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When figuring out how much sleep you need, it’s important to know your sleep debt as well as your basal sleep need. Many people assume that if they lose an hour of sleep, they just need to get an extra hour of sleep the next night; however, you also have to make up for the extra hour that you were awake and your increased activity during this time. Using your basal sleep need as a foundation, you can determine your sleep debt and adjust it based on how tired you feel or how much extra sleep you think you need.
Black, D. S., O'Reilly, G. A., Olmstead, R., Breen, E. C., & Irwin, M. R. (2015, April). Mindfulness meditation and improvement in sleep quality and daytime impairment among older adults with sleep disturbances: A randomized clinical trial. JAMA Internal Medicine, 175(4), 494–501. Retrieved from https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2110998?hc_location=ufi
The National Sleep Foundation reports that insomnia is common among those who are depressed and notes that people with insomnia have a much higher risk of becoming depressed. (11) Research from the Department of Psychology at the University of North Texas shows that depression may affect many aspects of sleep, from getting to sleep to staying asleep. By treating depression using St. John’s wort, you may be able to find that restful sleep your body and mind longs for. (12)
A professor I collaborate with at Penn State named Orfeu Buxton says that 8.5 hours of sleep is the new eight hours. In order to get a healthy eight hours of sleep, which is the amount that many people need, you need to be in bed for 8.5 hours. The standard in the literature is that healthy sleepers spend more than 90% of the time in bed asleep, so if you’re in bed for eight hours, a healthy sleeper might actually sleep for only about 7.2 hours.
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No one would argue that exercise isn’t good for you. It keeps muscles and bones strong and maintains good cardiovascular health. Many of my sleep patients who lead sedentary lives and don’t exercise regularly are missing out on an excellent sleep remedy. Data suggest not only that exercising during the day will help you fall asleep more quickly and plunge you into deeper sleep for a longer period of time, but also that exercising causes your body to produce growth hormones, which help it to repair and revitalize itself. Many of my patients report that they sleep better with regular exercise and that they feel more alert and rejuvenated the following day.
The other benefit of speaking with a healthcare professional is that you can discuss the use of sleeping pills. There are two major classes of prescription medications that can help you sleep: benzodiazepines and nonbenzodiazepines. The list of sleeping pills is long and includes drugs like Ambien, Lunesta, Sonata, Trazodone, Belsomra, and others. These should not be used longer than a few weeks and if insomnia persists, you may want to seek other treatment. In particular, you can ask for a referral to a psychologist who might be able to teach you cognitive behavioral therapy for insomnia (CBTI) techniques.
“Magnesium is my go-to recommendation for patients experiencing trouble sleeping,” says Dr. Goldstein. “It’s nature’s relaxer.” Magnesium plays an important role in helping to balance blood sugar and hormones; an imbalance in either could be affecting your sleep. By supplementing magnesium, “you’re replenishing a mineral that basically everyone needs, as well as helping to literally relax the body.” Before reaching for a traditional sleep aid, try starting off with magnesium to see if it makes a difference.
Valerian is one of the most common sleep remedies for insomnia. Numerous studies have found that valerian improves deep sleep, speed of falling asleep, and overall quality of sleep. However, it's most effective when used over a longer period of time. One caveat? About 10% of the people who use it actually feel energized, which may keep them awake. If that happens to you, take valerian during the day. Otherwise, take 200 to 800 milligrams before bed.
Warming your body up with a hot shower an hour before bed and then stepping into cooler air will cause your body temperature to drop more precipitously. Studies show that this rapid temperature decrease slows your metabolism faster and prepares your body for sleep. “Showers can also be very relaxing, so that helps, too,” says Meltzer. If you shower every night around the same time, making it part of a consistent bedtime routine, you’ll see the most sleep value from it, she adds. “Then your body has an expectation of what’s coming next.”
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.
Innovative fibers like Celliant may help you drift off sooner. Used in Amerisleep mattress covers, Celliant is a fabric infused with minerals that absorbs body heat and converts it to infrared waves. It’s been shown to help regulate body temperature (to avoid overheating) and to boost circulation. In one study, people fell asleep 15 minutes faster on a mattress with a Celliant cover.