The Matt Walker Podcast

#140 - Tired but Wired


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Exploring the "tired but wired" state where exhaustion meets an overactive alerting system, Matt explains that insomnia is often a disorder of hyperarousal rather than a lack of sleep drive. Using metabolic data and brain activity, he shows how an internal "accelerator" remains pressed despite an empty fuel tank, causing the body and brain to stay alert when they should be resting.

Matt shares evidence-based CBT-I tools to break this cycle, including the "cognitive shuffle" and specific imagery to quiet racing thoughts. He also covers muscle relaxation and rhythmic breathing to trigger a physiological stand-down. By practicing stimulus control - leaving bed when awake - listeners can stop associating the bedroom with wakefulness and finally lower their internal alerting systems.

Please note that Matt is not a medical doctor, and none of the content in this podcast should be considered medical advice in any way, shape, or form, nor prescriptive in any way.

MUD\WTR is the ultimate coffee alternative that delivers a natural morning pick-me-up without caffeine jitters. Their unique blend of cacao and mushrooms offers a delightful and gentle lift to kickstart your day, as Matt can attest! Plus, now when you head over to mudwtr.com/MattWalker, as a podcast listener, you'll receive a free frother and coconut creamer samples!


Hydrate scientifically with LMNT, a sugar-free electrolyte mix backed by physiology and biochemistry. Try the permanent Lemonade Salt flavor for a balanced, clean boost without the sugar crash. Use Matt’s link to get a free 8-count sample pack with any purchase: drinklmnt.com/mattwalker.

As always, if you have thoughts or feedback you’d like to share, please reach out to Matt:

Matt: Instagram @drmattwalker, X @sleepdiplomat

YouTube: https://www.youtube.com/@sleepdiplomat



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The Matt Walker PodcastBy Dr. Matt Walker

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