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Opinion_

For most people, insomnia is nothing like in the movies

11 October 2023
Despite its fascination, Hollywood rarely gets insomnia right
Movies are prone to either minimise or exaggerate symptoms, write Aaron Schokman and Professor Nick Glozier for The Conversation. This has implications for the third of us who have symptoms.

Hollywood appears fascinated by sleep鈥檚 impact on the mind and body. Blockbuster movies featuring someone living with insomnia include听听(1993),听听(1999) and听听(2002).

But how well do these and other portrayals compare with what it鈥檚 really like to live with insomnia?

As we鈥檒l see, most movies tend to either minimise or exaggerate symptoms. Insomnia is rarely depicted as a treatable illness. And these portrayals have implications for the estimated听听of us with at least one insomnia symptom.

Back in the real world

Insomnia is a common听听where a person struggles to fall asleep, stay asleep, or wakes up too early 鈥� despite having adequate opportunity for sleep.

听of adults experience significant insomnia to the degree that it causes distress or impairs daily life.

It鈥檚 a common misconception that insomnia is only a night-time issue.听听can impact your ability to stay awake and alert during the day. It can also affect your听.

At work, you might be more prone to accidents, more forgetful, or make poorer decisions. At home, you might be irritable or short with your friends and family.

So what is it like living with insomnia? Apart from the effects of poor sleep quality, many people experience听听about the night ahead from the moment they wake up. From early in the day, people plan how they can improve their sleep that night.

听found people living with insomnia felt their sleep concerns were often trivialised or misunderstood by health-care professionals, and stigmatised by others.

A tired woman holds a coffee cup while yawning

Image credit: Adobe Stock

Movies can minimise symptoms 鈥�

Nicholas Galitzine鈥檚 character in the recent romcom听听(2023) has insomnia. We鈥檙e briefly told he struggles to fall asleep at night. However, we never see any meaningful impact on his life or depiction of the difficulty living with insomnia entails.

That said, minimising the impact of insomnia can have benefits. It shows insomnia is an invisible illness, doesn鈥檛 have obvious visual symptoms and anyone can have it.

But this can perpetuate the expectation someone with insomnia should be able to function unencumbered. Or it can fuel the misconception having insomnia may be beneficial, as in听听(1957).

鈥� or exaggerate symptoms

But most Hollywood portrayals of insomnia tend to depict the most extreme cases. These usually feature insomnia as a symptom of another condition rather than a disorder itself, as is commonly experienced.

These movies tend to be psychological thrillers. Here, insomnia is often used as an enigma to keep the audience guessing about which events are real or figments of a character鈥檚 imagination.

Take听听(2004), for example. The main character is emaciated, ostracised and plagued by paranoia, hallucinations and delusions. It鈥檚 only towards the end of the movie we learn his insomnia may be the result of a听, such as post-traumatic stress disorder.

Hollywood鈥檚 focus on extreme cases of insomnia is a recurring pattern (for instance,听听1999,听听2005).

It鈥檚 understandable why Hollywood latches onto these extreme portrayals 鈥� to entertain us. Yet these portrayals of insomnia as something more severe or threatening, like psychosis, can increase anxiety or stigma among people living with insomnia.

While it鈥檚 true other medical conditions including听听can lead to insomnia, insomnia often exists on its own. Insomnia is often听听more mundane things like too much stress, lifestyle and habits, or longer daylight hours at higher latitudes (such as in听, 2002).

Something these exaggerated portrayals do well is highlight the impact sleep deprivation can have on safety, albeit extremely dramatised. Regardless of profession,听听at night can substantially impact cognitive function, increasing the chance of making a mistake.

Movies rarely depict treatment

It is rare to see insomnia depicted as a health condition requiring medical care. Very few characters struggling with insomnia seek or receive help for it.

An exception is the narrator in听听(1999). But he has to pretend to have other illnesses to receive therapy, again suggesting insomnia is not a legitimate condition.

A man sleeping at his work desk with sticky notes covering his eyes with drawings of open eyeballs on them

Image credit: Adobe Stock

Why does accurate representation matter?

Many people only learn about the symptoms and impact of sleep disorders through pop culture and film. These portrayals can affect how others think about these disorders and can impact how people living with these disorders think about themselves.

Uniform and stereotypical portrayals of insomnia can also impact people鈥檚听.

Most of these films show young or middle-aged men experiencing insomnia. Yet women are听听to have insomnia than men. Insomnia is also听听in older adults, people with a lower socioeconomic background and those living alone. People at higher risk of developing insomnia might not recognise their risk or symptoms if their experience doesn鈥檛 match what they鈥檝e seen.

We can do better

While the reality of living with insomnia may not be particularly cinematic, filmmakers can surely do better than using it as a convenient plot point.

There are a number of main characters living with different health conditions across pop culture. For instance, the movie听听(2016) features someone with听听and the TV series听听(2017-2021) features someone鈥檚 experience living with autism.

But if you鈥檙e looking for an accurate portrayal of insomnia, Hollywood still has some way to go. It鈥檚 about time insomnia is depicted in a way that accurately reflects people鈥檚 experiences.


This article originally appeared in as ''. Aaron Schokman is a PhD candidate at the 爆料王.听 Professor Nick Glozier is a member for the and the at the 爆料王.

Lead image credit: Adobe Stock

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