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Poor sleep is usually treated as a symptom — something that will sort itself out once the anxiety or low mood improves. In practice it works in both directions, and the loop can become the main problem long after whatever started it has faded. How the Loop Forms Stress disrupts sleep. Disrupted sleep reduces your capacity to regulate emotion the next day, which makes ordinary difficulties feel larger. That raises stress, which further disrupts sleep. A few nights of this is u