and Overcoming Sleep Disturbances During Naps - Psychiatry

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I often wake up suddenly from my nap, startled?


Hello Dr.
Hong: Since my student days and continuing into my working life, I have always taken naps in a sitting position or by resting my head on the desk.
However, I often wake up suddenly, startled.
Frequently, I have the sensation of falling from my desk or a high place while napping (not dreaming), which causes me to wake up in fright.
I do not experience significant stress from various sources, and my daily routine and diet are regular and normal.
(I rarely experience sudden awakenings when sleeping flat on my back.) This symptom has troubled me for a long time.
I would appreciate your insights and suggestions on how to improve this issue.
Thank you!

freelibra, 20~29 year old female. Ask Date: 2000/10/02

Dr. Lin Yanhong reply Psychiatry


Hello, some people experience sleep issues under certain conditions (such as sleeping positions, changing beds, being ill, or taking certain medications).
Your situation seems to be significantly related to your sleeping posture.
You might try using a small pillow or a reclining chair to sleep.
Poor circulation in the lower extremities can lead to inadequate venous return, which may also affect cerebral blood flow, increasing the likelihood of problems.

Reply Date: 2000/10/02

More Info


Understanding and overcoming sleep disturbances, particularly during naps, can be a complex issue that involves various physiological and psychological factors. Your experience of waking up suddenly during naps, often accompanied by the sensation of falling, is not uncommon and can be attributed to several potential causes.

Firstly, the phenomenon you describe—waking up with a jolt or feeling as if you are falling—is known as a hypnic jerk or sleep start. This is a common occurrence during the transition from wakefulness to sleep, particularly in lighter stages of sleep. Hypnic jerks can be exacerbated by factors such as stress, fatigue, or irregular sleep patterns. Although you mentioned that your life is relatively stress-free and your diet and routine are regular, it’s important to consider that even subtle changes in your environment or daily routine can impact your sleep quality.

One of the primary reasons for disturbances during naps, especially when sleeping in a seated position or with your head resting on a surface, is the lack of proper support for your body. Sleeping in an awkward position can lead to discomfort and may prevent you from entering deeper stages of sleep, which are crucial for restorative rest. When you are in a lighter stage of sleep, you are more susceptible to waking up due to external stimuli or internal sensations, such as the feeling of falling.

To improve your napping experience and reduce the likelihood of these disturbances, consider the following strategies:
1. Change Your Sleeping Position: If possible, try to find a more comfortable position for napping. Lying down flat, even if it’s just for a short nap, can help you enter deeper stages of sleep and reduce the chances of waking up abruptly.

2. Create a Relaxing Environment: Ensure that your napping environment is conducive to sleep. This includes a quiet, dark space with a comfortable temperature. Using an eye mask or earplugs can help block out distractions.

3. Limit Nap Duration: Short naps of about 20-30 minutes can be refreshing without entering deeper sleep stages, which can lead to grogginess upon waking. If you need a longer nap, aim for 90 minutes to complete a full sleep cycle.

4. Practice Relaxation Techniques: Engaging in relaxation exercises before your nap can help calm your mind and body. Techniques such as deep breathing, progressive muscle relaxation, or mindfulness meditation can be beneficial.

5. Establish a Consistent Sleep Schedule: Maintaining a regular sleep schedule can improve your overall sleep quality. Aim to go to bed and wake up at the same time each day, even on weekends.

6. Evaluate Your Sleep Hygiene: Good sleep hygiene practices, such as avoiding caffeine and heavy meals before napping, can enhance your sleep quality. Additionally, limiting screen time before sleep can help your body prepare for rest.

7. Consult a Healthcare Professional: If your symptoms persist despite making these changes, it may be helpful to consult a healthcare professional or a sleep specialist. They can provide further evaluation and may recommend a sleep study if necessary.

In summary, while your current napping habits may be contributing to your sleep disturbances, making adjustments to your sleeping position, environment, and overall sleep hygiene can significantly improve your experience. If these strategies do not yield results, seeking professional advice can help identify any underlying issues that may be affecting your sleep. Remember, quality sleep is essential for overall health and well-being, and addressing these disturbances is a crucial step towards achieving better rest.

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