The following steps are organized to provide you guidance and support in your efforts to sleep better. It can be implemented over the course of a month, with different tasks assigned to each of the 30 days. Major changes are spaced out in the schedule to allow prior tasks the time needed to take effect. Most of the first week, for example, focuses on improving your sleep environment after the recommendation to fix your waking time is in place—but some of the groundwork laid through self-reflection this week will provide a foundation later on. Similarly, as is later recommended, creating a relaxing buffer zone and going to bed when you feel sleepy will take some effort, while simultaneously rearranging the use of substances may come easier.

REM sleep first occurs about 90 minutes after falling asleep.  Your eyes move rapidly from side to side behind closed eyelids.  Mixed frequency brain wave activity becomes closer to that seen in wakefulness.  Your breathing becomes faster and irregular, and your heart rate and blood pressure increase to near waking levels.  Most of your dreaming occurs during REM sleep, although some can also occur in non-REM sleep.  Your arm and leg muscles become temporarily paralyzed, which prevents you from acting out your dreams.  As you age, you sleep less of your time in REM sleep.  Memory consolidation most likely requires both non-REM and REM sleep.


Some researchers, parents, and teachers have suggested that middle- and high-school classes begin later in the morning to accommodate teens' need for more sleep. Some schools have implemented later start times. You and your friends, parents, and teachers can lobby for later start times at your school, but in the meantime you'll have to make your own adjustments.
Dr. Goldstein warned, however, that the sleep you get from an antihistamine isn’t going to be as restorative as unmedicated sleep. “It’s like alcohol,” she told us. “You’ll get sleep, but you’re not going to wake up with mounds of energy.” Dr. Zammit explains, “When you take a sedating antihistamine, REM sleep may be suppressed at the beginning of the night. But then it rebounds at the end of the night, and this can lead to vivid, intense, and sometimes disturbing dreams.”
Like all drugs, natural sleep remedies can have side effects and risks. Pre-market evaluation and approval by the FDA are not required for OTC aids, dietary supplements, or herbal products. The particular brand you buy may have inappropriate dosing. You may get less or more of the herb than intended, which could make it dangerous to use in treatments, especially for children or the elderly,
Safety Warning Do not use in children under 12 years of age. Ask a doctor before use if you have: a breathing problem such as asthma, emphysema or chronic bronchitis; glaucoma; trouble urinating due to an enlarged prostate gland. Ask a doctor or pharmacist before use if you are taking any other drugs. When using this product: avoid alcoholic beverages; take only at bedtime. Stop use and ask a doctor if: sleeplessness persists continuously for more than two weeks. Insomnia may be a symptom of serious underlying medical illness. If pregnant or breast-feeding, ask a health professional before use. Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center right away. (1-800-222-1222) Do not use in children under 12 years of age. Ask a doctor before use if you have: a breathing problem such as asthma, emphysema or chronic bronchitis; glaucoma; trouble urinating due to an enlarged prostate gland. Ask a doctor or pharmacist before use if you are taking any other drugs. When using this product: avoid alcoholic beverages; take only at bedtime. Stop use and ask a doctor if sleeplessness persists continuously for more than two weeks. Insomnia may be a symptom of serious underlying medical illness. If pregnant or breast-feeding, ask a health professional before use. Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center right away. (1-800-222-1222) — —
Over the years, I’ve written in-depth about some of the best-studied, most effective natural sleep aids. As we head into the new year with a focus on prioritizing sleep, I thought I’d share a quick review of some of my top suggestions for natural sleep therapies. These are the supplements that I most often discuss with my patients, and in some cases use for myself and my family.

They discovered that we have these molecular pathways that are responsive to light and allow the body to synchronize to the comings and goings of the sun. When that is working at its most effective, and all the cells are working as a team, overall health is much better. I think most people don’t understand the importance of light and how we consume it. Artificial light is completely at odds with our biology.
How glycine helps sleep: Glycine can improve symptoms of insomnia, and can help you bounce back to healthy sleep cycles after a period of disrupted sleep. A recent study of the effects of glycine as a supplement showed it triggered a drop in body temperature and at the same time helped people both fall asleep more quickly and spend more time in REM sleep. And glycine may help you move more quickly into deep, slow wave sleep. 
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Walia suggests progressive muscle relaxation: Working from your toes to your forehead, tightly tense each muscle group for five seconds, and then relax. Visualization is another classic relaxing technique, in which you picture yourself someplace pleasant and calm. And what about the mother of all sleep remedies – counting sheep? Olson views this as a "mental distraction technique," like visualization. With sleep, he says, "the harder you try to get it, often the more elusive it is." So whether you're counting farm animals or picturing yourself in a hammock in Cabo, the idea is the same, Olson says. "You're getting your mind off of 'I can't sleep; I can't sleep; I can't sleep,' and onto something else."
 The brain stem, at the base of the brain, communicates with the hypothalamus to control the transitions between wake and sleep.  (The brain stem includes structures called the pons, medulla, and midbrain.)  Sleep-promoting cells within the hypothalamus and the brain stem produce a brain chemical called GABA, which acts to reduce the activity of arousal centers in the hypothalamus and the brain stem.  The brain stem (especially the pons and medulla) also plays a special role in REM sleep; it sends signals to relax muscles essential for body posture and limb movements, so that we don’t act out our dreams.
If melatonin doesn’t work or patients don’t want to take it, Barone suggests trying valerian root. A 2015 review published in the journal Evidence-Based Complementary and Alternative Medicine concluded that “a few high-quality studies report modest benefits of valerian for insomnia patients,” adding that while the overall evidence remains mixed, the safety of valerian is well-established.

It can be much harder to get yourself off to sleep if you are worried that you are worried that you're going to be tossing and turning just a few short hours from now, so try to stop yourself waking up a lot in the night. One of the main causes of waking in the night is through back pain, so try to minimise this by buying a decent mattress - and make sure you change your mattress every 8-10 years. Also taking an anti-inflammatory such as ibuprofen before you go to bed can help ease muscle spasms in the night.
“Most sleep problems are related to stress, and dealing with stress is really important," says Frank Lipman, MD. "I usually recommend some type of meditation practice or breathing technique." Spend 20 minutes doing something you enjoy (non-stimulating, of course), take 20 minutes for your hygiene routine, and use the last 20 minutes to employ a relaxation technique that works for you, such as meditation or yoga. (New to meditation? Try these 3 quick meditations absolutely anyone can do.)
Mindful breathing practices have been a part of yoga and Eastern wellness modalities for centuries but aren’t as popular in Western culture. The most well-known champion of the 4-7-8 breathing technique in the U.S., who is somewhat responsible for the prevalence that the technique does have amongst integrative medicine practitioners, yogis, and those in search of stress reduction and overall relaxation, is Harvard-educated Andrew Weil, MD.

Keep precautions in mind. Diphenhydramine and doxylamine aren't recommended for people who have closed-angle glaucoma, asthma, chronic obstructive pulmonary disease, sleep apnea, severe liver disease, digestive system obstruction or urinary retention. In addition, sleep aids pose risks for women who are pregnant or breast-feeding, and might pose risks to people over age 75, including an increased risk of strokes and dementia.
Abdominal breathing. Most of us don’t breathe as deeply as we should. When we breathe deeply and fully, involving not only the chest, but also the belly, lower back, and ribcage, it can actually help the part of our nervous system that controls relaxation. Close your eyes and try taking deep, slow breaths, making each breath even deeper than the last. Breathe in through your nose and out through your mouth. Make each exhale a little longer than each inhale.
A study published in Complementary Therapies in Clinical Practice was conducted with cancer patients, a common group that has serious issues with sleeping well, to better understand whether aromatherapy using essential oils could help provide some much-needed healing shut-eye. Aromasticks were given to patients over a 13-week period. Of the participants, 94 percent reported using the aromasticks with 92 percent reporting that they would continue use. Bergamot oil and lavender oil, in addition to sandalwood, frankincense and mandarin, were combined to create the useful sleep-inducing blend. (7)

Even if you’re exhausted, try to stick to within 30 minutes of your normal bedtime. Going to bed hours earlier than usual may throw your body’s normal rhythm out of whack, says Dr. Emsellem. “Sticking to a routine is key to keeping insomnia at bay. While you may hate being locked into a schedule, your brain likes following a pattern.” Likewise, daytime napping, even if you slept poorly the night before, is also a no-no if you’re prone to insomnia.
Valerian is an herbal extract. It is one of the leading natural supplements for managing anxiety and insomnia. But according to the Natural Medicines Comprehensive Data Base there is not enough proof to say that it is effective in treating insomnia. Some limited findings show that valerian may reduce the time needed to fall asleep and may improve sleep quality. Unlike the benzodiazepines, most people feel no morning grogginess after taking valerian. Other findings were not as promising. They showed that when compared to a placebo, valerian didn't relieve anxiety or insomnia any better than the placebo.

Tryptophan. Tryptophan is a basic amino acid used in the formation of the chemical messenger serotonin, a substance in the brain that helps tell your body to sleep. L-tryptophan is a common byproduct of tryptophan, which the body can change into serotonin. Some studies have shown that L-tryptophan can help people fall asleep faster. Results, however, have been inconsistent.
Second, we capped melatonin supplements’ per-pill dosage of melatonin at 1.5 mg. While any average melatonin supplement likely contains up to 10 mg of melatonin, Dr. Michael Breus (a clinical psychologist who runs the website thesleepdoctor.com) says that’s far too much for the average person. “The data suggests that the average adult needs between 0.5 and 1.5 mg,” he says.
9. A light snack may be sleep-inducing, but a heavy meal too close to bedtime interferes with sleep. Stay away from protein and stick to carbohydrates or dairy products. Milk contains the amino acid L-tryptophan, which has been shown in research to help people go to sleep. So milk and cookies or crackers (without chocolate) may be useful and taste good as well.
Dr. Goldstein warned, however, that the sleep you get from an antihistamine isn’t going to be as restorative as unmedicated sleep. “It’s like alcohol,” she told us. “You’ll get sleep, but you’re not going to wake up with mounds of energy.” Dr. Zammit explains, “When you take a sedating antihistamine, REM sleep may be suppressed at the beginning of the night. But then it rebounds at the end of the night, and this can lead to vivid, intense, and sometimes disturbing dreams.”
Time to bust some long-held myths: Waking up early does not make you a better person. The early bird does not always catch the worm. Your circadian rhythm is your internal body clock, and it’s going to look different to your neighbor’s. When you go to sleep and wake up in accordance with your body’s natural circadian rhythm, you’ll sleep better, and be more alert and productive during the day. Dr. Michael Breus, a clinical psychologist and sleep expert, identified four sleep chronotypes (aka your circadian rhythm personality). These are:
Sleeping with Fido isn’t so bad, according to a new Mayo Clinic study that found people who had a dog in the bedroom slept better than those who didn’t. But don’t let your pooch crawl under the covers: Participants who snuggled with their pets had poorer sleep quality than those who didn’t. If pet "co-sleeping" sounds like the insomnia cure for you, be sure your furry friend sleeps on the floor or in a pet bed of their own nearby so you both get an undisturbed, restful sleep. (Here are 5 ways to lose weight with your pet—so you can both live longer.)
Clinical trials have shown that passion flower can reduce anxiety as effectively as the prescribed drug known as benzodiazepine oxazepam. A four-week, double-blind study of patients with generalized anxiety disorder compared passion flower to the common anti-anxiety drug. While the oxazepam worked a little faster, both were the same in terms of effectiveness — however, the passion flower did not cause problems with job performance, such drowsiness while on the job, unlike the oxazepam. (8)
2. Minimize noise, light, and temperature extremes during sleep with ear plugs, window blinds, or an electric blanket or air conditioner. Even the slightest nighttime noises or luminescent lights can disrupt the quality of your sleep. Try to keep your bedroom at a comfortable temperature -- not too hot (above 75 degrees) or too cold (below 54 degrees).
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Use white noise to fall asleep in noisy environments. White noise is a constant, unobtrusive noise that helps you ignore disturbing sounds, like noisy neighbors or a busy street. It can be the sound of static, raindrops, rustling leaves, or calm, wordless music. You can look for a white noise channel on your video or audio streaming service, or invest in a white noise machine.[22]
SOUND: We focus on sound a lot. Quiet environments are going to improve your sleep quality. Your brain has these micro arousals throughout the night without you being consciously aware of it—even an air-conditioning unit turning on wakes up your brain. So blocking out noises is a low-hanging fruit to improve your sleep quality. Bose just released an earbud that you can sleep with, for example.
1. Set up a strict routine involving regular and adequate sleeping times (most adults need about seven or eight hours sleep every night). Allocate a time for sleeping, for example, 11pm to 7am, and don’t use this time for anything else. Avoid daytime naps, or make them short and regular. If you have a bad night, avoid sleeping late, as this makes it more difficult to fall asleep the following night. The sad truth is that good sleep does require some discipline.
She happens to be a licensed wellness practitioner who studies meditation, stress, and breathing techniques, and she told me it would change my life. You simply breathe in through your nose for four seconds, hold your breath for seven seconds, and exhale through your mouth for eight seconds. She explained that the studied combination of numbers has a chemical-like effect on our brains and would slow my heart rate and soothe me right to sleep that night. “It works,” she told me. “It’s crazy.”
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