Sleep issues
Hello, doctor.
I visited the psychiatric department yesterday and received medication for my anxiety symptoms.
My sleep issues have improved significantly, but I still wake up multiple times due to unusual actions, such as suddenly swallowing or taking deep breaths, which affects my sleep quality.
I also experience frequent dreams and light sleep.
What can I do to improve this? I really want to have a good night's sleep...
Thank you, doctor, for your hard work.
nana, 20~29 year old female. Ask Date: 2021/06/11
Dr. Jiang Junyi reply Neurology
Dear Ms.
Nana,
It seems that you may have a sleep disorder.
Besides taking sleep aids, there are many lifestyle adjustments that can improve sleep quality.
1.
Avoid spicy foods before bedtime: Consuming spicy foods may increase metabolism and raise body temperature, leading to heightened brain activity, especially during the rapid eye movement (REM) phase when dreaming occurs, which can leave you feeling fatigued upon waking.
2.
Watching TV before bed: Receiving too much information from television programs before sleep can create intense emotional fluctuations, making it harder to focus and relax.
3.
Sleep apnea: Symptoms of sleep apnea include insomnia, nightmares, irritability, memory impairment, and difficulty concentrating.
4.
Excessive stress: High levels of stress, negativity, and anxiety during the day can lead to recurring dreams.
I recommend improving your sleep hygiene by avoiding naps, refraining from coffee outside of morning hours, and not smoking or drinking alcohol, as both can lead to fragmented sleep.
Additionally, avoid placing distracting items, such as a television, in your bedroom.
Keep your bedroom dark and quiet.
Maintain a regular sleep schedule by going to bed and waking up at the same time every day, including weekends.
Avoid exercising or eating large meals 2-3 hours before bedtime to enhance sleep quality.
If you have related concerns, it is advisable to consult a sleep medicine specialist for evaluation and treatment.
However, due to the recent COVID-19 pandemic, it is recommended to wait until the situation stabilizes before visiting a hospital for examination.
Currently, most sleep centers are temporarily providing limited services.
You may also consider using a smartwatch with blood oxygen monitoring, such as the Apple S6, for sleep and oxygen level tracking.
Wishing you good health, peace, and happiness.
Dr.
Jiang, Department of Neurology, Tao Medical Center, cares for you.
Reply Date: 2021/06/11
More Info
Improving sleep quality, especially when anxiety is a contributing factor, can be a challenging but achievable goal. It's great to hear that you've already sought help from a mental health professional and are on medication. However, there are several additional strategies you can implement to further enhance your sleep quality and manage anxiety-related sleep issues.
1. Sleep Hygiene Practices
Establishing good sleep hygiene is crucial for improving sleep quality. Here are some practices to consider:
- Consistent Sleep Schedule: Go to bed and wake up at the same time every day, even on weekends. This helps regulate your body's internal clock.
- 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.
- Limit Screen Time: Reduce exposure to screens (phones, tablets, TVs) at least an hour before bedtime. The blue light emitted by screens can interfere with melatonin production, making it harder to fall asleep.
- Optimize Your Sleep Environment: Ensure your bedroom is conducive to sleep. This means keeping it dark, quiet, and cool. Consider using blackout curtains, earplugs, or a white noise machine if necessary.
2. Diet and Lifestyle Adjustments
What you consume and your daily habits can significantly impact your sleep quality:
- Avoid Stimulants: Limit caffeine and nicotine intake, especially in the afternoon and evening. These substances can disrupt your ability to fall asleep and stay asleep.
- Watch Your Diet: Avoid heavy or spicy meals close to bedtime, as they can cause discomfort and disrupt sleep. Instead, opt for a light snack if you're hungry.
- Stay Active: Regular physical activity can help reduce anxiety and improve sleep quality. Aim for at least 30 minutes of moderate exercise most days, but try to avoid vigorous exercise close to bedtime.
3. Mindfulness and Relaxation Techniques
Incorporating mindfulness and relaxation techniques can help manage anxiety and improve sleep:
- Deep Breathing Exercises: Practice deep breathing techniques to calm your mind and body before bed. Inhale deeply through your nose, hold for a few seconds, and exhale slowly through your mouth.
- Progressive Muscle Relaxation: This technique involves tensing and then relaxing each muscle group in your body, which can help reduce physical tension and promote relaxation.
- Mindfulness Meditation: Engaging in mindfulness meditation can help you focus on the present moment and reduce racing thoughts that may keep you awake.
4. Cognitive Behavioral Therapy for Insomnia (CBT-I)
If your sleep issues persist, consider seeking Cognitive Behavioral Therapy for Insomnia (CBT-I). This structured program helps address the thoughts and behaviors that contribute to sleep problems. It has been shown to be effective for individuals with anxiety-related sleep disturbances.
5. Consult a Sleep Specialist
If you continue to experience disruptions in your sleep, such as waking up suddenly or having difficulty returning to sleep, it may be beneficial to consult a sleep specialist. They can conduct a thorough evaluation, including a sleep study if necessary, to identify any underlying sleep disorders, such as sleep apnea, that may be affecting your sleep quality.
Conclusion
Improving sleep quality when dealing with anxiety-related issues requires a multifaceted approach. By implementing good sleep hygiene practices, making lifestyle adjustments, and incorporating relaxation techniques, you can create a more conducive environment for restful sleep. If these strategies do not yield the desired results, do not hesitate to seek further assistance from healthcare professionals. Remember, achieving quality sleep is a journey, and with patience and persistence, you can find the right combination of strategies that work for you.
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