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Modern brain imaging reveals a clear link between trauma and sleep problems. Scans show that individuals with a history of trauma—especially childhood trauma—often have overactive amygdalae, the part of the brain responsible for fear and threat detection. This constant hyper-alertness makes it difficult for the brain to relax and enter deep, restorative sleep.

Functional MRI (fMRI) and PET scans also show that trauma affects the prefrontal cortex (which regulates emotion) and the hippocampus (which processes memory).
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