The FDA has not approved antidepressants for the treatment of insomnia, nor has their use been proven effective in treating sleeplessness. However, some antidepressants are prescribed off-label due to their sedating effects. As with all depression medication, there is a small but significant risk of suicidal thoughts or worsening of depression, particularly in children and adolescents.
One thing experts say you should never drink right before bed? Alcohol. Not only can it trigger heartburn or indigestion (common sleep deterrents), but too many liquids right before bed can also lead to nighttime trips to the bathroom. "It makes you fall asleep, but the downside is multiple awakenings and arousals during the night that make you feel un-refreshed in the morning," Dr. Dasgupta cautions. That doesn't mean you can't have that glass of Merlot at dinner—just make sure you have a few hours of buffer before hitting the hay.
After talking with doctors and examining clinical studies, we learned that the research surrounding common remedies for restless nights, like melatonin and valerian, is often contradictory. To find the best sleep aid, it’s important to look for an active ingredient that suits your particular sleep problems — and to pay close attention to your dosage and timing.
Alcohol may initially sedate you, making it easier to fall asleep; however, as it is metabolized and cleared from your system during sleep, it causes arousals that can last as long as two to three hours after it has been eliminated. These arousals disturb sleep, often causing intense dreaming, sweating, and headache. Smoking while drinking caffeine and alcohol can interact to affect your sleep dramatically. These sleep disturbances may be most apparent upon awakening, feeling unrefreshed, groggy, or hungover.
STRESS: When you’re stressed, your flight-or-fight response is active during the night, and your sleep quality is going to be shallow. It’s natural: If you have kids, you are programmed to be able to respond to your environment during the night to make sure you’re not getting eaten by a predator. Parents have this issue when their fight-or-flight response system is overly activated by worrying about their kid, and that worry actually makes their sleep quality worse.
The first task to sleep better at night is to improve your sleep hygiene, which refers to following the guidelines for better sleep. These steps may initially seem straightforward, but because they involve modifying your behaviors in relation to your sleep, they can be challenging. If you have mastered these changes, you may be compelled to look at other options.

Ahh, valerian. Relaxing, calming, and downright amazing, if you have trouble sleeping, then get some valerian root. Valerian inhibits the GABA - gamma aminobutryic acid - neurotransmitters that are responsible for sleep. It's this amino acid that dampens nerve activity, causing the brain to become calm and relaxed. Those with insomnia often have reduced GABA levels.


You have a peak moment of awakeness during the morning. After lunch you usually have a glucose spike, especially if you have a big heavy lunch, like a cheeseburger. That glucose spike combined with a circadian dip gives you a period of fatigue between around 2 and 4pm. You’ll then have another spike in alertness right before dinner, and then you’ll start getting tired again closer to bedtime. That’s your 24-hour circadian rhythm, basically.
You have a peak moment of awakeness during the morning. After lunch you usually have a glucose spike, especially if you have a big heavy lunch, like a cheeseburger. That glucose spike combined with a circadian dip gives you a period of fatigue between around 2 and 4pm. You’ll then have another spike in alertness right before dinner, and then you’ll start getting tired again closer to bedtime. That’s your 24-hour circadian rhythm, basically.

We swear, we’re not pulling your leg. Try and remember what you physically feel like when you’re tired: Do your arms go limp? Do your eyes roll back into your head? Now, mimic those physical signs: While lying in bed, think of a weight pressing evenly across your entire body. Okay, that sounds a little scary, but concentrating on the weight will stop other thoughts (e.g. the school lunches you still have to pack for tomorrow) from distracting you. Next thing you know, you’ll find yourself waking up the next day, wondering how the heck you fell asleep so fast.
The influence of tryptophan on sleep continues to be studied in major sleep laboratories across the nation. While this amino acid is not available as a natural dietary supplement or sleep remedy, you can easily include tryptophan in your diet through food sources such as turkey, cheese, nuts, beans, eggs, and milk. You can also boost serotonin levels in the brain -- helping you to feel calm and sleepy -- by eating foods rich in carbohydrates.
 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.
You can take one step per day to improve your sleep. Below are suggestions for what to work on each day for 30 days. It's not necessary for it all to unfold in an orderly manner: you may find that you need to take longer on one particular task, and conversely, you may be able to breeze by recommendations that are irrelevant to you. Personalize the plan to fit your needs and your situation as best as you can, and allow flexibility in the process.
For something that we spend a third of our lives doing (if we’re lucky), sleep is something that we know relatively little about. “Sleep is actually a relatively recent discovery,” says Daniel Gartenberg, a sleep scientist who is currently an assistant adjunct professor in biobehavioral health at Penn State. “Scientists only started looking at sleep 70 years ago.”
Melatonin has been used successfully for sleep enhancement in healthy individuals, as well as to reduce feelings of jet lag during global travels. This natural hormone is also being tested as a sleep aid with the elderly and other populations. In addition, studies are focusing on whether or not melatonin can help improve sleep patterns in individuals with depression.
The herb Vitex agnus castus (chaste tree) may help insomnia during menstrual periods or insomnia that is a side effect of premenstrual syndrome (PMS). In one study, women with moderate to severe premenstrual syndrome were treated with either a vitex agnus castus extract or a placebo for three menstrual cycles. Participants were asked to document their symptoms with a PMS diary with a daily rating scale of 17 symptoms. They reported fewer symptoms, especially less insomnia and negative affect, but their cramps didn't improve. However, chasteberry should not be used by anyone on birth control pills, hormone replacement therapy, or dopamine-related medications, according to the National Center for Complementary and Integrative Health.

Benzodiazepines are the oldest class of sleep medications still commonly in use. Benzodiazepines as a group are thought to have a higher risk of dependence than other insomnia sedative hypnotics and are classified as controlled substances. Primarily used to treat anxiety disorders, benzodiazepines that have been approved to treat insomnia include estazolam (brand name ProSom), flurazepam (Dalmane), quazepam (Doral), temazepam (Restoril), and triazolam (Halcion).
It'll be easier to fall asleep if your room is completely dark, so cover up any blinking clocks, turn off your lamp, and pull your curtains to block lights from the street. And remember for tomorrow night: always dim your lights a few hours before bed. As Logie tells me, exposure to bright lights — like from your TV, lamps, or phone — in the evening can make it more difficult to fall asleep.
So I can confidently say this decades-old technique worked for me. Mind you, it didn’t work every night. Some nights during that second week I didn’t get that “release” after my visualization. But as the weeks went on, the trick seemed to work more often than not. And it seemed to work more effectively when I visualized myself in a velvety hammock instead of in a canoe, so it helps to switch up visualizations to see what works best.
The word meditation might make you think of spiritual mumbo jumbo, but brain training techniques can be incredibly powerful for helping you drift off. Calm features a series of guided meditation sessions lasting up to 30 minutes that can help you clear your mind at night before you sleep. Other 'mindfulness' apps to look at include Headspace and Buddhify.
Derived from acupuncture, acupressure is an alternative medicine technique based in the Chinese medical theory that a network of energy flows through specific points in your body. Pressing on these points is meant to restore balance and regulate your mind, body, and spirit. A faculty member from leading natural health university Bastyr University suggests these acupressure techniques to alleviate sleeplessness:
No matter what sleep schedule you follow, you can improve your quality of sleep through practicing certain techniques and tricks, just like any other talent or skill. Since poor sleep is generally caused by short disturbances in sleep, your overall goal should be to eliminate any factors that might interrupt your sleep cycle. Experiment with the tips for better sleep below to see which of them improve your sleep quality.
A 2016 study published in the journal Explore found that college students who inhaled a lavender-scented patch before bed reported better nighttime sleep and more daytime energy, compared to those who inhaled a placebo patch. Studies in other populations, including middle-age women and heart-disease patients, have also suggested that lavender can improve sleep quality.
Now to the more technical details: People who are stressed or anxious are actually chronically under-breathing because stressed people breathe shortly and shallowly, and often even unconsciously hold their breath. By extending your inhale to a count of four, you are forcing yourself to take in more oxygen, allowing the oxygen to affect your bloodstream by holding your breath for seven seconds, and then emitting carbon dioxide from your lungs by exhaling steadily for eight seconds. The technique will effectively slow your heart rate and increase oxygen in your bloodstream, and may even make you feel slightly lightheaded which contributes to the mild sedative-like effect. It will instantly relax your heart, mind, and overall central nervous system because you are controlling the breath versus continuing to breathe short, shallow gasps of air.
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