Insomnia often responds very well to therapy techniques, but this requires the person to be open to the idea that therapy techniques can help.
A common challenge is that people think they’ve “tried everything” already and therefore therapy suggestions are equivalent to dismissing the seriousness of their problem. It can take a self-discovery like this article describes to bring someone back around to the idea that the condition is related to something like anxiety or obsessive behaviors and is receptive to behavioral modification.
> I'd just skip the night and take my sweet time to: write, draw, practice calligraphy, code a little toy, make a little sculpture from a scrap of wood.
Importantly, none of these activities involve entering the ragebait vortex that exists in most people’s Internet time wasting destinations. For many people it’s enough to just cut out Reddit or similar sites in the evening.
You're so right. It's amazing how many people have this pattern for so many problems in their lives. "I've tried everything" / "I've tried that before" - and then closed to variations or investigation. If you have this habit it's always worth solving.
I'm a life long insomniac which got me into working in neurotech/sleeptech about 5 years ago.
People talk about CBT-I, sleep anxiety, etc etc.
From what I've found, this may be great for people with transient insomnia, where the stress is the cause of the insomnia. The key for these people is often the CBT, which helps the I, not that the CBT is to treat the I.
I've come to asking chronic insomniacs "is there something you like about being awake in the middle of the night", and I've had many responses such as "it's my time to think", "I know I should be sleeping, but my mind is enjoying the peacefulness".
I'm not a very stressed person, and I can meditate in the middle of the night, and yet still be awake.
Does anyone else live in a city and suffer from sensitivity to noise, specifically 'boom' noises like slamming doors and bassy music?
I suffer from sensitivity to my own brain talking, but even if by some miracle there's a low stress period of inner chatter, and I haven't drank, I still have to worry about my neighbor upstairs slamming things or someone slamming their front doors in the hallway
In decades of living in a city, every single apartment had this problem, even a brand new luxury building.
And the amount of lack of sympathy from this problem I've gotten (using ear plugs doesn't stop BOOM type noises and top floors are rarely available) suggests it's a neuro divergence and not a "lifestyle" issue.
I used to observe the increased sensetivity to noise during my epresssion periods. Observe the same problems also with bright light.
What may actually help here is psychologist / psychiatrist and therapy or medication. I'm not a doctor and maybe your problem not related to yours, but I just wanted to share the direction which helped me to decrease sound sensetivity.
I definitely notice a correlation between sensitivity to noise and light (funny that you mentioned that too) and anxiety, but I'll add some irony here - also with insomnia.
Everyone is different but I was able to channel my creativity and have it at other times in the day rather than 8pm and unravel into the later evening and early morning.
Waking up at 4AM everyday for a rigorous workout was necessary. Intense strength training or running a 5K at minimum and being done by 5AM. Sobriety as well to stick to the schedule with 6-7hrs of sleep. It works for me though.
I think in this case we know enough about biology to not even have to say "everyone is different" - regular exercise and regular wake times, combined with no alcohol, help anyone's sleep.
> regular exercise and regular wake times, combined with no alcohol, help anyone's sleep.
It’s amazing to hear when someone makes positive lifestyle changes, sticks with them, and then reaps the benefits over time.
I always do my best to be supportive and encouraging when I hear people tell me about it in person, but I’m also amazed at how people talk about their lifestyles prior to some of these changes as if it was normal. I’ve heard multiple stories of people cutting out alcohol, which after some probing revealed that they were drinking at least 5 nights a week and often multiple drinks (by the medical definition of units of alcohol, not just number of physical containers) per night.
It’s common sense that changing these lifestyle habits will provide benefits over months and years, but I guess when you’re in the middle of those habits and some people around you are doing the same then it can feel normal.
Genetic diversity is a damnable thing. Listen to your body. Mine gets "hot" when I drink (I suspect it's general inflammation when my liver is working overtime to break everything down), which then disallows proper sleep.
If I've been dry for ~ a week, I'll notice sleep degradation around two beers drank <4 hours before going to bed.
If I've been in a groove of going out, the limit is higher.
Eh, I've found my insomnia to be largely independent of the amount of exercise I get. I can run 5 km during the day and still only manage 3-4 hours the next night.
I have a regular exercise routine I do every day. Believe it or not some people still have insomnia even when they follow all the usual lifestyle advise.
The only advice I’ll ever give on insomnia is to keep trying new things, and to go ask for help.
I tried just about everything in terms of routine and ritual. Years and years of suffering and putting holes in basement drywall and believing I’m broken and increasingly frequent thoughts of suicide. And I hit a tipping point where the pain overcame my stupid stubbornness and I finally went and asked for help.
“I don’t want Ambien or one of those life destroying drugs. I’d rather just go quietly” was my thinking and what I said to I the doctor.
Introduced to a newish drug without significant side effects or addictiveness and it immediately changed my life. Sleep is now a feature as my dreams are incredibly vivid. It changed a family member’s life too. It didn’t do a thing for another close friend.
Great for you! Could you give the name of such drug in order to ask some feedback from my doctor? Some years ago she prescribed one which got me sleeping but I woke up awfully tired (left after a week.)
I agree with this. For me, fixing insomnia has been my number one priority for the past 3 years. It's also a fairly easy priority as during the day you don't actually need to do a whole lot about it other than some reflection. So improvement is pretty slowgoing, simply because you only have 1000 iterations and you're already 3 years older
This idea of learning not to be anxious about insomnia is what CBT-I is all about. A lot of insomniacs are such because they worry about not sleeping, which keeps them awake. It's a self fulfilling prophecy. By learning to accept the prospect of a sleepless night, you allow yourself to relax and sleep.
A lot of sleep anxiety can also be the result of generalized anxiety disorder, so it's worth considering therapy and/or medication. That anxiety can just be worries about your job, life, and other stressful environments, in which case improving your life conditions can alleviate the insomnia. There can be a lot of reasons for insomnia that aren't primary insomnia.
I don’t know whether it was sensible for the author but for people with sleeping problems here: in general it’s probably not a good idea to take a shower before going to bed. Warm showers can feel relaxing but also increase the body temperature even though it should be lowering before sleep. Conversely, cold showers can stimulate the nervous system.
Hot showers are known to aid sleep, although it's generally assumed that the shower happens an hour or two before bedtime. That allows the body to cool down. Some evidence suggests that's it's not the total body temperature but the rate of cooling which actually helps with winding down.
Given the author and their relationship with anxiety(?) and control, it's entirely possible it's harmful to their sleep, but they haven't tried not doing it for long enough to really validate.
Seconding this. I found out that I get mini-nightmares and get woken up if I try to sleep immediately after a hot shower, so I switched to morning showers. This also helps me set a hard wake up time since the shower gets me awake
Thanks for sharing this! I can relate to a lot of these:
* the attempts at strict protocols and sleep hygiene (including doing CBT-I)
* the anxiety loop about sleep itself perpetuating sleep disturbances
But accepting wakefulness and often at times when feeling inspired, to just go with the flow and getting it out has really helped me too! Sometimes I wake up in the middle of the night anxious, other nights with lot of new ideas, and instead of now worrying about them, acknowledging them and dealing with it (meditation, journaling, parking them, or just going to work), helps me resume sleep even after multi-hour interruptions!
Glad to hear there are others out there too :)
PS: I also wrote a brief post about my own sleep experience if anyone's curious!
This might be obvious and trivial to others, but alas. Going to bed early at a specified time, shutting down all computers well before that and just spending hours relaxing, did absolute wonders to the quality of my sleep. I'm using a smart watch to measure and the positive impact is an order of magnitude.
At times I entertained the idea that I was an insomniac, but I was just stupid. I need to shut down all stimulus well before I intend to sleep or it might ruin my entire night.
> Shutting down all computers well before that and just spending hours relaxing
Yea, I've sometimes do it this. I have had mixed success with it. The opposite of it though is definitely detrimental. It's still nice to be able to just relax for other reasons though such as less of a focus on (social) media
Im one of the people that can have an after dinner espresso late at night with no effect. In fact, too much caffeine (like a large energy drink) often has the effect of knocking me out and I can barely keep my eyes open
I set up a smart bulb to act as a "color clock" in the evening. Every day at 8pm it's orange, 9pm red, 10pm off (sleep time). The brightness is very low (dim glow) and all other lights are off.
8pm onwards is cool down time. I tend to read mainly after 9pm. It really calms you down and keeps you on a consistent sleep schedule without the angst of clock-watching.
Highly recommended.
Given your self permission to do something and don't care about the sleep is interesting; I have done this, worked on something till 2am and then fall asleep and wake up refreshed at 9am
Since recently I have a fairly good control over my insomnia. Key points for me are tackling my biggest issues:
__Issue 1: not wanting to go to bed__
By reflecting on the why and how, I can make myself go to bed much easier, even if I don't want to. It's just having a dialogue with myself
__Issue 2: not falling asleep__
1. Low dose of melatonin (0.3 mg): fixes the issue of falling asleep. I buy it in the Netherlands. It seems much better regulated than the US
2. Sometimes magnesium: fixes a bit of a restless leg issue I have sometimes
__Issue 3: waking up after 4 hours of sleep and not falling asleep__
The issue is that I can't take melatonin anymore. I've noticed it makes me too woozy during the day. Here is what works for me: relax, slow down thoughts; shift hyper alertness to a cozy, euphoric and safe state; reducing social media addiction. Let's go through these ideas one by one
1. Relaxation through slow breathing: basic but important. I've noticed when I don't do this but do everything else, then I can still fall asleep but it's harder
2. Reducing the speed and frequency of thoughts through breathing meditation: if I think too much, I can't sleep. Breathing meditation (observing the breath) has taught me how to reduce my thoughts. Sometimes I don't even do breathing meditation but I just focus on lying still physically and mentally
3. Increasing feelings of coziness through mindfulness meditation: for me the biggest breakthrough has been the focus on coziness. Extreme coziness makes my consciousness drift away. So even if I don't fall asleep, I don't mind
4. Increasing feelings of euphoria through mindfulness meditation and thinking of pleasant thoughts: in my case that's about being at locations I like, with the people I love, doing things I find fun. This is in the same vein of "think of pleasant thoughts". Well, yea, but it needs to induce a mild euphoric effect which aids coziness
6. Increase feelings of safety by telling myself I am safe: simply telling myself I am safe makes me feel more safe. I never noticed that I felt unsafe or anything but telling myself I am safe makes me feel more safe. Safety increases coziness
7. Reducing the amount of waking up by reducing social media addiction: I don't have data, but the anecdotal evidence on my part is that I noticed I woke up more often when I was severely addicted to social media. I think in my case it's because whenever I wake up, I wake up with a lot of energy. So after 4 hours of sleep, I feel tremendously awake. I noticed that when I wanted (social) media entertainment that I felt even more restless. So my suspicion is that feeling restless for more entertainment can actually wake you up
These are the strongest things I've noticed that are conductive to sleep for me, and I've tried a lot. I hope it helps someone. Almost no one talks about the feeling of coziness for me, but focusing on coziness is where it's at for me. Relaxation and pleasant thoughts are nice, but coziness is the main driver for me to fall asleep
There are many more things I do such as knowing what sleeping position I sleep best in, controlling temperature, controlling light, controlling sound, eyemask, standing up when the sun rises, having a sleep journal where I write down every time I have had a bad night sleep or really good night of sleep. Anything surprising needs to be logged and reflected about. Sometimes the answer comes quickly, sometimes it takes years
A common challenge is that people think they’ve “tried everything” already and therefore therapy suggestions are equivalent to dismissing the seriousness of their problem. It can take a self-discovery like this article describes to bring someone back around to the idea that the condition is related to something like anxiety or obsessive behaviors and is receptive to behavioral modification.
> I'd just skip the night and take my sweet time to: write, draw, practice calligraphy, code a little toy, make a little sculpture from a scrap of wood.
Importantly, none of these activities involve entering the ragebait vortex that exists in most people’s Internet time wasting destinations. For many people it’s enough to just cut out Reddit or similar sites in the evening.
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