Everyone has lain in bed tossing and turning. Some toss and turn every night with their mind racing through a thousand seemingly random thoughts. Others fall asleep but find themselves wide awake in three or four hours and can’t get back to sleep. If these are chronic they are considered insomnia. There are simple changes in behavior that will fix the problem for most people. For others there’s professional help.
If all the good things above haven’t worked and all the bad things have been avoided, consider a low dose of melatonin (1 to 3 mg) 30 minutes before going to bed. This is a chemical that the brain produces that induces sleep. For some of us, a little extra melatonin does the trick. A study on melatonin funded by the Agency for Healthcare Research and Quality found that melatonin helped people fall asleep by as much as 17 minutes faster. The safety of long-term use of melatonin is unclear so it’s best to limit its use to a few weeks.
If sleep lasts only a few hours and sleep doesn’t seem to happen after that, learn a meditation technique such as yoga nidra, breath-mindfulness, or muscle relaxation. The benefit is that they can be done lying in bed with the lights off. Simply focusing the mind on the feeling of the cool air entering the nostrils followed by the feeling of warmth as the air is breathed out can be very relaxing.
If muscle tension is present, learn to tense and release one area at a time, e.g. tighten the right fist, then release, tighten the right forearm, then release. Continue tightening and releasing each arm and leg, the upper and lower torso, the shoulders, the neck, the face. Somewhere in that process you should find yourself asleep.
If sleep still doesn’t come then it’s best to get up and move around. Do some gentle activity until you feel sleepy again.
All of us have trouble falling asleep occasionally but chronic insomnia can affect your health and happiness. Avoiding the many things that create sleeplessness is usually sufficient for getting a good night’s sleep. Adding meditation and other techniques can help you fall asleep faster and stay asleep. For those who still have trouble, professional help is available. There are doctors in every area that specialize in sleep disorders.
Agency for Healthcare Research and Quality, Melatonin for Treatment of Sleep Disorders.