{"id":6604,"date":"2026-08-15T12:53:40","date_gmt":"2026-08-15T12:53:40","guid":{"rendered":"https:\/\/www.comfortkeepers.ca\/ottawa\/?p=6604"},"modified":"2026-08-17T12:54:03","modified_gmt":"2026-08-17T12:54:03","slug":"what-causes-insomnia-in-elderly-adults-a-guide-for-ottawa-families","status":"publish","type":"post","link":"https:\/\/www.comfortkeepers.ca\/ottawa\/blog\/what-causes-insomnia-in-elderly-adults-a-guide-for-ottawa-families\/","title":{"rendered":"What Causes Insomnia in Elderly Adults? A Guide for Ottawa Families"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-6605\" src=\"https:\/\/www.comfortkeepers.ca\/ottawa\/wp-content\/uploads\/sites\/119\/2026\/08\/Insomnia-in-Elderly-Adults-1.jpg\" alt=\"Insomnia in Elderly Adults\" width=\"1000\" height=\"677\" srcset=\"https:\/\/www.comfortkeepers.ca\/ottawa\/wp-content\/uploads\/sites\/119\/2026\/08\/Insomnia-in-Elderly-Adults-1.jpg 1000w, https:\/\/www.comfortkeepers.ca\/ottawa\/wp-content\/uploads\/sites\/119\/2026\/08\/Insomnia-in-Elderly-Adults-1-300x203.jpg 300w, https:\/\/www.comfortkeepers.ca\/ottawa\/wp-content\/uploads\/sites\/119\/2026\/08\/Insomnia-in-Elderly-Adults-1-768x520.jpg 768w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><\/p>\n<p><span style=\"font-weight: 400\">You call your mother at nine in the morning, and she sounds exhausted. She tells you that she woke up again at 3 a.m. and sat in the kitchen with the lights on. In the afternoon, she falls asleep in her armchair. At ten at night, she\u2019s wide awake again.<\/span><\/p>\n<p><span style=\"font-weight: 400\">If this sounds familiar, you\u2019re not imagining a problem. At <\/span><a href=\"https:\/\/www.comfortkeepers.ca\/ottawa\/about-us\/\"><i><span style=\"font-weight: 400\">Comfort Keepers<sup>\u00ae<\/sup> In-Home Senior Care Ottawa and Kanata<\/span><\/i><\/a><span style=\"font-weight: 400\">, we\u2019ve noticed that sleep changes as we age, but a parent who can\u2019t fall asleep, can\u2019t stay asleep, or wakes up long before dawn isn\u2019t simply \u201cgetting older.\u201d There\u2019s usually a reason behind it, and most causes of insomnia in older adults are treatable once you know what you\u2019re dealing with.<\/span><\/p>\n<h2><b>How Many Hours of Sleep Does an Older Adult Really Need?<\/b><\/h2>\n<p><span style=\"font-weight: 400\">There is a widespread belief that older adults need much less sleep than younger adults. That is only partly true. Most adults over 65 still need about seven to eight hours a night. What changes is the structure of sleep: older adults spend less time in deep sleep, wake up more frequently during the night, and tend to feel sleepy earlier in the evening. So a parent who goes to bed at 8:30 p.m. and wakes up at 5:00 a.m. may be perfectly healthy. A parent who lies awake for two hours every night, or who wakes up four or five times and cannot get back to sleep, is dealing with a different problem.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The extent of the problem is greater than most families realize. Statistics Canada\u2019s Canadian Health Measures Survey found that between 18.6% and 25.8% of Canadians aged 65 and older reported symptoms of nighttime insomnia, and among the adult population as a whole, most Canadians with insomnia symptoms had been living with them for more than a year.<\/span><\/p>\n<p><span style=\"font-weight: 400\">This last detail is important. Insomnia in elderly adults rarely announces itself. It settles in quietly and becomes the new normal, often long before anyone in the family thinks to ask about it.<\/span><\/p>\n<h2><b>The Most Common Causes of Insomnia in Elderly Adults<\/b><\/h2>\n<p><span style=\"font-weight: 400\">In most cases there is no single culprit. The causes tend to stack: a sore hip, a diuretic taken at the wrong hour, and a dark February afternoon can add up to a broken night that none of them would have caused alone. These are the ones we see most often in Ottawa homes.<\/span><\/p>\n<h3><b>Pain and physical discomfort.<\/b><\/h3>\n<p><span style=\"font-weight: 400\">Arthritis, back pain, and joint stiffness are among the most common reasons older adults wake up during the night. Pain that is manageable while moving about during the day becomes much louder when the house is quiet.<\/span><\/p>\n<h3><b>Medications.\u00a0<\/b><\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-6606\" src=\"https:\/\/www.comfortkeepers.ca\/ottawa\/wp-content\/uploads\/sites\/119\/2026\/08\/Causes-Insomnia-in-Elderly-Adults-1.jpg\" alt=\"\" width=\"1000\" height=\"677\" srcset=\"https:\/\/www.comfortkeepers.ca\/ottawa\/wp-content\/uploads\/sites\/119\/2026\/08\/Causes-Insomnia-in-Elderly-Adults-1.jpg 1000w, https:\/\/www.comfortkeepers.ca\/ottawa\/wp-content\/uploads\/sites\/119\/2026\/08\/Causes-Insomnia-in-Elderly-Adults-1-300x203.jpg 300w, https:\/\/www.comfortkeepers.ca\/ottawa\/wp-content\/uploads\/sites\/119\/2026\/08\/Causes-Insomnia-in-Elderly-Adults-1-768x520.jpg 768w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><\/p>\n<p><span style=\"font-weight: 400\">This is the cause that families most often overlook. Diuretics taken too late in the day, some blood pressure medications, corticosteroids, and certain antidepressants can all disrupt sleep. The same is true for over-the-counter products. If your parent takes several prescriptions, the timing of those doses is worth reviewing with a pharmacist.<\/span><\/p>\n<h3><b>The need to use the bathroom at night.<\/b><\/h3>\n<p><span style=\"font-weight: 400\">Frequent nighttime urination disrupts sleep and, just as importantly, increases the risk of falling in a dark hallway. Many older adults respond by drinking less in the evening, which can lead to dehydration rather than better sleep.<\/span><\/p>\n<h3><b>Sleep apnea.<\/b><\/h3>\n<p><span style=\"font-weight: 400\">Loud snoring, gasping, or long pauses in breathing are not just noisy habits. <\/span><a href=\"https:\/\/www.canada.ca\/content\/dam\/phac-aspc\/migration\/phac-aspc\/cd-mc\/sleepapnea-apneesommeil\/pdf\/sleep-apnea.pdf.2.\"><span style=\"font-weight: 400\">Sleep apnea is common among older adults<\/span><\/a><span style=\"font-weight: 400\"> and often goes undiagnosed, leaving people exhausted no matter how many hours they spend in bed.<\/span><\/p>\n<h3><b>Anxiety, grief, and low mood.<\/b><\/h3>\n<p><span style=\"font-weight: 400\">An older adult who has lost a spouse, stopped driving, or seen their social circle shrink often does their hardest thinking at night. <\/span><a href=\"https:\/\/www.comfortkeepers.ca\/ottawa\/blog\/parkinsons-disease-and-depression-in-older-adults\/\"><span style=\"font-weight: 400\">Depression in older adults<\/span><\/a><span style=\"font-weight: 400\"> regularly shows up as waking early in the morning rather than as sadness.<\/span><\/p>\n<h3><a href=\"https:\/\/www.comfortkeepers.ca\/ottawa\/blog\/best-activities-for-seniors-ottawa\/\"><b>Too little daylight and too little activity.<\/b><\/a><\/h3>\n<p><span style=\"font-weight: 400\">The body\u2019s internal clock depends on light and movement. An Ottawa winter offers only a handful of daylight hours, and for an older adult who rarely leaves the house between December and March, that clock drifts badly. A day spent mostly in a chair sends the body very few signals about when the night is supposed to begin.<\/span><\/p>\n<h3><b>Caffeine and alcohol.<\/b><\/h3>\n<p><span style=\"font-weight: 400\">A glass of wine after dinner may bring on sleep quickly, then cause waking a few hours later. Afternoon coffee or tea lingers longer in an older body than it did decades ago.<\/span><\/p>\n<h2><b>When Changes in Sleep Are a Warning Sign<\/b><\/h2>\n<p><span style=\"font-weight: 400\">Most causes of insomnia in elderly adults are simply a nuisance. Sometimes, however, the change in sleep is a signal that warrants prompt attention:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Sleeping most of the day, not just at night<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Confusion or agitation that intensifies in the late afternoon and evening<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Falling asleep in the middle of a conversation or a meal<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">New episodes of nighttime wandering, or waking up disoriented about where they are<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">A sudden change in sleep over days or weeks rather than months<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">Sudden changes in sleep may point to an infection, side effects from medication, or cognitive change, and they warrant a call to the family doctor rather than a wait-and-see approach.<\/span><\/p>\n<h2><b>A Word of Caution About Sleeping Pills<\/b><\/h2>\n<p><span style=\"font-weight: 400\">Many families turn to a sleep aid because it seems like the quickest solution. For older adults, sedatives carry real risks: drowsiness that lingers into the next day, unsteadiness, and a meaningfully higher chance of a nighttime fall. Nothing discussed here is a substitute for medical advice, but it is always worth asking a doctor or pharmacist whether the underlying cause has been addressed before a prescription becomes routine.<\/span><\/p>\n<h2><b>What Families Can Do Now<\/b><\/h2>\n<p><span style=\"font-weight: 400\">Start by tracking, not fixing. Many of these causes only become visible once someone writes the pattern down. For two weeks, keep track of what time your mother goes to bed, how often she wakes up, when she naps, and what she eats or drinks after dinner. A simple log turns &#8220;she is not sleeping well&#8221; into something a doctor can actually work with.<\/span><\/p>\n<p><span style=\"font-weight: 400\">From there, small changes carry surprising weight. Going outside, or simply sitting by a bright window, in the first hours of the morning helps reset the internal clock, even in January. A consistent wake-up time matters more than a consistent bedtime. Naps are fine, but before 3:00 p.m. and under 30 minutes. And a clear, well-lit path from the bed to the bathroom reduces the risk that a broken night ends in a fall.<\/span><\/p>\n<p><span style=\"font-weight: 400\">For older adults living alone, consistency is the biggest challenge. Routines slip when there is no one around to notice. This is where day-to-day support makes a real difference: a caregiver who encourages a morning walk, prepares meals at set times, keeps the evening calm, and is present overnight when the nights are the hardest part.<\/span><\/p>\n<p><span style=\"font-weight: 400\">At <\/span><a href=\"https:\/\/www.comfortkeepers.ca\/ottawa\/\"><span style=\"font-weight: 400\">Comfort Keepers<sup>\u00ae<\/sup> In-Home Senior Care Ottawa and Kanata<\/span><\/a><span style=\"font-weight: 400\">, our Interactive Caregiving\u2122 approach is built around exactly this kind of daily engagement: activity during the day, structure in the evening, and safety after dark. If your parent\u2019s sleep has changed and you are not sure what comes next, we would be glad to talk it through with you. <\/span><a href=\"https:\/\/www.comfortkeepers.ca\/ottawa\/contact-us\/\"><b>Contact us!<\/b><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>You call your mother at nine in the morning, and she sounds exhausted. She tells you that she woke up again at 3 a.m. and sat in the kitchen with the lights on. In the afternoon, she falls asleep in her armchair. At ten at night, she\u2019s wide awake again. If this sounds familiar, you\u2019re [&hellip;]<\/p>\n","protected":false},"author":29,"featured_media":6605,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[17],"tags":[],"class_list":["post-6604","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-toronto-senior-health"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>What Causes Insomnia in Elderly Adults? 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