But remember: It's important to talk with your doctors about consistent sleep problems. You should also let them know if you're taking any type of sleep aid, natural or otherwise, to ensure there isn't a potential risk with existing health conditions or other medications you're taking, says clinical sleep educator Terry Cralle, RN. "Like all drugs, natural sleep remedies can have side effects and risks. I think it's good to get information about them and then discuss it with a healthcare provider."
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.
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.
Cognitive behavioral therapy (CBT) usually focuses on discovering and changing the thoughts or feelings that trigger depression and stress but it can be a natural insomnia cure, too. Research has found that CBT can retrain your body and mind for faster, deeper sleep. In a Harvard University study of 63 insomniacs, CBT was more effective than prescription sleeping pills; it cut the time it took for participants to fall asleep in half and improved sleep quality by 17 percent. You can practice CBT at home, too. The National Sleep Foundation recommends keeping a sleep diary of when you go to bed and wake up, as well as banishing daytime naps. Instead, adopt a regular sleep schedule; that means going to bed and waking up at the same time every day.
Your bed plays one of the biggest roles in determining how long and how well you sleep. Your mattress and pillow have to be up to snuff for you to slumber well. Your bed and your body naturally change over time (they’re both aging!), so if your mattress is seven years or older, it’s probably time to replace it. Older mattresses do not provide the support you need for restful sleep and need to be replaced. Making this one improvement can unlock nights of blissful sleep. Your pillows should also be replaced regularly once a year to make sure you are getting proper support for your neck and spine.
Of course logging your troubles is all well and good, but it's a habit you build in the light of day, during the hours when you're supposed to be studious and bright. It's not particularly helpful when you're wide awake at 4 a.m. At that point, Walia suggests, "jotting down all your worries on a piece of paper so it's out of your head." And try the breathing, muscle relaxation and visualization techniques above.
Get comfy in bed and try what's known as the "4-7-8" breathing exercise. "This technique is also known as 'The Relaxing Breath' and helps promote better sleep," Tramonte says. To do it, simply breathe in through your nose for a count of four, hold it for seven, then breathe out through your mouth for a count of eight. And just like that you'll be asleep.
Regular exercise will go a long way toward improving your sleep, Cralle says. Finding the perfect time in your day where a workout won’t hinder your sleep is crucial—some people have no problem falling asleep after an evening workout, but others may need to hit the gym first thing in the morning. The key is working out at least several times a week, whether it’s a 10-minute walk, a yoga class, or a sweaty weight-lifting session.
Some of our expectations regarding our sleep might be slightly misguided. As an example, the thought that we will fall asleep almost immediately upon retiring to our beds may be improper. It should normally occur in less than 15 to 20 minutes, but it may take as long as 30 minutes as we get older. In fact, people who fall asleep in less than five minutes may be "pathologically sleepy." This means that they are so sleepy that they fall asleep quicker than might be normal. In some cases, this ability to fall asleep quickly—and enter rapid eye movement (REM) sleep quickly—can be seen in excessive daytime sleepiness that might occur in sleep deprivation or narcolepsy.
Sleep deprivation for even one or two nights can vastly affect your need for sleep. Unlike many things in life, sleep time is not something that is routinely changed. You can’t get used to a lower amount of sleep just because it fits your schedule. If you try to, it will affect your judgment and reaction time, even if you are not consciously aware of it. But you can’t resist it for long. Sleep deficit can be cured only by getting some sleep.
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.
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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.
Keep precautions in mind. Diphenhydramine and doxylamine aren't recommended for people who have closed-angle glaucoma, asthma, chronic obstructive pulmonary disease, sleep apnea, severe liver disease, digestive system obstruction or urinary retention. In addition, sleep aids pose risks for women who are pregnant or breast-feeding, and might pose risks to people over age 75, including an increased risk of strokes and dementia.
Sleep needs and patterns of sleep and wakefulness are not the same for everyone. The first step in determining your need for sleep is through self-evaluation. Ask yourself: "How tired do I feel during the daytime? When do I feel most alert? When does fatigue set in?" Even moments of sleepiness that you may think of as routine, for instance, falling asleep on the subway on the way to work, or during a lecture, are likely a sign that you are not getting enough sleep.