Overcoming Insomnia: Tips for Breaking Bad Sleep Habits - Neurology

Share to:

Insomnia issues


(1) Hello, doctor.
I've been trying to quit my bad habit of staying up late.
I used to sleep at around 3 AM and wake up around noon.
Last night and today, I went to bed at 10 PM, but I couldn't fall asleep at all.
I feel like punching myself in the face out of frustration.
What should I do? (My roommates usually go to bed at 3 AM or don't sleep at all, so I wear a sleep mask.)
(2) Doctor, is it possible to split sleep? Thank you.

Nìmíng, 10~19 year old female. Ask Date: 2018/12/13

Dr. Jiang Junyi reply Neurology


Hello, based on your description, you may want to consider Delayed Sleep Phase Disorder.
The main characteristics are:
- Sleep onset and wake times are uncontrollably later than ideal.
- Sleep onset time is generally consistent each day.
- Once asleep, individuals do not easily wake up.
- It is very difficult to rise at the desired time in the morning.
- There is an inability to advance the sleep phase, such as forcing oneself to sleep and wake at normal times.
The primary treatment for this issue is sleep adjustment: patients with milder symptoms can gradually wake up 15 minutes earlier each day until they reach the desired time.
Light therapy typically requires patients to spend more time in bright light in the morning.
This method may take several days to two weeks to show effects, after which it can be used intermittently to maintain results.
Avoiding bright light in the evening can also be helpful.
Napping during the day usually does not provide adequate rest.

I recommend that you consult a sleep medicine specialist to discuss evaluation and treatment.
Wishing you good health and peace.
Dr.
Jiang from the Department of Neurology cares about you.

Reply Date: 2018/12/13

More Info


Overcoming insomnia and breaking bad sleep habits can be a challenging journey, especially when you have been accustomed to staying up late and sleeping in. Your experience of trying to go to bed earlier but struggling to fall asleep is not uncommon, and there are several strategies you can employ to improve your sleep quality and establish healthier sleep patterns.


Understanding Sleep Patterns
Firstly, it's important to understand that sleep is regulated by our internal biological clock, known as the circadian rhythm. This rhythm dictates when we feel sleepy and when we feel awake. When you consistently go to bed late, your body becomes accustomed to that schedule, making it difficult to adjust to an earlier bedtime. This is why you may find it hard to fall asleep even when you try to go to bed earlier.


Tips for Breaking Bad Sleep Habits
1. Gradual Adjustment: Instead of making a drastic change to your bedtime, try adjusting it gradually. For instance, if you usually go to bed at 3 AM, try moving it to 2:30 AM for a few days, then to 2 AM, and so on until you reach your desired bedtime. This gradual approach allows your body to adapt more easily.

2. Consistent Sleep Schedule: Establish a consistent sleep schedule by going to bed and waking up at the same time every day, even on weekends. This helps reinforce your body's natural sleep-wake cycle.

3. Create a Relaxing Bedtime Routine: Engage in calming activities before bed to signal to your body that it’s time to wind down. This could include reading, taking a warm bath, or practicing relaxation techniques such as deep breathing or meditation.

4. Limit Exposure to Screens: The blue light emitted by phones, tablets, and computers can interfere with the production of melatonin, the hormone that regulates sleep. Try to avoid screens at least an hour before bedtime.

5. Optimize Your Sleep Environment: Make your bedroom conducive to sleep. This includes keeping the room dark, quiet, and cool. Using an eye mask and earplugs can help if your environment is noisy or bright.

6. Avoid Stimulants: Be mindful of your intake of caffeine, nicotine, and alcohol, especially in the hours leading up to bedtime. These substances can disrupt your ability to fall asleep and stay asleep.

7. Physical Activity: Regular physical activity can help you fall asleep faster and enjoy deeper sleep. However, try to avoid vigorous exercise close to bedtime, as it may have the opposite effect.

8. Mindfulness and Stress Management: If anxiety or racing thoughts keep you awake, consider incorporating mindfulness practices into your daily routine. Techniques such as journaling, yoga, or guided imagery can help reduce stress and promote relaxation.


Addressing Sleep Fragmentation
Regarding your question about "分斷睡" or segmented sleep, it is indeed possible for some individuals to experience sleep in segments rather than in one continuous block. Historically, segmented sleep was more common before the advent of electric lighting. However, modern sleep research suggests that most adults benefit from a consolidated sleep period. If you find yourself waking up frequently during the night, it may be beneficial to explore potential underlying causes, such as stress, anxiety, or sleep disorders like sleep apnea.


Seeking Professional Help
If you continue to struggle with insomnia despite trying these strategies, it may be helpful to consult a healthcare professional or a sleep specialist. They can provide tailored advice and, if necessary, recommend treatments such as cognitive-behavioral therapy for insomnia (CBT-I) or medication to help you establish a healthier sleep pattern.

In conclusion, overcoming insomnia and breaking bad sleep habits takes time and patience. By implementing these strategies and being consistent with your efforts, you can improve your sleep quality and overall well-being. Remember, it's a gradual process, and it's important to be kind to yourself as you work towards better sleep.

Similar Q&A

Struggling with Insomnia: Tips for Better Sleep and Mental Health

I haven't had a good night's sleep in the past few months. Normally, a person needs about 8 hours of sleep, but even if I go to bed an hour early, which should give me 9 hours, I still spend 1 to 2 hours tossing and turning in bed and can't fall asleep. Because of ...


Dr. Lin Yanhong reply Psychiatry
Hello: The quality of sleep is more important than the quantity, and the amount of sleep needed varies from person to person based on their past experiences. Ideally, one should feel refreshed and experience uninterrupted sleep the next day. Based on your current situation, it se...

[Read More] Struggling with Insomnia: Tips for Better Sleep and Mental Health


Effective Strategies to Overcome Insomnia and Improve Sleep Quality

Hello Doctor, my sleep quality has not been good, but since last month, I have been experiencing insomnia almost every day. Every night, I feel very alert, and even after lying in bed for two hours, I still can't fall asleep. I end up getting up to take anti-anxiety medicati...


Dr. Liang Sunyuan reply Psychiatry
Hello, if you sometimes sleep well and sometimes do not, a sleep diary can be a useful tool. Record daily activities before bedtime, what you ate, what time you fell asleep, how well you slept, what time you woke up, and how you felt during the day. After two weeks of recording, ...

[Read More] Effective Strategies to Overcome Insomnia and Improve Sleep Quality


Struggling with Sleep: Tips for Overcoming Nighttime Insomnia

Hello Dr. Chen! Last month, after experiencing a sudden episode of insomnia, I have been worrying about whether I can fall asleep each night for the past few weeks. I toss and turn in bed, and even though my body is very tired, my mind just won't let me sleep. I can only gra...


Dr. Chen Wenyu reply Psychiatry
Hello Chris, Actually, if your sleep has generally been good in the past and you are experiencing occasional insomnia due to certain stressors, you should be able to return to your original sleep pattern once you adjust your lifestyle and resolve the sources of stress. During t...

[Read More] Struggling with Sleep: Tips for Overcoming Nighttime Insomnia


Overcoming Sleep Disorders: Tips for Managing Insomnia and Nighttime Anxiety

Dear Dr. Ding, Thank you for patiently answering my questions last time. However, I have a few more inquiries: 1. I have difficulty maintaining sleep and often wake up twice during the night, which makes it hard for me to fall back asleep (sleep disturbance). What can I do to r...


Dr. Ding Shuyan reply Psychiatry
Hello, the difference between sleep and being awake during the day lies in the level of alertness of the brain. Ideally, before sleeping, the brain's level of arousal should gradually decrease, and it is best to minimize cognitive activities to create an environment conduciv...

[Read More] Overcoming Sleep Disorders: Tips for Managing Insomnia and Nighttime Anxiety


Related FAQ

Insomnia

(Neurology)

Sleep Disorder

(Neurology)

Insomnia

(Psychiatry)

Insomnia

(Internal Medicine)

Sleepwalking

(Psychiatry)

Sleep

(Rehabilitation)

Breathing

(Neurology)

Insomnia

(Traditional Chinese Medicine)

Sleep

(Family Medicine)

Sleep Apnea

(Otolaryngology)