Struggling with Sleep: Tips to Regain Healthy Sleep Patterns - Internal Medicine

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Sleep issues


I have always gone to sleep around 2 AM, but recently, after sleeping for about an hour, I wake up from dreaming.
In the morning, I keep waking up and only feel rested after noon.
For the past couple of days, I've been trying to adjust my sleep schedule, but I find that the longer I lie in bed, the harder it is to fall asleep.
I end up lying there for a long time before finally dozing off.
What should I do?

Ke, 20~29 year old female. Ask Date: 2021/09/10

Dr. Hong Yuanbin reply Internal Medicine


Hello, regarding the adjustment of your sleep schedule, there are a few suggestions I can offer:
1.
Try to avoid sleeping after 7-8 AM, especially avoid taking naps.
This way, you will be able to sleep better at night.
If you feel sleepy during the day, consider going for a walk or engaging in activities to distract yourself from drowsiness.

2.
Engage in moderate exercise, as it can help regulate your sleep patterns.

3.
Avoid putting too much pressure on yourself regarding sleep.
It's best to approach the adjustment of your sleep schedule with a relaxed mindset.

If you still find it difficult to adjust your sleep schedule, you may want to consider visiting a sleep clinic, where some medications can assist you.
Thank you for your inquiry.

Reply Date: 2021/09/10

More Info


Struggling with sleep can be a frustrating experience, especially when it starts to interfere with your daily life. Based on your description, it seems that you are dealing with a combination of delayed sleep onset and fragmented sleep, which can lead to feelings of fatigue and difficulty concentrating during the day. Here are some strategies to help you regain healthy sleep patterns:
1. Establish a Consistent Sleep Schedule: One of the most effective ways to improve your sleep is to go to bed and wake up at the same time every day, even on weekends. This helps regulate your body's internal clock, making it easier to fall asleep and wake up naturally. Aim for 7-9 hours of sleep each night, as this is the recommended amount for most adults.

2. 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 a book, taking a warm bath, or practicing relaxation techniques such as deep breathing or meditation. Avoid stimulating activities like watching TV or using electronic devices, as the blue light emitted can interfere with your ability to fall asleep.

3. Limit Naps: While it can be tempting to catch up on sleep during the day, especially if you’re feeling tired, long or irregular napping can negatively affect your nighttime sleep. If you must nap, try to limit it to 20-30 minutes and avoid napping late in the afternoon.

4. Optimize Your Sleep Environment: Ensure that your bedroom is conducive to sleep. This means keeping the room dark, quiet, and cool. Consider using blackout curtains, earplugs, or a white noise machine if necessary. Your mattress and pillows should be comfortable and supportive.

5. Be Mindful of Food and Drink: Avoid large meals, caffeine, and alcohol close to bedtime. While alcohol might make you feel sleepy initially, it can disrupt your sleep cycle later in the night. Caffeine, on the other hand, can stay in your system for several hours and hinder your ability to fall asleep.

6. Limit Exposure to Screens: The blue light from phones, tablets, and computers can interfere with melatonin production, making it harder to fall asleep. Try to avoid screens for at least an hour before bed.

7. Get Regular Exercise: 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. Manage Stress and Anxiety: If you find that your mind is racing with thoughts when you try to sleep, consider incorporating stress-reducing techniques into your daily routine. This could include mindfulness meditation, yoga, or journaling to process your thoughts before bed.

9. Seek Professional Help: If your sleep issues persist despite trying these strategies, it may be beneficial to consult a healthcare professional. They can help identify any underlying conditions that may be contributing to your sleep difficulties, such as anxiety disorders, depression, or sleep apnea.

10. Avoid Clock-Watching: If you find yourself lying in bed unable to sleep, it can be tempting to keep checking the time. This can increase anxiety about not sleeping. If you can’t fall asleep after 20 minutes, get out of bed and do something relaxing until you feel sleepy again.

In summary, improving your sleep patterns involves a combination of establishing a consistent routine, creating a conducive sleep environment, and managing stress. It may take some time to see improvements, so be patient with yourself as you work towards better sleep. If you continue to struggle, don’t hesitate to reach out to a healthcare provider for further assistance. Sleep is essential for overall health and well-being, and taking steps to improve it can lead to significant benefits in your daily life.

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