Circadian Science · Where chronobiology meets real life

Your biology runs
on a clock.
We explain what
happens when it breaks.

Evidence-based reference for circadian rhythms, sleep disorders, and the science of biological timing. Deep coverage for military service  members and veterans.

Service and Sleep exists to give military service members, veterans, and their families the sleep science they were never given, translating circadian research, clinical evidence, and VA policy into clear, actionable guidance so those who served can finally get the rest they’ve earned.

Find your starting point

Active Duty

Watch schedules, operational sleep management, NVG effects on melatonin, strategic napping.

active duty resources →

Veterans

Watch schedules, operational sleep management, NVG effects on melatonin, strategic napping.

veteran resources →

Filing a VA Claim

Disability ratings, service connection, nexus letters, C&P exam prep, diagnostic codes.

benefits guide →

Clinicians

CBT-I adaptations, IRT protocols, prazosin dosing, circadian mechanism literature.

clinical resources →

The science, the conditions, the benefits. Evidence-based resources for service members, veterans, families, and clinicians.

Sleep Disorders

OSA, Insomnia, Nightmares, and circadian disorders in the military community

Duty vs. Biology

How deployment, shift work, and combat stress dismantle the sleep system

What Works

Treatments, graded by evidence. CPAP, CBT-I, Prazosin, and what the VA actually provides

VA Assistance

Disability ratings, service connection, and filing a claim for sleep conditions

Service members are not responsible for the sleep conditions their service produced. Deployment rotations, night operations, combat exposure, and traumatic brain injury target the same biological systems that govern sleep. The damage is biological. The cause is institutional.

This site reports the science, names the institutional choices, and documents the evidence. Every article cites primary literature. Every recommendation is graded. Every claim about what the VA provides is tied to the regulation or policy that governs it. No sponsored content. No industry funding. No shame in asking the question that brought you here.

Operational Contexts

How the physical and temporal structure of military duty disrupts circadian biology. Watch schedules that force impossible phase-advance, NVG infrared light exposure, deployment time zone crossings, and the unique 18-hour submarine day

Mechanism · Most referenced

Military Watch Schedules & Circadian Misalignment

Shattuck NL & Matsangas P (2016). Chronobiol Int.

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Mechanism

Light Operations, NVGs & Circadian Biology

Shattuck NL et al. (2023). Mil Med.

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Clinical

Deployment, Time Zones & Circadian Recovery

Crowley SJ et al. (2021). Chronobiol Int.

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Interventions & Treatments

The treatments that work, graded by evidence. CBT-I (VA/DoD first-line), imagery rehearsal therapy, prazosin, melatonin timing, strategic napping, morning light therapy, and blue-blocking protocols.

Intervention · VA/DoD first-line

CBT-I and VA Sleep Therapy

Riemann D et al. (2017). Sleep Med Rev.

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Intervention

Imagery Rehearsal Therapy for Nightmares

Krakow B et al. (2001). JAMA.

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Intervention

Prazosin for Nightmare Disorder

Skeie-Larsen M et al. (2025). J Psychiatr Res.

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Policy, Doctrine & Benefits

VA disability ratings, service connection requirements, C&P exam preparation, discharge processing, and how military doctrine on sleep changed after the 2017 USS Fitzgerald collision.

Before filing a claim

Service connection requires three elements. Missing any one is the most common reason claims are denied.

  • Current diagnosis
  • In-service stressor
  • Nexus letter from a licensed clinician
Full claims guide →

Policy · Start here

VA Disability Ratings for Sleep Disorders

38 CFR § 4.97, Diagnostic Code 6847.

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Policy

Sleep Deprivation in Military Doctrine

Troxel WM et al. (2015). RAND Corporation.

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Policy

Sleep Disorders, Discharge & VA Claims

8 CFR § 4.97, Diagnostic Code 6847.

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FAQ’s

How the physical and temporal structure of military duty disrupts circadian biology. Watch schedules that force impossible phase-advance, NVG infrared light exposure, deployment time zone crossings, and the unique 18-hour submarine day

Why do veterans have higher rates of sleep apnea than civilians?

Veterans develop OSA at roughly twice the civilian rate. In veterans with PTSD, 43-76% screen positive. The primary mechanism is hypervigilance: the threat-detection system conditioned by combat keeps pharyngeal muscles partially contracted during sleep, narrowing the airway. Secondary contributors include TBI sequelae, chronic service-era sleep restriction, and PTSD-driven HPA dysregulation. See Sleep Apnea in Veterans.

Does CBT-I work for combat insomnia?
What VA disability rating can veterans get for sleep apnea?
What is the difference between IRT and prazosin for nightmares?
Are Guard and Reserve members eligible for VA sleep disorder care?

Key terms:

  • Hyperarousal
  • Circadian Misalignment
  • Sleep Debt
  • REM Sleep
  • Sleep Architecture
  • Zeitgeber
  • Melatonin
  • Cortisol
  • Adenosine
  • Suprachiasmatic Nucleus
  • Orexin
  • TASD
  • Nexus Letter
  • Service Connection
  • C&P Exam
  • CFEMP
  • Circadian Watchbill
  • Backward Rotation
  • MST