Struggling with Sleep Issues: Tips for Better Rest and Focus - Psychiatry

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Sleep issues


I have been having difficulty falling asleep every night lately, often taking more than half an hour to do so.
My body feels tired, but my mind is very alert.
Once I do fall asleep, I tend to wake up three to four times throughout the night, each time feeling as if my biological clock is signaling that it's time to get up.
It's not a startled awakening; it feels quite normal.
Sometimes in the morning, I even question whether I was dreaming.
As a result, my sleep quality has deteriorated significantly, and I wake up feeling unrested.
I find it hard to concentrate, feeling tired and wanting to sleep throughout the day.
When I finally manage to go to bed at night, I struggle to fall asleep again, creating a vicious cycle that has persisted for at least two months.
Recently, this issue has worsened, and my focus has diminished to a concerning level; reading more than five lines of text has become challenging.
With the upcoming exams, I am worried about how this will affect my daytime concentration.
Is there any way to address this situation?

Niming, 10~19 year old female. Ask Date: 2022/01/18

Dr. Wu Enliang reply Psychiatry


Hello, user: It is possible that you may have anxiety issues.
It is recommended to seek medical attention at a mental health facility, and you may need to use medication for a short term.
Dr.
Wu En-Liang.

Reply Date: 2022/01/18

More Info


Struggling with sleep issues can be incredibly frustrating, especially when it starts to affect your daily life and academic performance. Based on your description, it sounds like you are experiencing a combination of insomnia and possibly anxiety, which is common among students facing academic pressures. Here are some strategies to help improve your sleep quality and focus during the day.


1. Establish a Consistent Sleep Schedule
One of the most effective ways to improve sleep quality is to establish a consistent sleep schedule. Try 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.


2. Create a Relaxing Bedtime Routine
Develop a calming pre-sleep routine to signal to your body that it’s time to wind down. This could include activities such as reading a book, taking a warm bath, or practicing relaxation techniques like deep breathing or meditation. Avoid stimulating activities such as using electronic devices, watching TV, or engaging in intense discussions right before bed.


3. Limit Exposure to Screens
The blue light emitted by phones, tablets, and computers can interfere with your ability to fall asleep. Aim to turn off screens at least an hour before bedtime. If you must use screens, consider using blue light filters or glasses designed to block blue light.


4. Mind Your Diet
What you eat and drink can significantly affect your sleep. Avoid large meals, caffeine, and alcohol close to bedtime. Instead, consider a light snack if you're hungry, such as a banana or a small bowl of oatmeal, which can promote sleep.


5. Create a Comfortable Sleep Environment
Make sure your sleeping environment is conducive to rest. This includes a comfortable mattress and pillows, a cool room temperature, and minimal noise and light. Consider using blackout curtains or a white noise machine if necessary.


6. Limit Naps
While it may be tempting to nap 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 day.


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. Aim for at least 30 minutes of moderate exercise most days of the week.


8. Manage Stress and Anxiety
Since you mentioned feeling anxious about upcoming exams, it’s essential to find ways to manage that stress. Techniques such as mindfulness, yoga, or talking to someone about your feelings can be beneficial. If anxiety continues to interfere with your sleep, consider seeking help from a mental health professional.


9. Cognitive Behavioral Therapy for Insomnia (CBT-I)
If your sleep issues persist, you might want to explore Cognitive Behavioral Therapy for Insomnia (CBT-I). This structured program helps you identify and replace thoughts and behaviors that cause or worsen sleep problems. It’s often more effective than medication for long-term sleep improvement.


10. Consult a Healthcare Professional
If you’ve tried these strategies and still struggle with sleep, it may be time to consult a healthcare professional. They can help identify any underlying issues, such as sleep disorders or anxiety, and recommend appropriate treatments, which may include therapy or medication.


Conclusion
Improving sleep quality is crucial for your overall well-being and academic performance. By implementing these strategies, you can create a healthier sleep environment and routine, which should help you feel more rested and focused during the day. Remember, it may take some time to see significant changes, so be patient with yourself as you work towards better sleep.

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