Some sleep researchers believe that it might be normal to be awake some during the night. (The fact that you sleep straight through the night without budging may again be a sign of inadequate time spent sleeping and increased sleep pressure.) This phenomenon of being awake at night is called "quiet wakefulness" and is often observed when the sleep habits of non-Western cultures are studied. When people sleep in a group in close quarters, there is more time spent awake during the night. This makes sleep a more fluid concept. Time may be spent chatting, eating a snack or engaging others around you. In history, fragmented sleep with periods of wakefulness in the middle of the night was common, reflected in the midnight adventures seen in the plays of Shakespeare, for example.
It actually may be normal to wake up at night. When we find ourselves waking in the night, no matter the cause, we may conclude that something is wrong. If there are no consequences in daytime function, however, this may not be the case. It is normal to wake to roll over, adjust the covers, respond to noise, and maybe even to get up to urinate. (Waking to go to the bathroom is so common as we get older that you would be hard-pressed to call it "abnormal.") Many people get back to sleep easily and are unaffected. The problem begins when our poor sleep compromises our lives. If difficulty falling or staying asleep at night begins to have consequences, there is a motivation to seek the cause.
REM sleep are particularly important. You can ensure you get more deep sleep by avoiding alcohol, nicotine, and being woken during the night by noise or light. While improving your overall sleep will increase REM sleep, you can also try sleeping an extra 30 minutes to an hour in the morning, when REM sleep stages are longer. See The Biology of Sleep to learn more.
According to a 2011 study published in the Journal of Neuroscience, salt can help lower cortisol levels and balance blood sugar levels, which is what you want at night for restful sleep. Natural sugars can help by elevating insulin slightly, which helps lower cortisol (this is one of the reasons my doctor suggests consuming carbohydrates at night and not in the morning if you are trying to balance hormones).
7. Caffeine is also a stimulant and is present in coffee (100-200 mg), soda (50-75 mg), tea (50-75 mg), and various over-the-counter medications. Caffeine should be discontinued at least four to six hours before bedtime. If you consume large amounts of caffeine and you cut your self off too quickly, beware; you may get headaches that could keep you awake.
However, if you’re increasing your sleep debt over a longer period of time- say, if you’ve just had a child and aren’t able to get a full eight hours every night- you can’t easily make it up over just a few nights. In cases like these, it may take a few weeks to really fill your sleep debt. Your best bet is to plan a vacation or stay-cation with a light schedule and no obligations, and then turn off your alarm clock and go to bed and wake up when it feels natural. This will “reset” your sleep system so that while you may be sleeping 12 hours a night at the beginning, you’ll eventually settle back in to the amount that is your basal sleep need.
Some newer medications don’t have the same chemical structure as a benzodiazepine, but act on the same area in the brain. They are thought to have fewer side effects, and less risk of dependency, but are still considered controlled substances. They include zalepon (Sonata), zolpidem (Ambien), and eszopiclone (Lunesta), which have been tested for longer-term use, up to six months.
That was really interesting. If you have an extreme case of depression, sometimes some therapists will sleep deprive you a little bit. It’s basically to activate your fight-or-flight response and jolt you out of your depression. But things like empathy and working with others are also impacted when you’re sleep deprived, and you’re also more sensitive to pain. Some people are studying this link to address the opioid epidemic and through actually sleeping better: Chronic pain might be associated with deep sleep.
REM sleep occurs after the fourth stage of NREM sleep, with the first stage occurring about 90 minutes after you first fall asleep. The first period of REM lasts around ten minutes, and each stage lengthens until the final stage, which may last as long as an hour. Your brain activity is heightened during REM sleep, and you experience intense dreaming plus periods of muscle paralysis. As you age, you spend less time in REM sleep; adults spend about 20% of their sleep in REM, while infants spend about 50% of sleep in REM.
You've followed the usual tips for getting enough sleep — sleeping on a regular schedule, avoiding caffeine and daytime naps, exercising regularly, avoiding lighted screens before bed, and managing stress. Still, it's been weeks and a good night's sleep remains elusive. Is it time for an over-the-counter sleep aid? Here's what you need to know if you're considering medication to help you sleep.
Sleep issues can often be traced back to an underlying issue. When we asked Dr. Breus for his first choice in treating sleep issues, he told us, “It’s never a pill. I would want to know the root cause. There could be an anxiety component where cognitive behavioral therapy could be helpful.” If you face sleeplessness regularly, it’s well worth speaking to your doctor about underlying causes.
Try relaxation techniques. Call to arms whatever relaxation tips you know to combat this inappropriately timed alertness. Try your favorite calming yoga pose (Savasana, anyone?). Meditate. In this travel meditation article, neuroscience researcher Catherine Kerr explains a simple way of unwinding through breathing. You simply note the rising and falling of your breath, and focus on the parts of your body where you feel these slow inhales and exhales, whether it's in the lungs, abdomen, tip of your nose or elsewhere.
Finally, we checked our remaining contenders for any deal breakers. Was the bottle impossible to open? Were the pills too big or too oddly shaped to swallow? Most of our finalists passed these tests with flying colors, but several natural options fell short on one critical metric — smell. A pill that smells unappetizing is a turn-off, and most of our valerian supplements had an old-sock odor that might discourage us from ever opening the bottle.
Mantram is the practice of repeating over and over in the mind certain syllables, words or phrases that help unify consciousness and counteract negative mental states. It is especially helpful for people with restless minds, whose turbulent thoughts keep them from relaxing, concentrating and falling asleep. The repetition of a verbal formula is a way of focusing the thinking mind and counteracting the damage done to both mind and body by thoughts that produce anxiety, agitation and unhappiness.
Watch something boring. Just about everything you read about improving sleep advises you to avoid screen time before bed. But the truth is, a lot of people do it anyway. If you’re going to watch TV or your laptop in bed, watch something unexciting. Think a Ken Burns documentary, or an episode of House Hunters. No scary movies, thrillers, or the 11 o’clock news. If it’s likely to get your pulse racing, turn it off. There’s even a website for it — Napflix, which serves up the most snooze-worthy videos on YouTube (think Bonsai tree pruning or tropical fish swimming in an aquarium).