Overcoming Sleep Anxiety: Tips for Better Rest and Relaxation - Psychiatry

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How can I fall asleep?


Hello Doctor: I used to have no sleep issues while living in the dormitory, but for some reason, after one night of not being able to sleep, I have not been able to sleep well since then.
I now fear not being able to sleep, but I feel mentally alert throughout the day, and I can stay awake without taking a nap.
When it's time to go to bed at night, I still feel very energetic.
I don’t drink much coffee or black tea.
However, when I return home, I have no problem sleeping.
What should I do? Also, is it normal to sleep from around 12 AM to 9 or 10 AM? I see some people sleeping until 11 or 12 PM.

Yoyo, 10~19 year old female. Ask Date: 2020/03/09

Dr. Cai Yunlin reply Psychiatry


Hello, insomnia caused by inappropriate sleep associations (such as linking sleep with anxiety, worry, and other emotions) is a common phenomenon in clinical practice.
The treatment approach involves re-establishing the connection between sleep and the associated emotional contexts.
If your sleep issues are affecting your daily functioning, it is advisable to seek further evaluation and treatment at a psychosomatic medicine clinic.
Wishing you all the best.

Reply Date: 2020/03/09

More Info


Overcoming sleep anxiety can be a challenging journey, especially when it becomes a cycle of worry and sleeplessness. Your situation, where you previously had no sleep issues but now find yourself anxious about falling asleep, is not uncommon. This phenomenon is often referred to as "sleep anxiety," where the fear of not being able to sleep leads to increased stress and, paradoxically, makes it even harder to fall asleep.


Understanding Sleep Anxiety
Sleep anxiety can stem from various factors, including stress, changes in environment, or even a single night of poor sleep that leads to a fear of repeating the experience. In your case, it seems that the transition from a dormitory environment to home may have contributed to this anxiety. The comfort of home typically promotes better sleep, but if your mind is preoccupied with worries about sleep, it can disrupt your ability to relax.


Tips for Better Rest and Relaxation
1. Establish a Relaxing Bedtime Routine: Create a calming pre-sleep routine that signals to your body that it’s time to wind down. This could include activities such as reading, gentle stretching, or practicing mindfulness meditation. Avoid stimulating activities like watching intense TV shows or engaging in stressful conversations right before bed.

2. Limit Screen Time: The blue light emitted by screens can interfere with your body’s natural sleep-wake cycle. Try to limit screen time at least an hour before bed. Instead, consider reading a book or listening to soothing music.

3. Practice Relaxation Techniques: Techniques such as deep breathing, progressive muscle relaxation, or guided imagery can help reduce anxiety and promote a sense of calm. For instance, try inhaling deeply for a count of four, holding for four, and exhaling for four. Repeat this several times to help ease your mind.

4. Create a Sleep-Conducive Environment: Ensure your sleeping environment is comfortable, dark, and quiet. Consider using blackout curtains, earplugs, or a white noise machine if necessary. A cool room temperature can also promote better sleep.

5. Set a Consistent Sleep Schedule: Going to bed and waking up at the same time every day helps regulate your body’s internal clock. Even on weekends, try to maintain a consistent schedule to reinforce your body’s natural rhythms.

6. Avoid Naps: Since you mentioned that you don’t take naps during the day, continue this practice. Napping can disrupt your nighttime sleep, especially if you nap for long periods or too late in the day.

7. Challenge Negative Thoughts: If you find yourself worrying about not being able to sleep, try to challenge those thoughts. Remind yourself that even if you don’t sleep well one night, it doesn’t define your overall sleep quality. Focus on the fact that you can still function well during the day.

8. Seek Professional Help if Needed: If your sleep anxiety persists despite trying these strategies, consider consulting a healthcare professional. Cognitive Behavioral Therapy for Insomnia (CBT-I) is an effective treatment that helps address the thoughts and behaviors contributing to sleep anxiety.


Regarding Your Sleep Duration
As for your question about sleep duration, it’s important to note that individual sleep needs can vary. While the general recommendation is to aim for 7-9 hours of sleep per night, some people may feel rested with slightly less or more. If you find that you feel alert and functional with 9-10 hours of sleep, that may be perfectly normal for you. It’s essential to listen to your body and prioritize quality sleep over quantity.

In conclusion, overcoming sleep anxiety requires a combination of relaxation techniques, lifestyle adjustments, and possibly professional guidance. By implementing these strategies, you can create a more restful environment and reduce the anxiety associated with sleep. Remember, it’s a process, and with patience and persistence, you can regain control over your sleep.

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