)CertaintyLowSourceTheoretical
Integrative protocols recommend the practice as a non-pharmacological approach to insomnia, with the rationale that it promotes parasympathetic activation and reduces pre-sleep arousal.
Open Alternate Nostril Breathing (Nadi Shodhana)Study result
As a non-pharmacological intervention promoting parasympathetic activation and reducing pre-sleep arousal, it is recommended in integrative protocols for insomnia.
- →PracticesBedtime Wind-Down RitualCertaintyLowSourceTheoretical
Bedtime routines are included among behavioral approaches to managing chronic insomnia, with the aim of improving sleep parameters.
Open Bedtime Wind-Down RitualStudy result
Non-pharmacological management of chronic insomnia includes bedtime routines as a behavioral intervention to improve sleep parameters.
- →PracticesHot YogaCertaintyLowSourceTheoretical
Regular hot yoga practice may improve sleep onset and quality, and could serve as an adjunctive approach for insomnia.
Open Hot YogaStudy result
Regular hot yoga practice may improve sleep onset and quality, making it a potential adjunctive therapy for insomnia.
- →PracticesBox BreathingCertaintyLowSourceTheoretical
Diaphragmatic and paced breathing, including box breathing, are used to ease mental and physical hyperarousal before sleep and may help people with insomnia fall asleep.
Open Box BreathingStudy result
Diaphragmatic and paced breathing exercises, including box breathing, are commonly used as a relaxation technique to reduce cognitive and physiological hyperarousal before sleep, aiding sleep onset in individuals with insomnia.
- →PracticesCoherent BreathingCertaintyLowSourceTheoretical
In cognitive behavioral therapy for insomnia, Coherent Breathing is used to reduce pre-sleep arousal and facilitate sleep onset.
Open Coherent BreathingStudy result
Used in cognitive behavioral therapy for insomnia (CBT-I) to reduce pre-sleep arousal and facilitate sleep onset.
- →PracticesCyclingCertaintyLowSourceTheoretical
Regular moderate aerobic exercise is described as potentially improving sleep quality in people with insomnia, ideally when not done close to bedtime.
Open CyclingStudy result
Regular moderate aerobic exercise may modestly improve sleep quality in people with insomnia, ideally not close to bedtime.
- →PracticesFocused Attention MeditationCertaintyLowSourceTheoretical
Focused attention meditation is described as reducing cognitive arousal and improving sleep onset and maintenance.
Open Focused Attention MeditationStudy result
Focused attention meditation is indicated for insomnia, as it reduces cognitive arousal and improves sleep onset and maintenance.
- →PracticesQigongCertaintyLowSourceTheoretical
Qigong is described as a non-pharmacological practice for improving sleep onset and sleep quality in people with insomnia.
Open QigongStudy result
Qigong is an effective non-pharmacological intervention for improving sleep onset and quality in individuals with insomnia.
- →PracticesSwedish (Classic) MassageCertaintyLowSourceTheoretical
Massage is described as improving sleep onset and quality in chronic insomnia, possibly through parasympathetic activation and cortisol reduction. This is an expert-knowledge finding rather than a reported trial result.
Open Swedish (Classic) MassageStudy result
Massage improves sleep onset and quality in chronic insomnia, likely via parasympathetic activation and cortisol reduction.
- →PracticesSwimmingCertaintyLowSourceTheoretical
Regular moderate aerobic exercise may modestly improve sleep onset and quality in people with Insomnia; evidence specific to swimming is limited.
Open SwimmingStudy result
Regular moderate aerobic exercise may modestly improve sleep onset and quality in people with insomnia. Evidence specific to swimming is limited.
Very low probability(1)
- →PracticesHatha YogaCertaintyVery lowSourceClinical
A 2025 trial in 13 women with chronic pain found no significant improvement in total sleep-quality score after 2 weeks of Hatha yoga, either within the yoga group or compared with the other group.
Open Hatha YogaWho was studied
- People with a condition
- Chronic Pain
What to avoid
Interventions recorded as making it worseNothing in this library is currently recorded as making Insomnia worse. Coverage is partial, and absence here is not evidence of safety.
How to read the evidence
Evidence tier — overall strength of the evidence for the whole compound
- StrongWell established — backed by strong, consistent human research.
- ModerateSome genuine support, but mostly from small or lower-quality studies. Promising, not proven.
- PreliminaryEarly-stage evidence — a promising hypothesis, not an established effect yet.
- LimitedVery limited evidence — treat this as a hypothesis, not proof.
- InsufficientNot enough good evidence to draw conclusions yet.
Certainty — how sure we can be that the effect is real
- Very highVery sure — strong, consistent evidence
- HighFairly sure — consistent evidence from good studies
- MediumModerately sure — new studies could change this
- LowNot sure — little or mixed evidence
- Very lowVery unsure — almost no usable evidence
Source — where the data comes from
- Meta-analysisPooled analysis of many trials — the strongest evidence
- RCTRandomized controlled trial — a strong human study design
- ClinicalA human clinical study
- Reference knowledgeFrom general health-science or pharmacology references, not a study of this exact claim
- Animal researchStudied in animals, not humans
- Community reportsAggregated user reports — anecdotal signal, not evidence
- TheoreticalMechanism-based reasoning, not yet tested
Study grade — quality of each underlying study (A best, D weakest)
- AHigh-quality — strong, consistent human trials
- BGood — solid evidence with some limitations
- CModerate — limited, small, or mixed-quality studies
- DWeak — preliminary, indirect, or animal-only
Confidence — how strongly the sources back a finding
A 0–100 score from study quality and agreement
Most supplement evidence is graded C–D. Read it as preliminary signal, not proof.
Full write-up
What is it
Insomnia is a sleep-related condition listed in the mental category. The outcome is considered in terms of changes in sleep quality, sleep pattern, and insomnia rather than as a general measure of well-being.
Interventions such as Ashwagandha, Lavender Extract, Melatonin, and Saffron Extract are discussed as possible approaches, but the strength of evidence varies. This page is educational and does not establish that any option will work for every person.
Evidence-backed options
The options associated with Insomnia differ in both the type of intervention and the strength of support. Findings for Ashwagandha, Lavender Extract, Melatonin, Saffron Extract, Anusara Yoga, and Tai Chi include improvements in sleep quality or insomnia-related measures, but they do not indicate that every person will respond in the same way. Melatonin’s reported effect is modest, while the evidence for Saffron Extract is described as limited and ranging from very low to moderate quality.
The research has assessed several different outcomes, including sleep quality, sleep pattern, sleep efficacy, sleep latency, and insomnia-severity scores. Some studies examined pre-sleep use, including subchronic pre-sleep Tryptophan administration, while other findings concern broader programs or interventions. The available findings do not establish one consistent time to benefit across these options.
A larger group has lower reported likelihood of benefit, including Caffeine, GABA, L-Theanine, Magnesium, Passionflower, Tryptophan, Valerian Root, Vitamin E, and Box Breathing. Their findings range from improvements in subjective or objective sleep measures to modest effects or potential benefits in specific study settings. Magnesium research included quantities of less than 1 g given up to three times a day, but this does not establish a generally appropriate amount or schedule.
Overall, the evidence is varied rather than conclusive, and results may not apply equally across different people or causes of Insomnia. Anyone considering an option for a medical condition should discuss the evidence and personal circumstances with a clinician.
What to avoid
Panax Ginseng and American Ginseng are flagged for Insomnia because both may have stimulating or activating effects. These effects can make it take longer to fall asleep and may aggravate an existing sleep disorder, making them less suitable when difficulty sleeping is already present.
The concern may be greater with Panax Ginseng when use occurs late in the day or at high doses. American Ginseng is also associated with insomnia and stimulation among its more consistently reported adverse effects. These considerations relate to their potential to increase activation rather than support sleep, so the same concern may apply across products containing either form of ginseng.
Anyone with a medical condition, including Insomnia, may wish to discuss the relevance of these considerations with a clinician before using either product.