Sleep Issues: When 7-8 Hours Isn't Enough - Psychiatry

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Sleep issues


Hello doctor, I have been feeling fatigued every day recently, which I didn't experience before.
I find it difficult to concentrate, often feel drowsy, and sometimes I have sudden headaches.
Additionally, it takes me at least an hour to fall asleep while lying in bed, even though I manage to get 7 to 8 hours of sleep.
Is there something wrong with me?

Hen lei de xiao nv zi, 10~19 year old female. Ask Date: 2016/12/03

Dr. Liang Sunyuan reply Psychiatry


Hello: If you have recently started feeling fatigued and having difficulty concentrating, it may be important to pay attention to whether you are experiencing increased stress, feelings of sadness, or symptoms of anxiety.
Additionally, if the difficulty of your coursework has increased, it might be causing you to feel overwhelmed or frustrated, which can also affect your focus.
If it is an emotional issue, I recommend engaging in stress-relief activities such as listening to music, chatting, reading, creating, or exercising.
If it is related to your studies, you can try previewing the class material to increase your familiarity, which can help reduce distractions.
For any parts you do not understand, consider asking your teacher or classmates for clarification to enhance your understanding of the course.
Wishing you all the best.

Reply Date: 2016/12/03

More Info


It sounds like you're experiencing significant sleep-related issues despite getting what is generally considered an adequate amount of sleep—7 to 8 hours. However, it's important to recognize that the quantity of sleep is not the only factor that contributes to how rested and alert you feel during the day. The quality of your sleep is equally, if not more, important.

Firstly, let’s discuss the concept of sleep quality. Sleep quality refers to how well you sleep, which includes factors such as how long it takes you to fall asleep, how often you wake up during the night, and how rested you feel upon waking. Even if you are in bed for 7 to 8 hours, if you are experiencing prolonged periods of wakefulness or restlessness, your sleep quality may be poor. This can lead to feelings of fatigue, difficulty concentrating, and even headaches, as you have described.

From your symptoms, it seems you may be experiencing sleep onset insomnia, which is characterized by difficulty falling asleep. This can be exacerbated by various factors, including stress, anxiety, or even poor sleep hygiene practices. For instance, if you are using electronic devices before bed, consuming caffeine late in the day, or not having a consistent sleep schedule, these can all negatively impact your ability to fall asleep quickly and achieve restorative sleep.

Moreover, the timing of your sleep is crucial. The body has a natural circadian rhythm that regulates sleep-wake cycles, and sleeping at irregular hours can disrupt this rhythm. Ideally, sleep should occur during the night when the body is naturally inclined to rest. If you are going to bed late and waking up late, you may be missing out on the deeper stages of sleep that typically occur earlier in the night. This can lead to feelings of grogginess and fatigue during the day.

To improve your sleep quality, consider the following strategies:
1. Establish a Consistent Sleep Schedule: Try to go to bed and wake up at the same time every day, even on weekends. This helps regulate your body's internal clock.

2. Create a Relaxing Bedtime Routine: Engage in calming activities before bed, such as reading, taking a warm bath, or practicing relaxation techniques like deep breathing or meditation.

3. Limit Screen Time: Reduce exposure to screens at least an hour before bedtime, as the blue light emitted can interfere with melatonin production, making it harder to fall asleep.

4. Optimize Your Sleep Environment: Ensure your bedroom is conducive to sleep—dark, quiet, and cool. Consider using blackout curtains, earplugs, or a white noise machine if necessary.

5. Watch Your Diet: Avoid large meals, caffeine, and alcohol close to bedtime, as these can disrupt sleep.

6. Physical Activity: Regular physical activity can help you fall asleep faster and enjoy deeper sleep. However, try to avoid vigorous exercise close to bedtime.

7. Seek Professional Help: If your sleep issues persist despite making these changes, it may be beneficial to consult with a healthcare professional or a sleep specialist. They can help identify any underlying conditions, such as sleep apnea or anxiety disorders, that may be affecting your sleep.

In summary, while 7 to 8 hours of sleep is generally recommended, the quality of that sleep is crucial for your overall well-being. By addressing factors that may be impacting your sleep quality and making adjustments to your sleep habits, you may find significant improvements in your daytime alertness and overall health.

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