"I started getting into the frame of mind most people get sucked into. I worried, 'What's going on? Is there something wrong with me?'" he says. That fear of not being able to sleep is a phenomenon called "sleep anxiety," says Orma, who went on to become a specialist in insomnia treatment. Left untreated, that anxiety can prevent people from actually falling asleep. "The more you focus on it, the less chance you'll sleep, which then makes you more anxious. That's the cycle that spins," he says.