Fabian-Xosé Fernandez on what goes on in our heads after midnight…
18 November 2025
It is 3am, and Sarah sits alone on her couch, staring at the dim glow of the television. The remote feels weightless in her hand as she flips through channels with mechanical detachment, her fingers moving without thought, her eyes unfocused. The sound from the screen hums in the background – distant, failing to drown out the storm in her mind. She is not watching; she is merely existing, hollow, caught in the liminal space between exhausted resignation and restless agitation.
Sarah's thoughts are heavy with the weight of her recent divorce – a sense of loss that stalks her, gnawing away with an almost predatory persistence. During the day, she manages to keep herself occupied – work, errands, even socialising. But the night strips away these distractions and pretence, leaving her exposed to the raw, unfiltered truth: she is alone. There is no one to text, no one to call. The warmth of shared moments, the reassuring presence of another heartbeat in the same room, the unspoken comfort of belonging – all of it is gone, swallowed by the abyss of the night.
The room is the same as it was 12 hours ago, yet something about it feels different. In the day, the couch is just a couch, but at 3am, it becomes an island – a vast expanse with no end, no border, no promise of escape. The stillness of the night is suffocating, the silence palpable, pressing in on her like smoke. It is as if the entire universe has receded, leaving her stranded in a void where time slows and emotions loom larger than life, like grotesque and distorted reflections in a circus mirror.
Sarah tries to remind herself that these feelings will subside with the sun's return. But reason has no place in the dead of night. Her mind loops through the same tortured thoughts, revisiting memories like open wounds, replaying moments she wishes she could undo, conversations she wishes had gone differently. The past presents like a phantom. She wants to push it away, then embrace it, but it dissipates in her grasp.
Her body is exhausted – is it even still her body? She shifts restlessly, but no position brings comfort. The minutes crawl, each accented by the clock. This is not mere sadness. This is despair in its most distilled form – a darkness that latches on, whispering that the loneliness she feels now is not just a fleeting moment.
And the worst part? Sarah is not wrong to feel this way. Because in this moment, in this fragile space between midnight and dawn, the world as she knows it has abandoned her. Thoughts, feelings and perceptions really do change in the 'mind after midnight'…
Thoughts
Sarah's inability to shift from despairing rumination to a more adaptive state of mind is not a mere lapse in willpower – it is a reflection of the brain's natural rhythms, which fluctuate throughout the night.
Under normal circumstances, the brain fluidly alternates between two primary networks. The first, the default mode network (DMN), acts as a hub for inwardly focused processes, an agent capable of tying together self-referential thought with introspection, autobiographical memory, bodily sensations, and the emotional weight of past experiences, whether recalled in images, stories, or fleeting impressions in the mind's eye. The second, the task-positive network (TPN), shifts attention outward, enabling focus, problem-solving, and strategic thinking.
In the quiet depths of the night, the seamless transition between these networks short-circuits. The shift becomes sluggish, inefficient, leaving individuals like Sarah trapped in the DMN's grip. Her mind loops through painful memories and hypothetical scenarios, each thought tightening the grip of distress further.
This vulnerability is not unique to Sarah; research indicates that nighttime wakefulness is strongly linked to suicidal ideation, likely because the brain's ability to regulate emotional distress and shift perspective is at its weakest during these hours. In this moment, Sarah's anguish feels absolute – not because she is doomed to suffer, but because, in the altered neurobiological state of the night, escape feels impossible.
Even if Sarah tries to redirect her thoughts onto something constructive, with her brain attempting to shift into the task-positive network (TPN), it, too, is effectively compromised, running at its lowest capacity and sputtering during these late hours. Research suggests that executive function – the flexible cognitive toolkit that the TPN uses to help us self-regulate and stick with behaviours that will help us reach our goals – is naturally impaired during the night, with attentional control and problem-solving becoming further eroded by sleep loss. As a result, the brain's ability to regulate impulses weakens, leaving individuals more vulnerable to emotional overwhelm, particularly when processing difficult personal experiences. For Sarah, her difficult personal experiences now feel sharper, harder to contain, and nearly impossible to reframe.
Sarah's feelings
At 3:30am, Sarah remains on her couch, ensnared in a psychological state dictated by the intricate interplay of circadian rhythms, sleep deprivation, and nocturnal wakefulness. The fog she experiences is more than just fatigue; it is the result of disrupted neurobiological processes that regulate both the 'cognition of mood' and the 'mood of cognition'. As the night deepens, her emotional resilience decays, following well-documented patterns in sleep science.
Research consistently shows that negative affect intensifies in the late-night hours, particularly around the circadian nadir – the point when core body temperature reaches its lowest level and psychological vulnerability peaks. This internal shift manifests outwardly in behaviour. Large-scale linguistic analyses of social media posts across the world reveal a striking universal pattern: words associated with distress, hopelessness, and emotional turmoil all surge between midnight and 4am, regardless of cultural or geographic differences.
Even more concerning, a study of over 10,000 adults found that suicidal ideation follows a similar trajectory, beginning to rise after 1am and peaking between 3 and 5. This alignment suggests that wakefulness during the midnight hours amplifies emotionally-fueled cognitive distortions and mood instability, leaving individuals more susceptible to distressing – and increasingly irrational – thoughts.
Interestingly, controlled sleep deprivation studies demonstrate that even in otherwise healthy individuals without difficult personal circumstances, the absence of sleep exacerbates mood deterioration at night. Prolonged wakefulness heightens emotional reactivity and lowers frustration tolerance, magnifying our negative feelings. Neuroimaging research further reveals that sleep loss amplifies activity in the amygdala – the brain's primary threat detection centre – while weakening connectivity with parts of the task-positive network (TPN) responsible for regulating emotional responses in real time. The result is a brain primed for fear and unable to manage it, especially of bad things that might come true.
All told, Sarah's inability to 'think straight' is a neurobiological inevitability. The very circuits necessary for cognitive clarity and emotional resilience are temporarily compromised by sleep deprivation, compounded by the inherent psychological vulnerabilities of being awake at the circadian nadir in the middle of the night. Most people never notice these disruptions because they are asleep when such vulnerabilities arise. But for Sarah, in the stillness of the coming early morning, her thoughts – already burdened by grief – take on a catastrophic weight that may feel unbearable.
Fleeting perceptions
By 3:45 AM, Sarah's brain is under siege from mounting sleep pressure – the physiological drive to sleep that has been steadily building with every hour she's remained awake. Though she can't fully fall asleep, her brain may be slipping in and out of the lightest stages of sleep, only to jolt back into wakefulness moments later. Because people typically don't recall entering the first stage of sleep, Sarah remains unaware of these brief transitions. But that doesn't mean they aren't affecting her perception.
When sleep becomes highly fragmented, people may begin to experience what are known as hypnagogic hallucinations – vivid sensory experiences that occur as the brain hovers between sleep and wakefulness. During attempts to enter deeper sleep, the brain may begin to dream. If a person wakes suddenly during this process, fragments of the dream can linger in consciousness, blending with reality. It's a state in which the boundaries between the internal and external worlds begin to blur.
In Sarah's case, this might mean reaching toward a figure from her past – a shadowy image of her spouse. Perhaps for a moment, her mind entertains the possibility that the divorce never really happened, and she's waking to the sound of the front door opening, her partner finally coming home late from work, ready to make amends. These illusions aren't delusions; they are a testament to the powerful, disorienting effects of sleep pressure colliding with emotional vulnerability.
As dawn approaches, Sarah's brain will slowly regain its capacity to shift between networks, allowing her thoughts to move beyond the gravitational pull of the DMN. The first hints of morning light will cue subtle neurobiological changes – her circadian rhythm nudging the brain toward sustained arousal and greater efficiency in transitioning between introspection and engagement. With this shift, the task-positive network will begin to reassert itself, making space for more adaptive cognition.
The same memories that felt insurmountable in the dead of night may seem less oppressive, more malleable, as if distance has softened their edges. This is not to say that the pain of loss will vanish with the sunrise, but rather that her brain will once again have access to the cognitive tools necessary for perspective, problem-solving, and, eventually, healing. Though the night magnifies feelings of sorrow, the morning offers proof that emotions, no matter how overwhelming, are transient – ebbing and flowing in tandem with the intricate rhythms of the brain itself.
Nighttime isolation: A historical perspective
Sarah's overwhelming sense of loneliness may, in part, reflect an evolutionary mismatch between modern sleep habits and the social patterns embedded in human history. Anthropological evidence suggests that our ancestors did not sleep in the solitary, uninterrupted fashion common in much of the modern West. Instead, they often practised segmented sleep–waking during the night to talk, tend fires, engage in rituals, or simply connect with others. In many tribal and preindustrial societies, nighttime was a socially dynamic period filled with storytelling, communal bonding, and spiritual practices.
Even today, many traditional societies maintain nighttime routines that foster connection and shared experience. Among the Warlpiri people of Australia, for instance, families sleep communally, and nightly interactions are central to social life. Conversations, storytelling, and group vigilance against threats are woven into their evening rhythms, cultivating both safety and emotional intimacy. Similarly, among the Asabano of Papua New Guinea, the night is a time for connection rather than withdrawal. Extended conversations stretch through the dark hours, reflecting a cultural expectation that nighttime should be socially rich. This communal orientation reinforces ties among community members and strengthens shared norms and values.
For the Maori of New Zealand, sleeping practices are deeply interwoven with cultural and spiritual life. Central to this is the wharenui, or ancestral meeting-house – a communal sleeping structure that doubles as a socio-spiritual centre. Every aspect of the building carries symbolic meaning: the ridgepole represents the spine, the rafters the ribs, and the structure as a whole serves as a living embodiment of ancestral presence.
The wharenui not only reflects Maori resistance to colonial forces but also reinforces cultural continuity and sovereignty. While modern housing has brought private sleep spaces into daily life, the wharenui remains vital during ceremonial events such as funerals and weddings, acting as a bridge between tradition and the present.
Nighttime sociality is also central among the Nuer, a pastoralist people of South Sudan. After sunset, Nuer communities gather around small fires to exchange stories, debate lineage histories, and discuss matters of communal concern. The cool evening air makes this time particularly inviting for dialogue. These gatherings span generations, as elders pass down oral traditions, and younger members absorb lessons in identity, kinship, and moral conduct. Singing, light dancing, courtship rituals, and joking animate these scenes, creating a warm and intimate atmosphere that nurtures social cohesion.
Among the !Kung of the Kalahari Desert, the boundary between ritual and casual social interaction is fluid. Their trance dances, performed in response to illness or injury, serve both spiritual and communal purposes. Healing dances are typically intense and shorter, while celebratory ones – triggered by events like rainfall, successful hunts, or visiting groups – are more relaxed and social in nature.
Both are accompanied by 'firelight talk', a uniquely intimate mode of overnight conversation involving mixed groups of men, women, and children. These discussions help resolve tensions around sensitive issues such as food sharing or infidelity and offer space for emotional honesty and, ultimately, reconciliation.
Unlike daytime interactions, which often revolve around practical concerns, nighttime conversations in these societies are more reflective and emotionally resonant. People share dreams, recount personal experiences, and express feelings with openness and empathy. Among the !Kung, storytelling is a central nighttime practice. Elders pass down myths, legends, and personal narratives that transmit moral values, preserve historical memory, and reinforce a collective identity. These stories are not only entertainment; they are tools for teaching, healing, and guiding decisions that affect the group as a whole.
Co-sleeping arrangements were also common in medieval Europe, where households shared beds and engaged in periodic nighttime activities. The Western shift toward private, uninterrupted sleep largely emerged alongside industrialisation, with artificial lighting and rigid work schedules restructuring the way people experience the night. This historical shift may help explain why modern nighttime solitude can sometimes feel profoundly unnatural.
The consequences of nocturnal distress
The psychological vulnerability of nighttime wakefulness has real-world consequences. Research shows that suicides occur disproportionately between 2am and 4am, after adjusting for the number of people typically awake during those hours. Similarly, other high-risk behaviours – such as substance abuse and impulsive violence—also tend to spike during the night. Opioid overdoses, for example, are nearly five times more likely to occur in the middle of the night, while alcohol cravings often peak in the early morning hours. Studies further indicate that nighttime wakefulness amplifies aggression and increases the likelihood of violent incidents, including homicides.
Taken together, these findings underscore how the night can be a particularly perilous time, especially for individuals already trying to cope with emotional distress or impaired judgment.
What can we do?
Understanding the psychological and physiological risks of nighttime wakefulness is the first step toward mitigating its negative effects. One important strategy is to acknowledge that thoughts and emotions may be distorted at night; recognising that feelings of hopelessness or catastrophising are often amplified during these hours can help prevent impulsive or harmful decisions.
Establishing a consistent sleep routine – by going to bed and waking at the same time each day – reinforces circadian stability and reduces the likelihood of being awake at night. Minimising exposure to artificial light, especially blue light from screens, is also crucial, as it suppresses melatonin production and disrupts sleep. Dimming lights in the evening and avoiding screens for at least an hour before bed can support a smoother transition to sleep.
If you do wake up during the night, it's helpful to engage in soothing, non-stimulating activities – such as reading, practising deep breathing, or listening to calming music – rather than turning to screens or social media. Since nighttime wakefulness often coincides with feelings of isolation, seeking social support can also be valuable. Regular check-ins with friends or participation in online support communities during the day can foster a sense of connection and emotional reassurance, especially for those experiencing chronic loneliness. For individuals grappling with insomnia or challenging personal circumstances, these social interactions may help buffer the negative effects of nighttime wakefulness, offering a stabilising sense of support when it's most needed.
Finding meaning in the night
The night has long been a time for introspection, creativity, and deep human connection. Rather than seeing nighttime wakefulness solely as a problem to be fixed, we might consider how to integrate our ancestral tendencies for nocturnal socialisation into modern life in a way that supports well-being. Perhaps by reimagining how we engage with the night – both individually and as a society – we can transform it from a time of loneliness (and sometimes distress) into one of connection and healing.
For Sarah and countless others who find themselves awake in the dead of night, understanding the psychological forces at play can be empowering. By recognising how the mind changes after midnight, implementing strategies to mitigate its risks, and advocating for societal adaptations, we can navigate the darkness, step by step, with greater resilience.
Fabian-Xosé Fernandez is an Associate Professor of Psychology at the University of Arizona.
Reference list
Aizenstein, H. J., Butters, M. A., Wu, M., Mazurkewicz, L. M., Stenger, V. A., Gianaros, P. J., ... & Carter, C. S. (2009). Altered functioning of the executive control circuit in late-life depression: episodic and persistent phenomena. The American Journal of Geriatric Psychiatry, 17(1), 30-42.
Bartova, L., Meyer, B. M., Diers, K., Rabl, U., Scharinger, C., Popovic, A., ... & Pezawas, L. (2015). Reduced default mode network suppression during a working memory task in remitted major depression. Journal of Psychiatric Research, 64, 9-18.
Berry, A. S., Sarter, M., & Lustig, C. (2017). Distinct frontoparietal networks underlying attentional effort and cognitive control. Journal of Cognitive Neuroscience, 29(7), 1212-1225.
Boo, J., Matsubayashi, T., & Ueda, M. (2019). Diurnal variation in suicide timing by age and gender: evidence from Japan across 41 years. Journal of Affective Disorders, 243, 366-374.
Boivin, D. B., Czeisler, C. A., Dijk, D. J., Duffy, J. F., Folkard, S., Minors, D. S., ... & Waterhouse, J. M. (1997). Complex interaction of the sleep-wake cycle and circadian phase modulates mood in healthy subjects. Archives of General Psychiatry, 54(2), 145-152.
Buckner, R. L., Andrews‐Hanna, J. R., & Schacter, D. L. (2008). The brain's default network: anatomy, function, and relevance to disease. Annals of the New York Academy of Sciences, 1124(1), 1-38.
Chellappa, S. L., Morris, C. J., & Scheer, F. A. (2020). Circadian misalignment increases mood vulnerability in simulated shift work. Scientific Reports, 10(1), 18614.
Diamond, A. (2013). Executive functions. Annual Review of Psychology, 64(1), 135-168.
DIJK, D. J., Duffy, J. F., & Czeisler, C. A. (1992). Circadian and sleep/wake dependent aspects of subjective alertness and cognitive performance. Journal of Sleep Research, 1(2), 112-117.
Drevets, W. C., & Raichle, M. E. (1998). Reciprocal suppression of regional cerebral blood flow during emotional versus higher cognitive processes: Implications for interactions between emotion and cognition. Cognition and Emotion, 12, 353-385.
Durmer, J. S., & Dinges, D. F. (2005, March). Neurocognitive consequences of sleep deprivation. In Seminars in Neurology (Vol. 25, No. 01, pp. 117-129). Copyright© 2005 by Thieme Medical Publishers, Inc.
Dutta, R., Gkotsis, G., Velupillai, S., Bakolis, I., & Stewart, R. (2021). Temporal and diurnal variation in social media posts to a suicide support forum. BMC Psychiatry, 21(1), 259.
Dzogang, F., Lightman, S., & Cristianini, N. (2017). Circadian mood variations in Twitter content. Brain and Neuroscience Advances, 1, 2398212817744501.
Emens, J. S., Berman, A. M., Thosar, S. S., Butler, M. P., Roberts, S. A., Clemons, N. A., ... & Shea, S. A. (2020). Circadian rhythm in negative affect: Implications for mood disorders. Psychiatry Research, 293, 113337.
Evans-Pritchard, E. E. (1940). The Nuer: A description of the modes of livelihood and political institutions of a Nilotic people. Clarendon Press.
Fox, M. D., Snyder, A. Z., Vincent, J. L., Corbetta, M., Van Essen, D. C., & Raichle, M. E. (2005). The human brain is intrinsically organized into dynamic, anticorrelated functional networks. Proceedings of the National Academy of Sciences, 102(27), 9673-9678.
Golder, S. A., & Macy, M. W. (2011). Diurnal and seasonal mood vary with work, sleep, and daylength across diverse cultures. Science, 333(6051), 1878-1881.
Goel, N., Basner, M., Rao, H., & Dinges, D. F. (2013). Circadian rhythms, sleep deprivation, and human performance. Progress in Molecular Biology and Translational Science, 119, 155-190.
Gusnard, D. A., Akbudak, E., Shulman, G. L., & Raichle, M. E. (2001). Medial prefrontal cortex and self-referential mental activity: relation to a default mode of brain function. Proceedings of the National Academy of Sciences, 98(7), 4259-4264.
Harshaw, C. (2015). Interoceptive dysfunction: toward an integrated framework for understanding somatic and affective disturbance in depression. Psychological Bulletin, 141(2), 311.
Harrington, M. O., Ashton, J. E., Sankarasubramanian, S., Anderson, M. C., & Cairney, S. A. (2021). Losing control: Sleep deprivation impairs the suppression of unwanted thoughts. Clinical Psychological Science, 9(1), 97-113.
Hisler, G. C., Rothenberger, S. D., Clark, D. B., & Hasler, B. P. (2021). Is there a 24-hour rhythm in alcohol craving and does it vary by sleep/circadian timing?. Chronobiology International, 38(1), 109-121.
Kahn-Greene, E. T., Lipizzi, E. L., Conrad, A. K., Kamimori, G. H., & Killgore, W. D. (2006). Sleep deprivation adversely affects interpersonal responses to frustration. Personality and Individual Differences, 41(8), 1433-1443.
Killgore, W. D. (2010). Effects of sleep deprivation on cognition. Progress in Brain Research, 185, 105-129.
Killgore, W. D., Balkin, T. J., & Wesensten, N. J. (2006). Impaired decision making following 49 h of sleep deprivation. Journal of Sleep Research, 15(1), 7-13.
Killgore, W. D., Balkin, T. J., Yarnell, A. M., & Capaldi II, V. F. (2017). Sleep deprivation impairs recognition of specific emotions. Neurobiology of Sleep and Circadian Rhythms, 3, 10-16.
Killgore, W. D., Kahn-Greene, E. T., Lipizzi, E. L., Newman, R. A., Kamimori, G. H., & Balkin, T. J. (2008). Sleep deprivation reduces perceived emotional intelligence and constructive thinking skills. Sleep Medicine, 9(5), 517-526.
Lee, J. H., Wang, W., Silva, E. J., Chang, A. M., Scheuermaier, K. D., Cain, S. W., & Duffy, J. F. (2009). Neurobehavioral performance in young adults living on a 28-h day for 6 weeks. Sleep, 32(7), 905-913.
Ly, J. Q., Gaggioni, G., Chellappa, S. L., Papachilleos, S., Brzozowski, A., Borsu, C., ... & Vandewalle, G. (2016). Circadian regulation of human cortical excitability. Nature Communications, 7(1), 11828.
Monk, T., Buysse, D., Reynolds Iii, C. H. A. R. L. E. S., Berga, S., Jarrett, D., Begley, A. M. Y., & Kupfer, D. (1997). Circadian rhythms in human performance and mood under constant conditions. Journal of Sleep Research, 6(1), 9-18.
Monk, T. H., Buysse, D. J., Reynolds III, C. F., Jarrett, D. B., & Kupfer, D. J. (1992). Rhythmic vs homeostatic influences on mood, activation, and performance in young and old men. Journal of Gerontology, 47(4), P221-P227.
Montero-Moraga, J. M., Garrido-Albaina, A., Barbaglia, M. G., Gotsens, M., Aranega, D., Espelt, A., & Parés-Badell, O. (2020). Impact of 24-hour schedule of a drug consumption room on service use and number of non-fatal overdoses. A quasiexperimental study in Barcelona. International Journal of Drug Policy, 81, 102772.
Musharbash, Y. (2013). Embodied meaning: sleeping arrangements in Central Australia. In Sleep around the world: Anthropological perspectives (pp. 45-60). New York: Palgrave Macmillan US.
Niendam, T. A., Laird, A. R., Ray, K. L., Dean, Y. M., Glahn, D. C., & Carter, C. S. (2012). Meta-analytic evidence for a superordinate cognitive control network subserving diverse executive functions. Cognitive, Affective, & Behavioral Neuroscience, 12, 241-268.
Nilsson, J. P., Söderström, M., Karlsson, A. U., Lekander, M., Åkerstedt, T., Lindroth, N. E., & Axelsson, J. (2005). Less effective executive functioning after one night's sleep deprivation. Journal of Sleep Research, 14(1), 1-6.
Ohayon, M. M., Priest, R. G., Caulet, M., & Guilleminault, C. (1996). Hypnagogic and hypnopompic hallucinations: pathological phenomena?. The British Journal of Psychiatry, 169(4), 459-467.
Pace‐Schott, E. F., Nave, G., Morgan, A., & Spencer, R. M. (2012). Sleep‐dependent modulation of affectively guided decision‐making. Journal of Sleep Research, 21(1), 30-39.
Popov, T., Westner, B. U., Silton, R. L., Sass, S. M., Spielberg, J. M., Rockstroh, B., ... & Miller, G. A. (2018). Time course of brain network reconfiguration supporting inhibitory control. Journal of Neuroscience, 38(18), 4348-4356.
Reeve, S., Emsley, R., Sheaves, B., & Freeman, D. (2018). Disrupting sleep: the effects of sleep loss on psychotic experiences tested in an experimental study with mediation analysis. Schizophrenia Bulletin, 44(3), 662-671.
Reeve, S., Sheaves, B., & Freeman, D. (2015). The role of sleep dysfunction in the occurrence of delusions and hallucinations: a systematic review. Clinical Psychology Review, 42, 96-115.
Seeley, W. W., Menon, V., Schatzberg, A. F., Keller, J., Glover, G. H., Kenna, H., ... & Greicius, M. D. (2007). Dissociable intrinsic connectivity networks for salience processing and executive control. Journal of Neuroscience, 27(9), 2349-2356.
Sheaves, B., Bebbington, P. E., Goodwin, G. M., Harrison, P. J., Espie, C. A., Foster, R. G., & Freeman, D. (2016). Insomnia and hallucinations in the general population: findings from the 2000 and 2007 British Psychiatric Morbidity Surveys. Psychiatry Research, 241, 141-146.
Sheline, Y. I., Barch, D. M., Price, J. L., Rundle, M. M., Vaishnavi, S. N., Snyder, A. Z., ... & Raichle, M. E. (2009). The default mode network and self-referential processes in depression. Proceedings of the National Academy of Sciences, 106(6), 1942-1947.
Silton, R. L., Heller, W., Towers, D. N., Engels, A. S., Spielberg, J. M., Edgar, J. C., ... & Miller, G. A. (2010). The time course of activity in dorsolateral prefrontal cortex and anterior cingulate cortex during top-down attentional control. Neuroimage, 50(3), 1292-1302.
Sisti, D., Rocchi, M. B., Macciò, A., & Preti, A. (2012). The epidemiology of homicide in Italy by season, day of the week and time of day. Medicine, Science and the Law, 52(2), 100-106.
Slama, H., Chylinski, D. O., Deliens, G., Leproult, R., Schmitz, R., & Peigneux, P. (2018). Sleep deprivation triggers cognitive control impairments in task-goal switching. Sleep, 41(2), zsx200.
Shulman, G. L., Fiez, J. A., Corbetta, M., Buckner, R. L., Miezin, F. M., Raichle, M. E., & Petersen, S. E. (1997). Common blood flow changes across visual tasks: II. Decreases in cerebral cortex. Journal of Cognitive Neuroscience, 9(5), 648-663.
Tubbs, A. S., Fernandez, F. X., Grandner, M. A., Perlis, M. L., & Klerman, E. B. (2022). The mind after midnight: Nocturnal wakefulness, behavioral dysregulation, and psychopathology. Frontiers in Network Physiology, 1, 830338.
Tubbs, A. S., Fernandez, F. X., Johnson, D. A., Perlis, M. L., & Grandner, M. A. (2021). Nocturnal and morning wakefulness are differentially associated with suicidal ideation in a nationally representative sample. The Journal of Clinical Psychiatry, 82(6), 36963.
Tubbs, A. S., Fernandez, F. X., Klerman, E. B., Karp, J. F., Basner, M., Chakravorty, S., ... & Grandner, M. A. (2024). Risk for Suicide and Homicide Peaks at Night: Findings From the National Violent Death Reporting System, 35 States, 2003–2017. The Journal of Clinical Psychiatry, 85(2), 55034.
Tubbs, A. S., Perlis, M. L., Basner, M., Chakravorty, S., Khader, W., Fernandez, F., & Grandner, M. A. (2020). Relationship of nocturnal wakefulness to suicide risk across months and methods of suicide. The Journal of Clinical Psychiatry, 81(2), 12825.
Van Der Helm, E., Yao, J., Dutt, S., Rao, V., Saletin, J. M., & Walker, M. P. (2011). REM sleep depotentiates amygdala activity to previous emotional experiences. Current Biology, 21(23), 2029-2032.
Van Meijl, T. (2013). Māori collective sleeping as cultural resistance. In Sleep around the world: anthropological perspectives (pp. 133-149). New York: Palgrave Macmillan US.
Walker, M. P., & van Der Helm, E. (2009). Overnight therapy? The role of sleep in emotional brain processing. Psychological Bulletin, 135(5), 731-748.
Wiessner, P. W. (2014). Embers of society: Firelight talk among the Ju/'hoansi Bushmen. Proceedings of the National Academy of Sciences, 111(39), 14027-14035.
Worthman, C. M., & Melby, M. K. (2002). Toward a comparative developmental ecology of human sleep. In M. A. Carskadon (Ed.), Adolescent sleep patterns: Biological, social, and psychological influences (pp. 69–117). Cambridge University Press.
Yoo, S. S., Gujar, N., Hu, P., Jolesz, F. A., & Walker, M. P. (2007). The human emotional brain without sleep—a prefrontal amygdala disconnect. Current Biology, 17(20), R877-R878.
SOURCE:
https://www.bps.org.uk/psychologist/minds-dark-night-soul(accessed 15.12.25)

Fig. 1: The dynamic model of professional relationships
Fig 2: Principles of Growth