Sleep is crucial for physical and mental health, but insomnia and sleep deprivation are common problems. If you're struggling to sleep, you're not alone. More than 60 million Americans suffer from poor sleep quality. If you've tried sleep aids without success, there are still steps you can take to improve your sleep. Firstly, consider whether a medical condition or other medications are contributing to your sleep issues. You should also think about your lifestyle—are you exposed to too much light or caffeine before bed? Are you exercising too close to bedtime? Are you under a lot of stress? These factors can all impact your sleep. If basic sleep hygiene adjustments don't help, you may want to consider therapy or stronger prescription medications.
Characteristics | Values |
---|---|
Alcohol | May help you fall asleep but will not help you stay asleep |
Allergy Medicine | Can cause bad side effects |
Sleep Trackers | Unable to provide targeted feedback |
CBD | Lack of research |
Prescription Sleep Medication | Can help but should be used under the direction of a doctor |
Exercise | Can improve sleep |
Melatonin Supplements | Can help trigger the body's sleep response |
Temperature | Keep the room cool |
Light Exposure | Avoid light exposure before bed |
What You'll Learn
Try natural remedies like warm milk, chamomile tea, or tart cherry juice
Warm milk, chamomile tea, and tart cherry juice are all natural remedies that may help you sleep. While the scientific evidence for their effectiveness is limited, they are still worth trying if you're struggling to get to sleep.
Warm Milk
Warm milk has long been used as a folk remedy for insomnia. While the science suggests it may not be that effective on its own, you can try adding certain ingredients to make a sleep-promoting concoction. For example, golden milk—made with milk, turmeric, cinnamon, ginger, and honey or maple syrup—can help with sleep, relaxation, and lowering anxiety levels. Turmeric, in particular, has been shown to protect against oxidative damage and sleep deprivation in mice studies. Alternatively, you could try making strawberry milk, which provides a dose of melatonin and vitamin B-6, both of which help regulate the sleep-wake cycle.
Chamomile Tea
Chamomile is a plant that has been used as a panacea for various ailments, including infections, inflammation, anxiety, and insomnia. While the scientific evidence for its effectiveness as a sleep aid is sparse, some people swear by its soothing properties. There have been a few small-scale studies that show positive results, but more research is needed to confirm chamomile's sleep-promoting effects. In the meantime, drinking chamomile tea can be a relaxing ritual that may help calm you down before bed.
Tart Cherry Juice
Tart cherry juice contains tryptophan and melatonin, which can help regulate sleep. Studies suggest that consuming tart cherry juice leads to better and longer sleep. It's best to opt for juice without added sugar, and drink it about an hour before bed. In addition to improving sleep, tart cherry juice may also provide other health benefits, such as improved muscle recovery, reduced pain and blood pressure, improved memory and brain health, and even cancer prevention.
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Exercise, but not within two hours of bedtime
Exercise is a great way to improve your sleep, but it's important to time it right. While physical activity can enhance your sleep, researchers have found that it also releases endorphins, the chemicals that keep people awake and energised. It can also raise your core body temperature, signalling to your body that it's time to get up and start the day. For this reason, it's best to avoid exercising within two hours of bedtime.
If you're struggling to sleep, you might want to consider the time of day you're working out. Morning and afternoon exercise routines are ideal if you want to maximise the benefits of physical activity for your sleep. Working out in the morning or early afternoon can help to ensure that you're tired by the time you go to bed, without the stimulating effects of exercise keeping you awake.
If you're unable to exercise earlier in the day, there are still ways to incorporate physical activity into your routine without disrupting your sleep. Low-intensity exercises such as yoga or stretching can be done in the evenings without having the same stimulating effects as more intense workouts. Walking is another great option for a gentle form of physical activity that can be done at any time of day without disrupting your sleep.
Exercising regularly can help to improve your overall sleep quality, but it's important to be mindful of the time of day and the intensity of your workouts. By timing your workouts correctly and choosing the right types of exercise for the evening, you can enjoy the benefits of physical activity without compromising your sleep.
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Take melatonin supplements
Melatonin is a naturally occurring hormone that controls the sleep-wake cycle. It is important to note that melatonin itself won't put you to sleep. Instead, it lets your body know that it's time for bed, allowing you to fall asleep more easily. Melatonin supplements can help counter low levels of this hormone and normalize your internal clock.
If you are considering taking melatonin supplements, it is recommended to start with a low dose of 0.5 to 1 milligram 30 minutes to 2 hours before bedtime. If this does not help you fall asleep, you can try increasing the dose to 3 to 5 milligrams. Taking more than 5 milligrams is unlikely to help you fall asleep faster, and it is generally recommended to find the lowest dose that helps you sleep. It is also important to follow the supplement instructions and consult your doctor before taking melatonin, especially if you are taking other medications.
Melatonin supplements are generally considered safe, non-toxic, and non-addictive for both children and adults. However, there have been some reported side effects, including daytime drowsiness, dry mouth, constipation, and urinary retention. Additionally, melatonin may interact with certain medications, including sleep aids, sedatives, blood pressure medications, and diabetes medications. Therefore, it is crucial to speak with your doctor before taking melatonin to ensure it is safe for you and will not interfere with any other medications you are taking.
It is also important to note that melatonin supplements are not intended to treat chronic insomnia. While they can be helpful from time to time, they may lose their effectiveness with regular use. If you are experiencing chronic insomnia, it is recommended to consult a doctor or sleep specialist to discuss other treatment options.
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Keep your room cool and dark
Keeping your room cool and dark is an important part of maintaining good sleep hygiene. A cool, dark room is conducive to a good night's sleep because it helps regulate your body temperature and melatonin production, both of which are crucial for falling asleep and staying asleep.
Firstly, keeping your room cool. The ideal temperature for your bedroom while you sleep is between 65 and 72 degrees Fahrenheit (18.3 to 22.2 degrees Celsius). This temperature range is important because it helps your body prepare for sleep and stay asleep. When you go to sleep, your body temperature naturally drops, and keeping your room within this temperature range supports this process. Additionally, a cool room can help reduce the negative impacts of hot flashes and night sweats, which are common during menopause. If you're experiencing these symptoms, be sure to wear lightweight, breathable fabrics to bed as well.
Now, onto keeping your room dark. The light from electronic devices such as smartphones, laptops, and tablets is well-known to interfere with sleep. However, any light exposure, including from your bathroom, can disrupt your sleep. To mitigate this, try using a flashlight if you need to get up during the night. This will cause less visual disruption and make it easier for you to fall back asleep. Remember, it can take up to 30 minutes to fall back asleep after being awakened, so minimizing light exposure can make a big difference.
Additionally, you can consider wearing an eye mask to block out light while you sleep. This can be especially helpful if you need to keep your room bright for other people or if you're sleeping during the day. Just be sure to choose a comfortable, breathable fabric for your eye mask.
By keeping your room cool and dark, you're creating an environment that supports your body's natural sleep-wake cycle. This is an important part of maintaining healthy sleep habits and can help you improve your sleep quality without the need for sleep aids.
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Seek professional help, such as cognitive behavioural therapy (CBT-I)
If you've tried sleep aids and they don't seem to be working, it may be time to seek professional help. Sleep is crucial for your physical and mental health, and insomnia and sleep deprivation can increase your risk of depression, substance abuse, anxiety, and other mental health issues. One option to consider is cognitive behavioural therapy for insomnia (CBT-I). This form of therapy is specifically designed to address the behavioural, psychological, and cognitive factors that can contribute to insomnia.
CBT-I typically involves working with a therapist over the course of 6-8 weeks, during which time several different approaches are used:
- Sleep Hygiene: This involves following guidelines for sleeping better, such as avoiding excessive caffeine and not using cell phones or tablets in bed.
- Sleep Restriction: A technique for making sleep more efficient.
- Cognitive Therapy: Examining ideas and beliefs about sleep that may be contributing to the difficulty.
- Stimulus Control: Removing arousing behaviours that have become associated with the act of going to sleep.
- Relaxation Therapy: Reducing muscle tension to help the mind relax.
- Mindfulness: Focusing on living in the present moment, without worrying about the past or future.
CBT-I has been found to be effective in improving sleep in the short term, and the benefits tend to last longer than those of traditional sleeping pills. Additionally, the two forms of treatment can be combined as well.
If you're struggling with sleep and sleep aids aren't working for you, consider reaching out to a mental health professional to discuss the possibility of CBT-I or other treatment options. It's important to prioritize your sleep and well-being.
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Frequently asked questions
Charlene Gamaldo, M.D., medical director of Johns Hopkins Center for Sleep, recommends warm milk, chamomile tea, and tart cherry juice for patients with sleep trouble. She also suggests keeping the room cool and dark, and avoiding screen time before bed.
Over-the-counter melatonin and antihistamines like diphenhydramine (Benadryl) and doxylamine can provide short-term relief. However, it's important to note that these supplements are not intended to treat chronic insomnia, and side effects may include daytime drowsiness, dry mouth, constipation, and urinary retention.
Doctors may prescribe short-acting or longer-acting sleeping pills, depending on whether a person has trouble falling asleep, staying asleep, or both. Other prescription sleep aids include benzodiazepines, benzodiazepine receptor agonists ("Z" drugs), orexin receptor antagonists, melatonin receptor agonists, and antidepressants.
Cognitive Behavioral Therapy for Insomnia (CBT-I) is a non-medicine talking therapy that has been shown to be effective in treating insomnia. CBT-I typically involves 4-6 one-hour sessions with a therapist over the course of 6-8 weeks and includes components such as sleep hygiene, sleep restriction, cognitive therapy, stimulus control, relaxation therapy, and mindfulness.
If sleep aids are not working for you, it's important to consult a doctor or sleep specialist. They can help determine if there are other underlying medical conditions or sleep disorders, such as sleep apnea or restless leg syndrome, that may be contributing to your insomnia. They may also recommend lifestyle changes or refer you for talk therapy.