Most Common Sleep Disorders in the U.S.

We conducted a study using online search data to figure out which U.S. states experience sleep disorders the most. This includes issues like ‘insomnia,’ ‘sleep apnea,’ and ‘restless leg syndrome.’ We combed through archived search histories for various keywords for our analysis. At the same time, we also looked into the most common sleep disorders in the entire country, focusing on the top five issues people search for online regarding sleep.

New York

Is the State Most Concerned with Sleep Disorders

New York residents sought more answers on sleep disorders than any other state in the U.S. averaging a monthly search volume of 569.86 for every 100,000 people. Insomnia was the most searched-for sleep disorder with 28,600 searches in 2024, showing how simply falling asleep and staying asleep can be a top concern.

Top 3States with Sleep Concerns


New York

New York, famously touted as the city that never sleeps, is unsurprisingly at the top of the list of states concerned with sleep disorders. It averaged a monthly search volume of 569.86 for 100k people, with insomnia as most individuals’ driving concern with 28,600 searches.



Next in the list of sleep-troubled states is the Mid-Atlantic Maryland, averaging a monthly search volume of 564.58 for 100,000 residents. Insomnia was also their primary concern, with 8,700 searches on the subject.



Virginia is the final state in the top three, with an average monthly search volume of 563.35 for every 100,000 people in the state. It continued the trend of insomnia being the foremost concern in people’s minds, with 12,141.67 searches on the sleep disorder.

Bottom 3States with Sleep Concerns



Wyoming was the state least troubled by sleep disorders, with an averaged monthly search volume of 330.96 for 100,000 of its residents. Within those searches, sleep apnea emerged as the top concern, with 406.67 searches.



The next state doing well with its sleep is Montana, with an average monthly search volume of 336.94 per 100k residents. Sleep apnea was also the most searched-for sleep disorder in the state, followed by restless leg syndrome. Insomnia makes the list as the third most searched for disorder, rather than in its usual number #1 or #2 spot.



Rounding out the bottom three is Idaho, averaging a monthly search volume for sleep disorders of 348.89 for every 100,000 denizens. The state’s top three concerns were sleep apnea (1475 searches), insomnia (1325), and restless syndrome (1225).

States with Citizens Most Likely to Have Sleep Disorders

We delved into online search patterns to identify the prevalent sleep disorders in each U.S. state.

In the U.S. overall, there were 510.51 average monthly searches per every 100,000 citizens that were related to sleep disorders. The top result nationwide was, perhaps not unsurprisingly, for “insomnia,” followed by “sleep apnea,” “restless leg syndrome,” “sleep paralysis,” and “narcolepsy.”

Overall RankingStateAverage Monthly Search Volume Per 100k
1New York569.86
9North Carolina534.91
10New Jersey530.55
21Rhode Island483.66
29South Carolina448.43
36New Hampshire422.27
38North Dakota421.23
40West Virginia407.66
42New Mexico402.29
47South Dakota372.69

What are the Most Common Sleep Disorders in America?

What sleep disorders did people seek to research online?

Insomnia claims the top spot as the most prevalent sleep disorder in the United States, hindering both falling and staying asleep, with an average monthly search volume of 410,500. Short-term insomnia impacts 30% of adults, while long-term insomnia affects 10% across America, according to the National Library of Medicine.

Sleep apnea secures the second position, with an average monthly search volume of 388,500. This disorder, disrupting breathing during sleep, manifests in three types—obstructive, central, and complex—with obstructive sleep apnea affecting around 30 million Americans and about 26% of those between ages 30 and 70.

Restless leg syndrome, compelling leg movement during sleep, ranks third, with 250,583 average monthly searches. Also known as Willis-Ekbom disease, an estimated seven to 10% of Americans experience this disorder.

Sleep paralysis claims the fourth spot, registering 246,833 average monthly searches nationwide. Sleep paralysis seems to be relatively less common than other disorders, with under 8 percent of the general population experiencing it.

As the name suggests, sleep paralysis inhibits movement during sleep transitions, causing breathing difficulty, chest pressure, and distressing hallucinations. Some may only experience one or two episodes of sleep paralysis in their lifetime, while others may it’s a recurring issue.

Narcolepsy, the fifth most common sleep disorder, garners 242,250 average monthly searches, affecting an estimated 135,000 to 200,000 Americans, though the actual number may be higher as it’s a condition that often goes undiagnosed. Characterized by involuntary daytime and nighttime sleep episodes, it includes symptoms like hallucinations, excessive sleepiness, sleep paralysis, and sleep disruption.

Here’s a breakdown of the states with the highest search volume and what sleep disorders the people there were curious about.

New York headed the rankings with an average monthly search volume of 569.86 for every 100,000 people in the state. Insomnia was the top concern in the Empire State, followed by sleep apnea, sleep paralysis, restless leg syndrome, and narcolepsy.

Maryland was next in the rankings with a 564.58 average monthly search volume per 100k residents. The people there were most likely to look up information on insomnia as well, followed by sleep apnea, sleep paralysis, and narcolepsy.

Virginia took its spot at number three with an average 563.35 monthly search volume for 100,000 state residents, and the top five most often search-for disorders were insomnia, sleep apnea, restless leg syndrome, narcolepsy, and sleep paralysis.

Massachusetts has an average monthly search volume of 557.79 for every 100,000 denizens. Its top search results were similar to the top three, with insomnia taking the lead, followed by sleep apnea, restless leg syndrome, narcolepsy, and sleep paralysis.

California has an average monthly search volume of 556.05 for 100k residents. The state breaks the “winning streak” of insomnia, with sleep apnea taking the crown as the most searched-for sleep disorder, with insomnia in second place, followed by sleep paralysis, narcolepsy, and restless leg syndrome.

The next nine states after the top five still had a higher-than-average monthly volume of searches for 100k residents, compared to the U.S. overall. As we mentioned, the average monthly volume of searches across the entire U.S. is 510.51 per 100k of its citizens.

In Georgia, which had an average monthly volume of 544.78, people looked for answers about insomnia, sleep apnea, sleep paralysis, narcolepsy, and restless leg syndrome.

Next, Nevada had an average search monthly volume of 538.72 concerning sleep disorders per every 100,000 residents.

Then, Texas had an average monthly search volume of 535.49 for every 100k people there.

North Carolina had an average monthly search volume of 534.91 for 100,000 residents.

New Jersey was close behind, with an average monthly search volume of 530.55 for 100,000 people.

The average monthly search volume for every 100,000 people living in Illinois was 527.37.

Washington had an average monthly search volume of 523.81 per 100,000 people in the state.

Connecticut had an average monthly search volume of 519.94 per 100,000 residents.

Florida’s average monthly search volume was 516.65 for every 100,000 citizens.

Ask The Experts

Dr. Jordan Burns
Chiropractor and owner of ProWellness Chiropractic
Board-certified by the National and Indiana Boards of Chiropractic, Dr. Burns has enjoyed successfully helping patients in his clinic relieve pain, improve mobility and become overall healthier versions of themselves. He uses a variety of specific chiropractic and therapy protocols which allow him and his qualified staff to provide a gentle, effective approach to many conditions for people of all ages. He is passionate about overall wellness to help improve peoples’ physical, chemical and emotional health so they can be the healthiest, happiest and most vibrant expressions of themselves. Dr. Burns is also the author of "Supercharge Your Sleep: The Holistic Guide to Improving Sleep Quality, Reducing Stress, Increasing Energy, Boosting Productivity and Living a Healthier Life."

1. How can chiropractic care alleviate common symptoms of sleep disorders? 

There are numerous ways that chiropractic care can help to alleviate symptoms of sleep disorders. The most significant way is that chiropractic adjustments influence the parasympathetic nervous system (PNS), which is associated with the “rest and digest” response. Chiropractic adjustments have the potential to stimulate the parasympathetic nervous system in the following ways:

  1. Reduction of Pain and Tension: Chiropractic adjustments, particularly those targeting spinal misalignments, may help reduce pain and tension in the muscles and joints. By alleviating these issues, chiropractic care may contribute to a shift toward parasympathetic dominance.
  2. Improvement in Joint Function: Chiropractors emphasize improving joint function through adjustments. When joints move more freely and efficiently, it positively impacts the nervous system. Restrictions in joint movement can contribute to stress signals sent to the brain, and by addressing these restrictions, chiropractic adjustments may help create a more balanced autonomic nervous system response.
  3. Stress Reduction: Chiropractic care may contribute to overall stress reduction. Stress and anxiety are common contributors to sleep disorders. By improving the function of the nervous system through spinal adjustments, chiropractic care may help individuals manage stress levels and create a more conducive environment for restful sleep.
  4. Enhanced Blood Flow: Some chiropractic techniques aim to improve blood flow and circulation. Better blood flow can positively affect various bodily functions, including those regulated by the autonomic nervous system. Improved circulation may contribute to a relaxation response associated with the parasympathetic system.
  5. Influence on Vagal Tone: The vagus nerve, a major component of the parasympathetic nervous system, plays a crucial role in regulating various bodily functions, including heart rate, digestion, and respiratory rate. Some chiropractic adjustments, particularly those affecting the cervical spine, are thought to influence vagal tone. Stimulation of the vagus nerve may promote a parasympathetic response.  

2. What role does physical alignment play in achieving restful sleep?

Physical alignment and comfort play a significant role in achieving restful sleep. The most critical aspects of physical alignment for improved sleep are spinal alignment, joint mobility, and muscle tension.

  1. Spinal Alignment: Proper spinal alignment is crucial for overall health and plays a role in achieving restful sleep. The spine is connected to the central nervous system, and misalignments (subluxations) can affect nerve function. Chiropractic adjustments correct these misalignments, potentially improving communication between the brain and the rest of the body, including the systems that regulate sleep.
  2. Joint Mobility: Chiropractors may address joint restrictions and improve joint mobility, positively impacting the ability to find a comfortable sleep position. Restricted joint movement can lead to discomfort, making it difficult to relax and fall asleep.
  3. Muscle Tension: Chiropractic care may help reduce muscle tension, especially in the neck and back. Tense muscles can contribute to discomfort and pain, making it challenging to achieve a restful sleep state.
Dr. Jing Zhang
Dr. Jing Zhang is a neuroscientist and distinguished figure in the field of sleep research, with over 7 years of dedicated exploration into the intricate relationship between sleep and memory. As a postdoctoral researcher at Massachusetts General Hospital/Harvard Medical School, she is currently unraveling the mysteries of memory formation during sleep, contributing to the understanding of neural underpinnings in this domain. With a robust portfolio of 12+ publications in prestigious journals and expertise in cognitive neuroscience and neuroimaging methodologies, such as EEG and fMRI, Jing sheds light on the complex interplay between sleep stages, memory consolidation, and neurological disorders, sharing her invaluable insights at international conferences.

1. What neurological factors contribute to the development of sleep disorders? 

The development of sleep disorders is associated with various neurological factors, and here are some examples. The sleep-wake cycle is regulated by a number of well-coordinated neurotransmitters, such as GABA, serotonin, and norepinephrine. A disruption in the brain chemistry can lead to sleep disorders like insomnia.

Hormones are also important in regulating sleep. An imbalance in reproductive hormonesVerified Source Centers for Disease Control and Prevention (CDC)The United States’ health protection agency that defends against dangers to health and safety.View source like progesterone and estrogen can lead to sleep problems, which is a reason why women going through menopause often have difficulties sleeping. Melatonin is another hormone that is critical for sleep, it signals the body to fall asleep and wake up. Cortisol, the primary stress hormone, is also known to influence the sleep-wake cycle.

Lastly, sleep is controlled by specific regions in the brain, like the hypothalamus. So changes in these structures can lead to sleep disorders.

2. How does the brain regulate sleep, and what happens in common sleep disorders? 

The brain regulates sleep via the hypothalamus. It contains the suprachiasmatic nucleus (SCN), often referred to as the “body’s internal clock.” The SCNVerified Source National Library of Medicine (NIH)World’s largest medical library, making biomedical data and information more accessible.View source receives cues about light and darkness to synchronize the body’s circadian rhythm.

The pineal gland,Verified Source National Library of Medicine (NIH)World’s largest medical library, making biomedical data and information more accessible.View source influenced by the SCN, produces melatonin in response to darkness.

Melatonin is a key hormone that signals the body that it’s time to sleep. Malfunctions in this brain region can lead to circadian rhythm disorders, which involve a mismatch between the internal circadian rhythm and external sleep-wake schedules.

Key neurotransmitters involved in sleep regulation include serotonin, which promotes wakefulness, and gamma-aminobutyric acid (GABA), which promotes sleep, hypocretin is also involved in arousal and wakefulness. Imbalances in these neurotransmitters can lead to sleep disorders including restless legs syndrome, insomnia, and narcolepsy.

Dr. Nilong Vyas
Pediatrician and Sleep Consultant
Dr. Nilong Vyas is a Board-Certified Pediatrician, public health specialist, and sleep expert. Getting your baby to sleep is one of the most controversial, contradictory, and confusing aspects of parenting, and Dr. Vyas considers your personal parenting goals when she formulates a plan for your family. She is knowledgeable not only of the common sleep approaches but, more importantly, has a pediatric medical knowledge base. Her patients and clients adore their sleep doctor because she considers everything when giving advice knowing that sleep is not a solitary issue but intimately involved with the child’s diet, development, day-to-day schedule, and holistic wellbeing.

1. What are the unique sleep challenges faced by children and how can they be addressed?

At Sleepless in NOLA, the most common issue that I observe among my clients is their children’s inability to get enough sleep at night. Due to busy schedules, both parents and kids are getting home late and going to bed even later, resulting in reduced overnight sleep hours, which are crucial for a child’s growth and development.

2. How does pediatric sleep health impact overall development and well-being?

During sleep, the body performs essential functions such as cleaning, organizing, and solidifying memories. If children do not obtain enough sleep, it can have a detrimental impact on their growth and development.

Dr. Jennifer Miller
Physical Therapist and Pelvic Health Specialist
Dr. Miller specializes in Neurological, Geriatric, and Vestibular Physical Therapy and serves as a primary care provider for patients with neurological conditions. As a dedicated professional, Dr. Miller has taken additional courses specifically in pelvic health physical therapy, allowing her to better serve her patients’ needs. She is also an adjunct faculty member at Elon University.

1. Can physical therapy techniques improve sleep quality for those with sleep disorders?

Yes, physical therapy addresses impairments that can contribute or exacerbate sleeping issues. Improving range of motion, strength, flexibility, and posture can decrease a patient’s pain and increase their ability to exercise. Both of those factors can improve overall sleep and sleep quality but reducing the risk of waking in the night.

2. How does pelvic health influence sleep patterns and disorders?

Pelvic health physical therapy focuses on relaxation strategies, addressing postural dysfunction, strength and range of motion. Sleep posture and position are also addressed in order to decrease pain and promote improved posture, which can aid sleep.

Shawna Robins
Bestselling Author Wellness Expert, and Founder of Kaia Health and Wellness
Shawna Robins is a graduate of the Institute of Integrative Nutrition (IIN), a national board-certified health and wellness coach, best-selling Amazon author, and CEO of Kaia Health and Wellness. Her book, Powerful Sleep – Rest Deeply, Repair Your Brain and Restore Your Life can be downloaded for free at

1. What nutritional changes can positively impact sleep disorders?

Since sleep disorders like insomnia, sleep apnea and restless leg syndrome all have their
roots in lifestyle, it is important to look at which lifestyle choices have the biggest impact on
improving sleep.

I always recommend starting with diet and nutrition as the first place for
people to evaluate when they are evaluating the root cause of their sleep disorders. The
reason is this: when you are exhausted, it’s hard to get the proper nutrition because your
brain craves quick hits of sugar and caffeine to stay awake during the day.

The first step to healing any sleep disorder is to eliminate caffeine after 12:00 pm and limit
or eliminate all processed sugar, candy, cakes, cookies, ice cream, sweets, soda, energy
drinks and all UPF’s (ultra-processed foods). Your body needs nutrients from whole, real
foods to make the necessary hormones needed for sleep and to regulate its blood sugar

Once nutritional changes are made and sleep disorders begin to improve, I
recommend limiting alcohol consumption in the evening and stopping all food and drinks
three hours before bedtime. By make a few small but powerful lifestyle changes, most sleep
disorders will heal without any medical intervention.

2. How does overall wellness and lifestyle affect sleep quality?

Sleep and wellness are tied in a tightly conjoined feedback loop. It can be a negative loop
where you sleep less than seven uninterrupted hours at night, which leads to craving of
carbs and sugar.

Then poor diet choices make you too tired to exercise, which leads to up
and down blood sugar levels and results in poor metabolic health. This causes high
inflammation levels that leads to illnesses like Type-2 diabetes, heart disease, obesity and
dementia/Alzheimer’s disease.

On the flip side, it can be a positive feedback loop where you do sleep for seven to nine
uninterrupted hours at night and therefore have increased energy, motivation for daily
exercise, less cravings for sugar and carbs, more stable blood sugar and lower inflammation
levels. This leaves you feeling less stressed with improved brain clarity and lower chances for
developing a chronic illness.

Lifestyle choices drive the expression of your genes, so by adopting good lifestyle habits that
support getting seven to nine uninterrupted hours of sleep each night, you will improve your
overall quality of life and your longevity.