As a psychiatrist with an integrative focus, Ellen believes mental well-being is powerfully influenced by sleep, exercise, thought patterns, relationships, nutrition, spirituality and creative outlets. She incorporates a variety of modalities into her psychiatry practice, including acupuncture, yoga philosophy, breathing, and relaxation techniques in conjunction with conventional treatments such as cognitive-behavioral therapy, psychotherapy, and psycho-pharmacology. Ellen believes mental health is fundamental to primary care and treats a range of health issues, from panic disorders to bipolar illness and ADHD to fibromyalgia. After graduating from Yale University, Ellen earned her MD at Columbia University and stayed on to complete an internship at Columbia University Medical Center. She began her postgraduate training at Saint Vincent's Catholic Medical Center and completed her residency in psychiatry at Mount Sinai Hospital. She is a member of the American Psychiatric Association and the American Academy of Medical Acupuncture, and is a board-certified psychiatrist, licensed medical acupuncturist, and certified yoga instructor.

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Before setting off on this path of personal improvement, you should candidly assess your level of commitment. Are you willing to make some hard choices? Is it a good time in your life to focus on your sleep and set necessary boundaries? Can you see this process through to its end? If your life is in an uproar, now may not be the perfect opportunity to focus on your sleep. But if you're ready and willing to improve your sleep, there is no better time than the present to make some changes.
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.
Memory consolidation: While you sleep, the brain repeatedly replays remembered events from that day; if these phases are interrupted, memories aren’t fully formed, or even not formed at all. This is part of what helps you learn new skills. One study found that mice doing an hour’s training followed by sleep would ‘learn more’ than mice who did three hours of training but were then sleep deprived. This process is the result of connections forming between neurons, which happens more often during sleep.
Ongoing sleep deficiency can lower your immune system, making it harder for your body to fight infections. It can trigger mood changes like irritability, depression, and anxiety. And studies have linked insufficient sleep to weight gain; increased risk of developing heart disease, high blood pressure, and type 2 diabetes; and even shorter life expectancy.
What to do: I drink a tablespoon of tart cherry juice at night to help with sleep quality, especially on days with intense workouts since it also seems to help with muscle recovery and stiffness. Cherry juice can even be added to chamomile tea or other relaxing herbal teas (with the honey salt remedy above) to help improve the taste. I definitely recommend organic cherry juice if you can find it since it is concentrated and cherries are typically on the Dirty Dozen list.
If you wake up in the night and can’t get back to sleep within 15 minutes or so, get out of bed and do an activity that requires your hands and your head, like a jigsaw puzzle or a coloring book, says Richard Wiseman, professor for the Public Understanding of Psychology at the University if Hertfordshire and author of Night School: Wake up to the power of sleep. Stay away from the TV and digital screens, whose blue light has been proven to suppress melatonin, a sleep-inducing hormone. “The key is to avoid associating your bed with being awake,” Wiseman says in his 59 Seconds video.
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.
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.
Français: mieux dormir, Italiano: Dormire Meglio, Español: dormir mejor, Deutsch: Besser schlafen, Português: Dormir Melhor, Nederlands: Beter slapen, 中文: 睡得更香, Русский: улучшить сон, Bahasa Indonesia: Tidur Lebih Nyenyak, Čeština: Jak mít lepší spánek, 日本語: よく眠る, العربية: أن تنعم بنوم أعمق وأهدأ, ไทย: นอนหลับให้สบาย, हिन्दी: बेहतर नींद लें, Tiếng Việt: Có Giấc ngủ Tốt hơn, 한국어: 더 잘 자는 법, Türkçe: Nasıl Rahat Uyunur
I knew I wasn’t getting great sleep, but I thought I could manage it myself. I would sleep sitting up in a recliner chair just to try to keep myself from waking up during the night, but I never felt completely rested. It wasn’t until I fell asleep at a traffic light that I realized this wasn’t something I could treat myself. It was hard, but I’m glad I finally got the CPAP treatment I need for my sleep apnea.
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.
This third one is what I study. The “synaptic homeostasis hypothesis” is this idea that during the day, we make all these connections with the world around us. It used to be like, “Don’t go over there—the lions live there now.” Now it’s like, “What did Barbara say to me in the office?” These excitatory connections we make during the day result in the neurons in our brains getting overall higher activation. Then during the nighttime when we sleep, we have a downregulating process where the things that didn’t really matter to your survival sink to the bottom, and the things that are most relevant to your survival rise to the top. What deep sleep does is all the neural processing, and what REM sleep [rapid-eye-movement sleep] and light sleep do is basically integrate that into your long-term personality and understanding of the world.
Avoid electronics in and before bed: Don’t watch television, play on your phone, or use your laptop in bed; even reading in bed should be discouraged. The blue light from your screens emit short-wavelength light that stops the production of melatonin and makes you feel more alert- which is great for the morning, but not so ideal when you’re trying to fall asleep. Also, the more time you spend awake in bed, the harder it is for your body to associate your bed with sleep.
When we can't sleep, we become more focused on it. Panicked by our lack of shut-eye, we make constant changes to improve the situation - whether that's going to bed earlier, having longer lie-ins, or watching TV in bed. Consequently, we spend less time actually sleeping in the bedroom. The result? The connection between bed and sleep becomes weak, and we effectively un-learn how to sleep.

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Tell your doctor or pharmacist if you are taking other products that cause drowsiness such as opioid pain or cough relievers (such as codeine, hydrocodone), alcohol, marijuana, drugs for sleep or anxiety (such as alprazolam, lorazepam, zolpidem), muscle relaxants (such as carisoprodol, cyclobenzaprine), or other antihistamines (such as cetirizine, chlorpheniramine).
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It can be much harder to get yourself off to sleep if you are worried that you are worried that you're going to be tossing and turning just a few short hours from now, so try to stop yourself waking up a lot in the night. One of the main causes of waking in the night is through back pain, so try to minimise this by buying a decent mattress - and make sure you change your mattress every 8-10 years. Also taking an anti-inflammatory such as ibuprofen before you go to bed can help ease muscle spasms in the night.
We know we told you to put away your phone before bed but, for this, we’ll make an exception. Try to drown out the noise of your fighting neighbours and their barking dog with an app like Sleep Genius ($6 on iTunes). Its underlying technology has been tested and used by NASA to help astronauts fall asleep. We say: If it’s good enough for the space program, it’s good enough for us.
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."
If you know me, you’re well aware that I always suggest a natural remedy over a synthetic option, and the reason is pretty clear. In the case of sleeping pills, they typically slow your breathing and may cause you to breath much more shallow than normal. This could be problematic, and even dangerous, for someone with asthma or other lung-related problems like COPD, a chronic obstructive pulmonary disease that makes it hard to breathe. Sleeping pills also commonly have numerous side effects, such as: (17)
Cherries. They’re the only edible source of the sleep hormone melatonin, so consider having a bowlful for dessert. If they’re not in season, opt for thawed frozen cherries or a glass of tart cherry juice. Drinking two glasses daily helped people with insomnia sleep for 90 more minutes, found one study published in the Journal of the Federation of American Societies for Experimental Biology.
Stage 2 non-REM sleep is a period of light sleep before you enter deeper sleep.  Your heartbeat and breathing slow, and muscles relax even further.  Your body temperature drops and eye movements stop.  Brain wave activity slows but is marked by brief bursts of electrical activity.  You spend more of your repeated sleep cycles in stage 2 sleep than in other sleep stages.
Sometimes counting sheep just doesn't get the job done. For over-the-counter support for a good night's sleep, Good Sense's Sleep Aid Doxylamine could be just what you need to get you over the hurdle and off to Dreamland. The active ingredient, doxylamine, helps calm the brain and lets you forget about all the things going on in your world. Each tablet contains 25 mg of doxylamine succinate.
Before setting off on this path of personal improvement, you should candidly assess your level of commitment. Are you willing to make some hard choices? Is it a good time in your life to focus on your sleep and set necessary boundaries? Can you see this process through to its end? If your life is in an uproar, now may not be the perfect opportunity to focus on your sleep. But if you're ready and willing to improve your sleep, there is no better time than the present to make some changes.
If you’re American, chances are you aren’t getting enough sleep. A Gallup poll (2005) of Americans past age 50 found only 32% reported getting a good night’s sleep routinely. 56% said they got between 6 and 8 hours a night. The US Dept of Health and Human Services reports that “The odds of being a short sleeper (defined as someone who sleeps less than 6 hours a night) in the United States have increased significantly over the past 30 years.”
Making it through each sleep stage is crucial to getting high-quality sleep, but exactly how many times do you need to go through the sleep cycle? Many people argue that they get by just fine on very little sleep. However, research shows that only a tiny fraction of people can function well on fewer than eight hours of sleep each night. Sleep expert David Dinges, PhD, estimates that, over the long haul, perhaps one person in a thousand can function effectively on six or fewer hours of sleep per night.
1. Set up a strict routine involving regular and adequate sleeping times (most adults need about seven or eight hours sleep every night). Allocate a time for sleeping, for example, 11pm to 7am, and don’t use this time for anything else. Avoid daytime naps, or make them short and regular. If you have a bad night, avoid sleeping late, as this makes it more difficult to fall asleep the following night. The sad truth is that good sleep does require some discipline.
Well, I think the approach to sleep should be really simple stuff first. I’m not a physician, so I can’t give advice about which medications to take and when, but the consensus among the specialists I spoke to was that you should try to get your sleep stability right first, and make sure that you’re getting consolidated sleep and not waking up all the time.
This technique acts like a natural tranquilizer by slowing down your heart rate. According to Dr. Andrew Weil, director of the Arizona Center for Integrative Medicine at the University of Arizona, “Unlike sleep medications, which often lose effectiveness over time, four-seven-eight breathing is subtle at first but gains power with practice.” In other words, the more you do it, the better it works. So, what are you waiting for?

According to one study, exposure to electrical lights between dusk and bedtime might negatively affect our chances at quality sleep. Assuming you don’t want to sit in the dark for hours, find the happy medium by dimming the lights as bedtime draws near. Also consider changing all light bulbs to “soft/warm” varieties with a color temperature less than 3,000 kelvins, all of which can reduce lights’ effects on our nervous systems.


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.
Cognitive behavioral therapy for insomnia (or CBT-I) is shown to be incredibly effective for chronic sleep problems, according to the Mayo Clinic. While sleeping pills and other sleep aids may only treat the symptoms of insomnia, CBT-I helps identify the root of the problem, but it takes time and dedication, with regular visits to a clinician who may give you various sleep assignments to try at home and ask you to keep a sleep diary.
Your health care provider may recommend a polysomnogram or other test to diagnose a sleep disorder.  A polysomnogram typically involves spending the night at a sleep lab or sleep center.  It records your breathing, oxygen levels, eye and limb movements, heart rate, and brain waves throughout the night.  Your sleep is also video and audio recorded.  The data can help a sleep specialist determine if you are reaching and proceeding properly through the various sleep stages.  Results may be used to develop a treatment plan or determine if further tests are needed. 
It depends on the sleep aid. Consumer Reports writes that while the antihistamine diphenhydramine isn’t physically addictive, it can be psychologically addictive. On the other hand, Mayo Clinic says that you’re unlikely to become dependent on melatonin with short-term use. Again, it’s best to talk to your doctor to figure out which option is best for you.

Another study found that the mineral helps decrease cortisol, the “stress hormone” that can keep you up at night. Dr. Lipman says he recommends magnesium to insomnia patients because it calms down the nervous system. But because the evidence around magnesium as a sleep aid is sparse, you might consider incorporating more magnesium into your diet rather than spending money on a supplement. It's found in quinoa, almonds, spinach, pumpkin seeds, peanuts, black beans, and brown rice.
This yoga method is thought to reduce blood pressure and calm you. Holistic sleep therapist Peter Smith says: “Lie on your left side, resting a finger on your right nostril to close it. Start slow, deep breathing in the left nostril.” Peter, author of Sleep Better With Natural Therapies (£13.99, Singing Dragon, out October 28), says this technique is particularly good when overheating or menopausal hot flushes are preventing sleep.
Hypnosis is a state in which a person is more focused, aware, and open to suggestion. Although how it works is not understood, hypnosis may bring about physiological changes in the body such as decreased heart rate, blood pressure, and alpha wave brain patterns, similar to meditation and other types of deep relaxation. Hypnosis may be helpful in enhancing the effectiveness of cognitive-behavioral therapy and relaxation techniques. But the studies done so far are not well-designed.

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.
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