Health
Why You Might Be Losing Sleep and How to Fix It
Suddenly finding yourself unable to sleep can be frustrating and perplexing. Insomnia can stem from various causes, and understanding these can help you regain restful nights.
Napping Habits
Many adults unintentionally fall asleep while watching TV or when not busy. According to Dr. Doghramji, “your brain sees it as sleep.” This often occurs between 2 and 3 in the afternoon, a natural energy dip time. This can make you less tired at bedtime, leading to insomnia. Instead of napping, consider scheduling an active task during this period to boost energy and improve sleep quality.
Nap Wisely
If a nap is unavoidable, Dr. Pelayo suggests keeping it under 40 minutes to avoid grogginess. It’s also beneficial to nap where you usually sleep to maintain a consistent sleep environment.
Bedtime Activities
Reading might seem like a relaxing pre-sleep activity, but Dr. Harris advises against doing it in bed.
“I prefer that the bed is only used for sleep and sex,” she says. Activities like puzzles or coloring can also make your brain associate the bed with wakefulness, affecting your ability to fall asleep.
Alcohol Consumption
A glass of wine might help you fall asleep initially, but it can cause fragmented sleep later. Research indicates that alcohol can lead to lighter sleep in the second half of the night, causing you to wake up around 3 a.m. To minimize this, limit alcohol intake to three hours before bedtime and drink moderately.
Medication Timing
Poor timing of medications can disrupt sleep. Diuretics for blood pressure can increase nighttime urination, and some antidepressants can be either energizing or sedating. Dr. Doghramji notes that taking more than one or two bathroom breaks at night is abnormal. Always consult your doctor before adjusting medication timings.
Managing Stress
Stress can make falling asleep difficult and lead to fragmented sleep. Dr. Pelayo suggests keeping stressors, like bills, out of the bedroom.
“Put it in a separate room so when you go to your room, it’s a different world,” he says. Journaling or making lists can help manage persistent thoughts.
Sleep Environment and Routine
Lying in bed trying to force sleep can backfire. Dr. Harris recommends getting up and doing something relaxing in a different room if you can’t sleep.
“Sleep will come when it comes. If not tonight, don’t sleep in to compensate — and you’ll likely sleep better the next night,” she says.
Sleep Disorders
Insomnia can be a symptom of over 80 sleep disorders, including sleep apnea, restless leg syndrome, and narcolepsy. Older adults are particularly susceptible to REM sleep behavior disorder (RBD), which can be an early warning sign of neurodegenerative conditions like Parkinson’s. Non-sleep disorders, such as pain, arthritis, and PTSD, can also cause insomnia.
Exercise
Exercise can improve sleep quality, but working out too close to bedtime might be counterproductive. Aim to exercise at least two hours before bed to allow your body to wind down.
Treatment Options
Cognitive Behavioral Therapy for Insomnia (CBT-I)
CBT-I is often the first-line treatment for insomnia, addressing habits and thoughts that keep you awake. Medication can be an option but comes with side effects, especially for older adults. A newer category of medication, dual orexin receptor antagonist (DORA), has shown promise for older adults with insomnia.
CBT-I can help retrain your thoughts to calm your mind. Dr. Doghramji suggests using CBT-I apps during the day to practice these skills.
When to Seek Help
If insomnia impacts your daytime function or persists despite self-help efforts, consult a doctor. Working with a sleep specialist can help identify the root causes and establish a personalized treatment plan.
“Modern sleep medicine has reached a point where most sleep disorder will improve when addressed correctly,” says Dr. Pelayo. “So you shouldn’t suffer with a sleep disorder anymore.”
Let us know what you think, please share your thoughts in the comments below.
Pixie
September 20, 2024 at 11:54 am
So true …. I have Parkinson’s but the main complaint is the restless legs!!!