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Do you lie in bed wide awake until 2AM or later, no matter how tired you feel? If falling asleep on time feels impossible, you’re not alone—especially if you have ADHD. Many people with ADHD find their minds racing at night and their energy peaking just when the rest of the world is winding down.
This isn’t just a bad habit or poor sleep hygiene. It could be a real condition called Delayed Sleep Phase Syndrome (DSPS). It’s a circadian rhythm disorder that pushes your body’s sleep schedule several hours later than normal. That means you might not feel sleepy until 2AM or even later, and waking up in the morning becomes a daily battle.
According to research and colleagues, DSPS is especially common in people with ADHD, affecting their mood, attention, and daily function. If this sounds familiar, there are real solutions that can help you reset your internal clock—and finally get the rest you need.
What Is Delayed Sleep Phase Syndrome (DSPS)?
Delayed Sleep Phase Syndrome (DSPS) is a sleep disorder where your internal body clock runs late. If you have DSPS, your brain doesn’t feel ready for sleep until hours after a normal bedtime—often not until 2AM or later.
DSPS happens when the circadian rhythm, your body’s 24-hour cycle, falls out of sync with the outside world. Normally, your brain responds to cues like sunlight and bedtime routines to help you feel sleepy at night. But with DSPS, those signals don’t work the way they should. As a result, you may stay awake for hours, even when you're exhausted.
Some experts from the American Thoracic Society explain that DSPS may be linked to changes in melatonin or cortisol levels, or even genes that affect sleep timing. It often starts in the teen years but can last into adulthood if left untreated.
Why It’s Common in People with ADHD
If you have ADHD and often stay up very late, you’re not imagining things. There’s a strong link between ADHD and delayed sleep patterns. According to studies, over 70% of adults with ADHD report significant sleep disturbances .
Here’s why DSPS is more common in people with ADHD:
- Melatonin release is delayed, making it harder to feel sleepy at the right time.
- The brain stays alert long after bedtime, especially when thoughts race or distractions pile up.
- Poor response to light cues (like sunrise or screens) weakens the body’s ability to reset its clock.
- Inconsistent routines and irregular bedtimes, common in ADHD, can throw off sleep rhythms.
- Executive function struggles make it hard to follow sleep hygiene routines that support healthy sleep.
These factors combine to make falling asleep and waking up feel like a daily challenge. For many with ADHD, DSPS becomes a hidden cause of fatigue, mood swings, and poor focus.
How DSPS Affects Your Life
Living with Delayed Sleep Phase Syndrome can make everyday life harder than it needs to be. When your body refuses to sleep on time, it can throw off everything else, your energy, your mood, and your ability to focus.
Here’s how DSPS can impact your daily life:
- Waking up feels like a struggle, no matter how many alarms you set.
- Daytime sleepiness makes school or work harder to manage.
- Concentration drops, and even simple tasks can feel overwhelming.
- Mood swings and depression are more common when your sleep is out of sync.
- Social plans and responsibilities may get pushed aside due to exhaustion.
According to findings , teenagers and adults with DSPS often perform worse in school or work and are more likely to experience emotional problems. But many don’t realize their sleep schedule is the root of the issue.
What Causes It
You might wonder—why does your body seem wired at night when everyone else is winding down? Delayed Sleep Phase Syndrome doesn’t happen randomly. There are specific reasons why your sleep clock might be out of sync.
Here are the most common causes:
- Genetics play a big role. Some people are simply born with a longer internal clock.
- Melatonin and cortisol levels may not rise or fall at the right times.
- Light exposure at night (from phones, TVs, or laptops) confuses your body about when it’s time to sleep.
- Irregular routines like staying up late or sleeping in on weekends make it harder to reset your rhythm.
- Puberty and adolescence naturally push the sleep cycle later, especially in teens.
- Mental health conditions like ADHD, depression, and anxiety are closely tied to sleep delays.
According to a recent review , DSPS is not always caused by body clock dysfunction alone. In many cases, it’s linked to personality traits, behaviors, and social habits that reinforce a late sleep pattern.
How to Know If You Have DSPS
Not sure if what you're experiencing is Delayed Sleep Phase Syndrome? There are clear signs that can help you figure it out. DSPS isn’t just about staying up late—it’s about your body being out of sync with the world around you.
Here are some signs you might have DSPS:
- You can’t fall asleep before 2AM, even when you feel tired.
- You feel most alert at night, not during the day.
- Mornings are extremely hard, and you often sleep through alarms.
- You feel groggy or irritable when waking up early for work or school.
- Your sleep schedule shifts later, even more on weekends or holidays.
According to experts, DSPS is best diagnosed by tracking your sleep over time. This can be done with a sleep diary, a special wrist monitor (actigraphy), or by talking to a sleep specialist.
Proven Ways to Fix Your Sleep Clock
The good news? Delayed Sleep Phase Syndrome doesn’t have to control your nights—or your life. There are real tools that can help you shift your sleep to a healthier rhythm. With the right approach, you can finally fall asleep earlier and wake up feeling refreshed.
Here are effective ways to reset your internal clock:
- Melatonin supplements, when taken at the right time, help signal your brain that it’s time to wind down.
- Bright light therapy in the morning trains your body to wake up earlier and feel sleepy sooner at night.
- Chronotherapy slowly moves your sleep time earlier by adjusting it each day.
- Consistent wake-up times (even on weekends) help anchor your body’s clock.
- Avoiding screens and bright lights at night protects your brain from the wrong signals before bed.
A randomized trial showed that combining bright light therapy and melatonin significantly improved both sleep timing and daytime focus in adults with ADHD and DSPS. This suggests that targeting the body clock directly can improve both sleep and ADHD symptoms.
When to See a Specialist
Sometimes, no matter how hard you try, your sleep just doesn’t improve. That’s when it’s time to get help. If DSPS is hurting your health, mood, or daily life, a sleep specialist can guide you toward lasting change.
Here are signs you should consider professional support:
- You’ve tried melatonin or light therapy, but your sleep hasn’t improved.
- You miss work or school because waking up feels impossible.
- You rely on naps or caffeine just to get through the day.
- Your mood, focus, or motivation has started to drop.
- Sleep issues are affecting your safety, like falling asleep while driving.
According to a review , working with a sleep expert can help tailor treatments to your body’s needs. In some cases, behavioral therapy or more structured chronotherapy may be needed.
Wrap Up
If you stay up late every night and struggle to wake up each morning, you’re not just lazy or unmotivated. You might have Delayed Sleep Phase Syndrome, a condition often linked to ADHD.
This sleep disorder can throw off your energy, focus, and mood. The good news is that there are real ways to shift your sleep schedule and feel better—like using light therapy, melatonin, and a steady routine. If nothing works, a sleep specialist can help. Are you ready to take control of your nights—and finally wake up refreshed?
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References
- Futenma, K., Takaesu, Y., Komada, Y., Shimura, A., Okajima, I., Matsui, K., Tanioka, K., & Inoue, Y. (2023). Delayed sleep–wake phase disorder and its related sleep behaviors in the young generation. Frontiers in Psychiatry, 14, Article 1174719. https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1174719/full
- Van Andel, H. W. H., De Boer, J. N., Fronczek, R., Brouwer, O. F., Lammers, G. J., & Meijer, W. M. (2022). Attention-deficit/hyperactivity disorder and delayed sleep phase syndrome in adults: A randomized clinical trial investigating the effects of bright light therapy and melatonin as add-on treatment. Chronobiology International, 39(10), 1411–1424. https://doi.org/10.1080/07420528.2022.2067002
- Sivertsen, B., Pallesen, S., Stormark, K. M., & Hysing, M. (2018). Delayed sleep phase disorder in adolescents: A review of European studies. Nature and Science of Sleep, 10, 73–85. https://doi.org/10.2147/NSS.S45348
- Typaldos, M., & Sockrider, M. (2019). Delayed Sleep Phase Syndrome. American Thoracic Society Patient Education Series. American Journal of Respiratory and Critical Care Medicine, 200(P7–P8). Retrieved from https://www.thoracic.org/patients/patient-resources/resources/delayed-sleep-phase-syndrome.pdf