That doesn’t mean that you should never use medication, but it’s important to weigh the benefits against the risks. In general, sleeping pills and sleep aids are most effective when used sparingly for short-term situations, such as traveling across time zones or recovering from a medical procedure. If you choose to take sleeping pills over the long term, it is best to use them only on an infrequent, “as needed,” basis to avoid dependence and tolerance.
You may be doing all the right things—respecting your sleep needs and patterns, setting aside an ample amount of time to sleep, keeping a sleep diary—but still experiencing daytime sleepiness, fatigue, or insomnia. If that's the case, you should consider consulting a sleep specialist who can help you set up a better sleep environment, provide support for making behavioral changes that may be interfering with sleep, or possibly diagnose a sleep disorder. You have a right to feel well rested—and there are many resources available to help you get the sleep you need.
Valerian. Valerian is a sedating herb that has been used since the second century A.D. to treat insomnia and anxiety. It is believed to work by increasing brain levels of the calming chemical GABA. Although the use of valerian for insomnia hasn’t been extensively studied, the research shows promise and it is generally considered to be safe and non-habit forming. It works best when taken daily for two or more weeks.
The amount of sleep needed each night varies, but for adults, getting at least seven hours every night is crucial to having a healthy mind and body. And when we don’t get enough sleep, our bodies aren’t the only things that suffer. The Centers for Disease Control and Prevention reports that a whopping 49.2 million people have trouble with focus due to lack of sleep, and the National Highway Traffic Safety Administrationreported that millions nod off while driving! (1, 2)
Sleep medications, which are most useful for short-term sleeplessness, do require some caution, because they can result in hangovers the next day, or, even worse, lead you to eat, amble about, and even drive while asleep, with no memory of having eaten, ambled about, or driven. The FDA suggests that if you take Ambien, in particular, and at certain dosages, you shouldn’t drive the next day, or take part in other activities that necessitate your being completely awake, because the drug can remain in your system at levels that may affect your functioning.
It’s tempting to reach for coffee when we’re tired after a poor night’s sleep, but drinking caffeine can make it harder for us to fall asleep at night, creating a vicious cycle. Effects of caffeine on sleep and cognition. Snel J, Lorist MM. Progress in brain research, 2011, Aug.;190():1875-7855. Can’t quit cold turkey? Try limiting caffeine intake to earlier in the day so it’s out of your system by bedtime.
On the other hand, if you find you're waking up too early in the morning or have advanced sleep-phase syndrome, you may need more light late afternoon and could try taking a walk outdoors or light therapy for two to three hours in the evening. Home light therapy units are available and may be recommended by your doctor or sleep specialist to use in conjunction with your sleep therapy.
When you first start, you’ll be desperate to just take in another breath, or you’ll want to speed up your counting, but if you stick to the numbers (or at least try to), and don’t take any breaks (in other words, consecutively repeat the 4-7-8 without resuming regular breathing), you can literally feel your heart rate slow down, your mind get quieter, and your whole body physically relax. It washes over you like a calming, relaxing drug. I can never remember getting past the first set of 4-7-8.
People with insomnia struggle to get a good night's rest and wonder how to sleep better They may be plagued by trouble falling asleep, unwelcome awakenings during the night, or fitful sleep — alone or in combination. They may feel drowsy during the day and yet be unable to nap. Insomnia can leave a person feeling anxious and irritable or forgetful and unable to concentrate.
You’ve likely been told over and over again that a good night’s rest equals eight hours of sleep. But research shows it’s not the number of hours you sleep that matters the most – it’s the quality of the hours you are getting. The largest sleep study ever conducted on 1.1 million people shows that it’s quality, not quantity, that matters most. The researchers found that participants who slept only six and a half hours a night lived longer than those who slept eight hours. It’s easy to conclude that you’ll live longer if you sleep for six and a half hours a night, but the reality is more complicated. It’s possible that the healthiest people simply need less sleep. And when you’re getting good-quality sleep, you likely need less of it.
The latter portion of this plan is meant to tidy up some of the loose ends, including conditions that can undermine sleep. If the early changes haven't proven to be effective or relevant, it may be because other issues are at play. Ultimately, if your efforts aren't rewarded in the end, it may be useful to speak with a sleep doctor who can provide you the personal assistance you need to overcome any remaining problems. This advice is generally good for all, but carefully crafting it to attend to your individual needs may make it invaluable.
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.
While some remedies, such as lemon balm or chamomile tea are generally harmless, others can have more serious side effects and interfere with or reduce the effectiveness of prescribed medications. Valerian, for example, can interfere with antihistamines and statins. Do your research before trying a new herbal remedy and talk with your doctor or pharmacist if you have any pre-existing conditions or prescriptions that you take.
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:
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.
Reducing sleep by as little as one and a half hours for just one night reduces daytime alertness by about one-third. Excessive daytime sleepiness impairs memory and the ability to think and process information, and carries a substantially increased risk of sustaining an occupational injury. Long-term sleep deprivation from sleep disorders like apnea have recently been implicated in high blood pressure, heart attack, and stroke.
Alcohol's effects are different. 'Alcohol depresses the brain and central nervous system, so while it might make you feel sleepy (and find it easier to drop off) you won't enjoy good quality sleep. When we experience hangovers, most of that is caused by dehydration – that's what wakes us up in the night, and disrupts sleep. You'll find yourself experiencing sleep fragmentation, feeling totally exhausted when you wake.'
If you’re bringing the stress of your job and daily life to bed with you, you’re not going to sleep well. Resolve to keep everything that’s stressful out of your bedroom, so don’t bring in work materials, your phone or even allow yourself to think about work while in your bedroom. You can also gain control over your worries and anxieties by keeping a worry journal. Write about the things that are bothering you so you can work through them instead of bringing them to bed with you.
“This is a stimulus control theory,” says Meltzer. “Everything in life has a stimulus value, even your bed,” meaning your body should recognize that lying in bed means it’s time to go to sleep. To give your bed that value, the only things you should be doing in it are sleep and sex, she explains. “Getting out of bed if you can’t sleep is the hardest one to do, but it’s so important. If you’re spending 10 hours in bed, but only sleeping six, that’s really bad. Your bed becomes a place for thinking, worrying, watching TV, and not for sleeping.”
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."
I couldn’t wait to put the trick to the test, and to my complete disbelief, I woke up the next morning unable to even remember getting to the eighth second of the exhale because it knocked me out that fast. For the next four nights leading up to the big day, even as my stress increased, I was able to fall asleep the minute I tried the 4-7-8 trick. I also used it to relax in the moments leading up to the speech.