May I ask the doctor?
Hello Doctor: I am currently a fourth-year student.
I need to prepare for next year's exams, which requires a lot of study time.
However, for a long time now, I have been very prone to dozing off during the day, whether in class or while studying.
Many times, I fall asleep without realizing it, only to wake up and realize I had been asleep.
I usually drink coffee to stay alert, but it seems to have no effect.
At night, I need a lot of sleep, typically at least six hours or more, but I almost always dream, often having multiple dreams in one night.
Even when I am very tired, I still feel this way, so I often feel like I haven't had enough sleep.
This cycle has had a significant impact on me.
What can I do to improve this situation? I would appreciate your response.
Thank you.
ctt, 20~29 year old female. Ask Date: 2002/09/23
Dr. Chen Wenke reply Psychiatry
Hello: The process of studying is always challenging, but it's important to pay attention to study efficiency.
If it's not ideal, it can lead to physical exhaustion, which is counterproductive.
I often find myself staying up late because I feel pressed for time, and I frequently rely on stimulating beverages or substances (like amphetamines) to boost my energy.
Initially, this may seem helpful, but it usually backfires.
Sleep requires a regular lifestyle; many people have irregular sleep patterns, which will definitely affect their normal sleep in the long run.
Therefore, I recommend that you establish a regular and healthy sleep routine, and reduce your caffeine intake, especially after 5 PM.
Many people experience dreaming, and from your description, it seems that your sleep quality is poor and you are under significant stress.
It's important to manage your stress effectively, increase your physical activity, and allow for leisure time—don't be too rigid.
Reply Date: 2002/09/23
More Info
Struggling with sleepiness, especially during exam preparation, is a common issue among college students. The pressure to perform well academically can lead to stress and anxiety, which in turn can disrupt sleep patterns and overall well-being. Here are some strategies to help you manage sleepiness and improve your study habits while preparing for exams.
Understanding Sleep Needs
Firstly, it's essential to understand that sleep is crucial for cognitive function, memory consolidation, and overall health. Most adults require between 7 to 9 hours of sleep per night. If you find yourself needing more than six hours and still feeling tired, it may indicate that your sleep quality is poor rather than just insufficient quantity. Factors such as stress, anxiety, and irregular sleep patterns can significantly affect sleep quality.
Sleep Hygiene Practices
1. Establish a Consistent Sleep Schedule: Try to go to bed and wake up at the same time every day, even on weekends. This consistency helps regulate your body's internal clock, making it easier to fall asleep and wake up feeling refreshed.
2. Create a Relaxing Bedtime Routine: Engage in calming activities before bed, such as reading, taking a warm bath, or practicing relaxation techniques like meditation or deep breathing exercises. Avoid screens (phones, computers, TVs) at least an hour before bedtime, as the blue light emitted can interfere with melatonin production, making it harder to fall asleep.
3. Optimize Your Sleep Environment: Ensure your bedroom is conducive to sleep. This includes a comfortable mattress and pillows, a cool room temperature, and minimal noise and light. Consider blackout curtains or a white noise machine if necessary.
Managing Daytime Sleepiness
1. Take Short Naps: If you find yourself feeling sleepy during the day, consider taking short naps (10-20 minutes) to recharge. Longer naps can lead to sleep inertia, making you feel groggier.
2. Stay Active: Regular physical activity can help improve sleep quality and reduce feelings of fatigue. Aim for at least 30 minutes of moderate exercise most days of the week. Even short walks or stretching during study breaks can help.
3. Mind Your Diet: Be mindful of what you eat and drink. While caffeine can provide a temporary boost, relying on it too heavily can disrupt your sleep cycle. Instead, focus on a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Stay hydrated, but try to limit fluid intake close to bedtime to avoid nighttime awakenings.
Addressing Stress and Anxiety
1. Practice Stress Management Techniques: Engage in activities that help reduce stress, such as yoga, mindfulness meditation, or journaling. These practices can help calm your mind and improve your ability to focus while studying.
2. Break Tasks into Manageable Chunks: Instead of overwhelming yourself with the amount of material you need to cover, break your study sessions into smaller, manageable tasks. Use techniques like the Pomodoro Technique, where you study for 25 minutes and then take a 5-minute break.
3. Seek Support: If feelings of anxiety or stress become overwhelming, consider talking to a counselor or therapist. Many colleges offer mental health services that can provide support and coping strategies tailored to your needs.
When to Seek Professional Help
If you continue to experience excessive daytime sleepiness, difficulty concentrating, or persistent sleep disturbances despite trying these strategies, it may be beneficial to consult a healthcare professional. They can help identify any underlying issues, such as sleep disorders or anxiety, and recommend appropriate treatments.
In conclusion, managing sleepiness while preparing for exams requires a multifaceted approach that includes improving sleep hygiene, managing stress, and maintaining a healthy lifestyle. By implementing these strategies, you can enhance your focus, improve your study efficiency, and ultimately perform better in your exams. Remember, taking care of your mental and physical health is just as important as your academic success.
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