Healthy Living

Wednesday, December 9, 2009

5 ways to get (and stay!) asleep tonight

We've all been there in the heart-pounding moments at 3 a.m., when we desperately want to be asleep but somehow cannot get there, when we are racking our brains for what is in our medicine cabinet that might help us along or what soothing things mothers and grandmothers did to help lull us back into sweet dreams. While our sleep can be easily interrupted by a wide variety of factors, the stress that comes in getting and staying asleep doesn't make any night more restful. Before you pop a pill or crank up the late late late show or melt down in a fit of insomnia, consider these five things that might just be the sheep you should be counting:

1.  Identify the insomnia issue. Americans average seven hours of sleep a night and 60% of us report difficulty sleeping at least several nights a week. The bigger problem is, many people leave it at that, never examining why they are awake long before the alarm clock goes off or everyone else is sound asleep.

Where do I begin?
The first thing you need to do to cure your sleep struggles is determining if you have trouble falling asleep, staying asleep or both. If you have trouble falling asleep or staying asleep all night, you're experiencing insomnia.  If you can fall asleep with ease but wake up in the middle of the night regularly, you may have the more-specific issue of "sleep maintenance insomnia".  Most of us have short-term sleep issues like these at some point, but a solid 10-15% of people suffer from chronic insomnia.

Insomnia often occurs during periods of stress and may be impacted by depression, sleep apnea or restless leg syndrome. Rather than focusing on the irritation of being sleep-deprived, try to take a look at both the patterns of insomnia and things going on in your waking life that could be preventing your rest.


2. Take note. Consider keeping an informal sleep journal next to your bed. There's no need to make a journal another stresser but logging some simple information - the date, the time you woke up, how long you stayed awake before you felt sleepy again, your stress level on a one to ten scale - might offer you some helpful information in addressing the insomnia yourself or with a doctor. Although you might know, for example, that you have a high-stress job, it might take a little journaling to connect midnight wakings with Thursday staff meetings or an upcoming deadline.

How will this help?  Taking note of how often you have sleep problems and exactly when may also strip away any of those tendencies to say "I NEVER sleep" or "I'm an AWFUL sleeper." Instead, you'll have some more concrete information that will move you from "I often am awake from 3 a.m. to 5 a.m." or "When bills are due, it takes me longer to fall asleep." This kind of real understanding will lead you to a solution much easier than sitting (or laying or pacing) in your frustration).


3. Use your daytime activity to support your nighttime rest.  It probably isn't a surprise that even small amounts of exercise will help you rest easier at night. Adding in a walk after lunch or some yoga at your desk will pay off when it is time to turn in.

What about food? Avoid drinking and eating things that will affect your ability to relax or stay in bed. If spicy food gives you heartburn, try not to eat it at a late dinner. If drinking all your water for the day sends you to the bathroom four times before dawn, make a commitment to do most of your hydrating before lunch. Caffeine, sugar and alcohol are also common thieves of sleep, so be aware of when you are consuming them, in what quantities and how the impact your personal sleep patterns. If you must eat close to bedtime, choose a small amount of carbs paired with a protein (oatmeal with skim milk, yogurt with granola, whole grain crackers with soy butter, sliced apple with cheese are all healthy choices to late night snacking).


4. Really prepare for bed.
As a mother, I don't know a single parent who doesn't have a well-established bedtime routine for their children. As a mother, I also find myself falling into bed with barely any transition time or closure on the day. At what point do we forget why the songs-stories-snuggles end of the day is so critical to the beginning of our night?

There's no need to ask your husband to read you Goodnight Moon and rub your back while singing Frere Jacques (but if that works, hey, why not?). Do weave some soothing rituals into the half-hour before you want to fall asleep by reading a few pages, stretching, meditating, listening to calm music or just breathing deeply. Releasing the day in these ways will help you let go of those nagging to-do lists and anxieties and prompt your brain and body that it is time to relax.

What are some other routines I can do?
Setting a cell phone or watch alarm may cue you to keep a regular bedtime. Lavender essential oils or pillow sprays may soothe you as you settle in and counteract the chaos of the day. Finally, turn off the television, laptop and any other gadgets that make you unnecessarily accessible to life and work outside your bedroom. Finally, there's one thing from your childhood that may still work like a charm when you are having trouble sleeping. Warm milk may really help you drift off because it contains tryptophan, an amino acid that converts melatonin and seratonin and could induce sleepiness.


5. Create a bedroom that seduces you into sleep. Do you notice on cable home make-over shows how often couples ask for a renovation that will make their bedroom into a haven? Our frenetic schedules, cluttered homes and tight spaces may mean we stack up so much in our bedrooms that there's no way to escape, even to sleep! Taking a weekend to clear all that out will help you make a healthy sleep environment and may have an immediate impact on how restful you feel in that space.

Many experts say that your bedroom should be a place reserved only for sleeping and sexual intimacy (see? once again, it comes back to the snuggling). Keep this in mind as you are moving your desk, filing cabinets, sewing machines, mountainous laundry piles and kids' toys out of your room and into places where no one needs to sleep.

How can I dial down the action and dial up the allure? Keeping your room cool and dark, choosing pillows and bedding that are comfortable and you enjoy settling in to and adding black-out curtains behind your window treatments will help set the stage. Remove the television. If this pains you or your partner, consider moving it out for a month to see if it helps. If it must stay, keep it in a cabinet or armoire that closes or cover it with a scarf so you have one more marker for turning off when you turn in.

If the stress of your days still seeps in, keep a worry book by your bed where you can write down what (literally) could keep you awake that night. Or if the to-dos are what's nagging at you all night, keep a stack of sticky notes and pen next to the bed so you can transcribe them right away, knowing you can pick them up in the morning.




Still wide awake? No! These posts won't put you to sleep but they might help you out if you need some ZZZZs:

[photo credit: Getty Images]
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From the Community…

Comments 11-20 of 101
  • charlie's Avatar
    Posted by charlie Sun Jun 29, 2008 9:01pm PDT

    The orgasm tip definitely works as this is proven. Also, decaf herbal tea about an hour before bed.

    Watching tv does help for me, but everyone is different.

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  • Vidura's Avatar
    Posted by Vidura Sun Jun 29, 2008 9:01pm PDT

    It is easy to fall into the temptation of an easy out and try drugs, but the truth is that for most people it just creates problems in the long run.

    I suggest trying meditation, not watching too much TV and having healthy eating habits, doing exercise and do things to take care of stress.

    Also there are some great audio guided meditation which are really great out there. I get mostly mine through iTunes. Search for Hypnosis guided meditation for sleep with Dr. Siddharth Shah. Also anything from Music for Deep Sleep is great.

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  • Bosoxinny's Avatar
    Posted by Bosoxinny Sun Jun 29, 2008 9:03pm PDT

    This is not feasable for people who work nights. I work a 9 pm until 6 am schedule, and I never get to bed before 7 in the morning. I eat "lunch" about 2 in the morning. A fan, sleeping pills and ear plugs have been my solution for years now. The fan and sleeping pills are an absolute must, otherwise I would never sleep.

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  • ChaseDC's Avatar
    Posted by ChaseDC Sun Jun 29, 2008 9:14pm PDT

    I almost always need the TV on to go to sleep. So I don't believe the part about keeping electronics out of the bedroom. And I have an established pattern for going to bed, but it often wakes me up, more than it soothes me to sleep. I generally get sleepy and just wanna sleep wherever I'm laying. But then again, I generally don't have trouble sleeping, at least not in the traditional sense. My problem is I want to sleep all day and stay up all night. I need a job where i work from like 3 to midnight. Also, I think this article underestimates the caffeine problem most people have. I don't drink caffeine with any regularity. But when I do, I'm wired because I have no tolerance for it since I generally avoid it. Caffeine is a strong stimulant, which most don't realize it.

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  • Jay's Avatar
    Posted by Jay Sun Jun 29, 2008 9:24pm PDT

    What i noticed really helps when I can't sleep is trying to keep my eyes closed. It actually works, even if they start to close by themselves keep them, almost forcingly, open.

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  • Erica D's Avatar
    Posted by Erica D Sun Jun 29, 2008 9:31pm PDT

    I am a 3rd shifter too and I definately need the fan and sleeping pills to sleep also. But I have so many things keeping me awake throughout the day like lawn mowers,phone,ppl ringing the door bell trying to sell something.So if I didn't have my lunesta I would never sleep.I don't really have a bedtime routine.I usually just take a shower when I get home and play on the computer for a little bit and I start to get sleepy.

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  • steve m's Avatar
    Posted by steve m Sun Jun 29, 2008 9:40pm PDT

    Read an extremely boring book.

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  • Paul's Avatar
    Posted by Paul Sun Jun 29, 2008 10:06pm PDT

    For an ideal sleep environment (including for shift workers) try the following safe, fast-acting, medicine-free products:

    To make it quiet:

    1. Sound conditioner (or white noise machine) from Marpac or Sound Oasis. These devices block out distracting background noises and help you relax. Many now come with nature and other relaxing sounds. They range in price from $40.95 to $149.95.

    2. Earplugs from Flents or Macks. These can virtually eliminate noises (e.g., loud neighbors), but you will still hear your alarm clock. A package of 10 will run you around $5 plus shipping. And you can take them on trips.

    To make it dark:

    3. Sleep masks from Bucky or Dream Essentials. These are key to letting you sleep that extra hour in the morning when the sun comes up. You can also take them with you when you travel. These range from $10.99 to $29.99.

    4. Blackout liners or blinds. These can really help keep the sunlight out for shift workers. These range from $18.99 to $42.99, depending on the quality of the blinds and the size of the window.

    At http://www.thecompletesleeper.com you can find all of these products and more.

    Sleep tight!

    Paul

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  • Eric's Avatar
    Posted by Eric Sun Jun 29, 2008 10:17pm PDT

    I've tried, ambien works at the start, but I could wake 10 min. later. I've just about tried everything on the planet. I figure leaving the planet might help. Ear plugs, pills, alcohol, fans, water sound from the fish tank, getting up early working-exercising all day, I've tried it all or nothing at all. It just doesn't seem to make a difference. I'm still up at 3am every night.

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  • Peter's Avatar
    Posted by Peter Sun Jun 29, 2008 10:21pm PDT

    Change your bed!!! I was never able to fall asleep properly and tried pretty much everything and figured that's just the way it was for me until I bought a new bed. My old bed really wasn't that it old it just didn't support me right. I did my research got some reccomendations and got one of those Sleep Number Beds. After a couple of weeks I'm NORMAL. It's crazy, finally I fall asleep within 15 minutes every night and awake so much better. My old bed was comfortable just wasn't doing the job though. I highly reccomend it like my friend did to me. So damn worth it!!!

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