Valerian research is more contradictory than that pertaining to melatonin. One valerian study found no benefit to taking the herb at the 14-day mark but discovered that it “greatly improved sleep” after 28 days. Dr. Goldstein confirmed this, noting that, while valerian will work for some “super sensitive” people the first time they take it, for others it may need to build up in their system for weeks before they start to notice any changes (though she notes that the same has been said about melatonin).
Physical and chemical changes associated with injury and aging: The “internal clock” in the brain controls when people sleep and wake every day. For individuals who have a disability associated with a brain injury or ongoing nervous system lesions like multiple sclerosis, their brain may be less able to tell the body to fall asleep or wake up. Injuries to the brain can also affect the chemicals in our body that help us to sleep, and brain mechanisms for starting and stopping sleep.
Try “belly breathing.” Controlled, deep breathing is simply a way to direct your mind away from thoughts that might keep you awake. If you find your mind racing as you lie down to go to sleep, place a hand on your belly and breathe in deeply through your nose — so deeply that can feel the air filling your abdomen. Hold it for a couple of seconds, and then breathe out through your mouth. Breathe mindfully like this for a few minutes, just trying to focus your attention on the rising and falling of your belly as you inhale and exhale. If your mind starts to wander, just bring it back to your breathing. The more often you practice this relaxation technique, the easier and more effective it will be.