Category: <span>Sleep</span>

Dreaming of a good night’s sleep: Why is getting sleep so difficult, and how can we improve it?

Written by: Sarah Engels, MS, TLLP

Some nights, it might feel like getting good sleep is impossible. There’s just so much to do and so much to worry about! You feel so tired but can’t fall asleep, you lay there with your eyes open, or perhaps even worse,  you wake up in the middle of the night and can’t get back to sleep. Let’s examine 3 reasons you might be getting such poor sleep, how this impacts our bodies and minds, and 5 easy things we can do to improve our sleep tonight.

3 Reasons You Are Probably Getting Poor Sleep

1. Disruption of Circadian Rhythm

Our circadian rhythm is the body’s 24-hour internal clock that regulates our sleep-wake cycle, our hormone release, appetite and body temperature. Brains are very reliant on the changing light wavelengths throughout the day and night to maintain this cycle. Our brains are literally programmed to ‘read’ the horizon light – morning light wakes our brains up, and evening/dusk light shuts us down.  One factor of modern life that disrupts our circadian rhythm is lighting. With technology being as advanced as it is, that means we have access to lights brighter and more effective than ever in human history. Modern lighting, including screens, that shine at all hours of the day, affects chemical communication to the brain disrupting our internal clock. Another influence on our circadian rhythm is scheduling. Whether due to swing shifts, personal time management, or our intensely busy schedules, when we constantly change our schedules and routines, our brain doesn’t know when to wake and sleep. This lack of consistency makes it hard for the body to develop a rhythm, impacting our ability to fall and stay asleep.

2. The Click-Swipe Insomnia

Not only does technology negatively affect our circadian rhythm due to the light (especially when we are going on our phone before bed), but brain wave activation associated with tech use interferes with sleep cycles. “Doomscrolling” can be a pattern we easily fall into, both during the day and right before bed, where we scroll through endless bad news. Not only are we exposing ourselves to the blue light of the phone before bed, but we are exposing ourselves to upsetting news, increasing anxiety or depression (especially in the case of social media use), causing an increase of stress just as our body is supposed to be calming for the night, resulting in delayed and disrupted sleep. 

3. Wake Up and Go Signals

Our brains and bodies interpret stress hormones as ‘wake up and go’ signals. If your anxiety is on the rise, so is sleep disruption. People may ruminate about worries while trying to fall asleep, they may have increased nightmares, or they may find themselves restless and struggling to stay still. Stress can impact both falling asleep and staying asleep. Even anxiety about sleep can negatively impact sleep. For example, if someone is anticipating not being able to sleep, they get worried before bed, and then their body produces ‘wake up’ chemicals. Additionally, it may be more difficult to stay asleep, as the increased tension and rumination make it difficult to achieve deep sleep, making us wake more frequently. Anxiety increases sleeplessness, which then in turn increases anxiety – creating a vicious cycle to try to combat and manage. 

How Does Lack of Sleep Impact Our Bodies and Brains?

Sleep loss has many adverse effects both mentally and physically, which are only exacerbated by chronic lack of sleep. 

  • Lack of sleep can impact our ability to regulate our emotions, prompting higher levels of irritability and predicting anger. 
  • People who are not getting enough sleep have a higher risk of intrusive thoughts and memories, negatively impacting their mood and behaviors.
  • There is a high impact on our ability to concentrate on daily tasks, which can be very dangerous in the case of driving (driver fatigue can be very dangerous).
  • Chronic sleep loss has a high impact on long term health, with a higher risk of chronic disease such as heart disease, high blood pressure, and diabetes to name a few.
  • Even brief difficulties with sleep negative impact your immune system, making it hard to fight off illnesses
  • Studies have demonstrated a correlation between sleep loss and depression, identifying lack of sleep as a predictor for depressive symptoms.
  • Sleep loss greatly impacts cognitive functioning such as working memory, processing speed, problem solving, and organization 
  • Chronic sleep loss is also associated with negative effects on metabolism and weight gain

5 Ways to Prioritize and Improve Your Sleep Tonight

Sleep is crucial to both our mental and physical health, so what are some concrete ways we can improve our sleep?

1. Give Your Brain Consistent Cues with a Consistent Routine

We can leverage what we know about brain functioning to get better sleep. If we go to bed at the same time each night, and wake up at the same time each morning, regardless of the day of the week, our sleep improves vastly. We can also build in consistency to our bedtime routines – such as brushing your teeth, washing your face, or reading a chapter of a light book – doing the same tasks/activities, at the same time and in the same order most days of the week. Consistency in time and routine will help your brain and body learn the cues for bedtime; making you fall asleep faster and stay asleep longer. 

2. Curate Your Bedroom Environment 

Your bed and space for sleeping should be a peaceful environment built for relaxation and sleep. I know it’s hard – but consider removing technology from your bedroom. Get an old school alarm clock, your brain will thank you. Take steps to make sure your bed is comfortable and you have the space around you set up to be relaxing to your standards. Keep a lower temperature in the room at night, keep blinds shut and lights to a minimum, and limit your bed only for sleeping. That way, your body will know that when the room is set, it is time to rest. 

3. Limit Naps, and Time of Naps

When we are exhausted, napping can feel like a good solution. However, napping can sometimes have negative effects on our ability to sleep later in the day. Try to not nap later than 3:00pm in the afternoon, and if you are taking naps, ensure they are no longer than 20 minutes. 

4. Eat & Move for Sleep

What we put in our bodies and our daily activities and movement impact our sleep a great deal. To improve sleep limit your drug and alcohol intake, which includes caffeine. If you are consuming caffeine during the day, try not to have any after 3:00 pm. Additionally, many people think marijuana helps them sleep – although it can make you feel drowsy and fall asleep, it actually impacts quality of sleep negatively and can cause sleep disorder. In addition, getting exercise and eating a healthy diet can also aid in sleep. Regular exercise really improves sleep – but try not to exercise in the 2-3 hours before bed.

5. If You’re Up, Get Up

Often, if we are struggling to sleep, whether going to bed or waking up in the middle of the night, we tend to toss and turn and lay in bed. But laying in bed awake is actually not great for our sleep. If you cannot fall asleep after 20 minutes, get out of bed and engage in a calming, low light activity until you feel sleepy, such as listening to calming music or reading a book. Once you feel sleepy, return to bed.

What if I do all these things and I still am not sleeping well?

With our busy schedules and immersion in technology, good sleep can sometimes feel like an unreachable dream. However there are tricks we can use to help our brains and bodies get the rest they need. But as a reminder, these tips can only go so far. Clinically disordered sleep such as sleep apnea, narcolepsy, or insomnia will require direct treatment in addition to these simple fixes. If you are concerned that you or a loved one has a sleep disorder, contact a doctor or sleep specialist today. There are further proven effective services such as iCBT (a type of therapy) and medication that can help. Therapy treatment plans differ among sleep disorders, so getting a proper diagnosis is very helpful in getting the correct help. Prioritize your rest today, to ensure you are awakening with your best foot forward tomorrow. 

Sleep Hygiene for Better Mental Health

Written by: Jessica Hauser-Harrington, PhD, LP

I’ll sleep when I’m dead!~ Warren Zevon 

No sleep till Brooklyn!~ The Beastie Boys

A ruffled mind makes a restless pillow.” ~Charlotte Bronte

We all know that sleep is important for both our bodies and our brains, yet so few of us would say that we are satisfied with the amount and quality of sleep we get. In fact, many of you may have made New Year’s resolutions to get to bed earlier or to get more sleep. It is recommended that healthy adults get 7 to 9 hours of sleep a night. However, more than a third of adults report sleeping less than 7 hours a night. So many factors can impact our ability to get enough sleep: stress, worries, work and family obligations, over-scheduling, health complications, children who don’t sleep through the night, noisy neighbors, snoring partners, etc.  

A more recent phenomenon known as “revenge sleep procrastination” may also be a factor. “Revenge sleep (or bedtime) procrastination” is when someone stays up later in the night than they mean to or know they should, in order to compensate for a lack of free time during the day, or the feeling that their time during the day is not their own. It can mean delaying going to bed, or delaying going to sleep once in bed, and usually takes the form of binge-watching, scrolling online, social media use, or other fairly mindless, time-sucking activities. While it may feel good or justified in the moment, we often regret it when the alarm goes off in the morning and we have missed out on crucial hours of sleep. 

Having a partner who snores or maintains a different sleep schedule can also contribute to sleep loss. More and more couples are pursuing a “sleep divorce.” A sleep divorce,  also sometimes called a “sleep separation” or “alternative sleep arrangements” is when a couple chooses to sleep separately from one another with the goal of better quality sleep. For some couples, this may mean two beds in one room (maybe one partner likes a firmer/softer bed, more or fewer blankets, or tosses and turns throughout the night). For others, it may mean sleeping in separate rooms (especially if one or both snores, they work different shifts requiring sleeping at different times; taking turns caring for an infant, etc). While there can be a social stigma associated with couples sleeping separately, the potential benefits of getting better quality sleep are leading more couples to try this arrangement out. Recent studies suggest that approximately 1 in every 5 couples are sleeping separately most or all of the time.

Loss of sleep can have significant immediate and long term effects. 

Immediate consequences of sleep deprivation include:

  • Grogginess, brain fog
  • Impaired decision making
  • Impaired reaction time
  • Increased risk of accidents or injuries

Long-term consequences of chronic sleep loss include:

  • Increased risk of hypertension, diabetes, obesity, depression, heart attack, and stroke
  • Increased anxiety and depression

While certain medical conditions and sleep disorders such as sleep apnea, restless leg syndrome, narcolepsy, etc. that contribute to disrupted sleep require medical interventions, there are a number of behavioral and environmental changes that you can make to improve your sleep quality and quantity. 

Good Sleep Habits to Start (and Maintain) in 2024

  • Go to bed and wake as close to the same time each day as possible
  • Avoid daytime naps if possible, and if you need a “power nap,”  limit them to around 20 minutes
  • Keep your bedroom as dark as possible
  • Colder rooms promote better sleep (the ideal sleep temperature is between 60 and 67 degrees)
  • Limit or avoid caffeine use in the afternoon and evening
  • Exercise regularly, but not too late in the evening
  • Limit your bedroom to sleep and intimacy 
  • Turn off screens (tv, computers, phones, tablets) 30-60 minutes before bedtime, and use the nighttime feature for evening screen usage
  • Consider activities such as meditation, journaling, a gratitude practice, or light yoga/stretching as a pre-bedtime ritual to calm your mind
  • Sleep on the best quality bed, pillows and bed linens you can afford

Can Therapy Help Me Sleep Better?

If, after making adjustments to your sleep habits, you find yourself struggling to get the amount and quality of sleep you need, it may be worth seeking professional help. Taking to your physician is important to rule out any medical concerns, but speaking with a therapist trained in behavioral medicine and CBTi (Cognitive Behavioral Therapy for Insomnia) is a good next step. Cognitive Behavioral Therapy for insomnia is typically a short-term therapy that can typically be completed in 6 to 8 sessions. Your therapist will meet with you to review your current sleep routine, sleep environment, and any mental health concerns. You will work together to adjust your sleep behaviors and to address any dysfunctional beliefs around sleep. Untreated or undertreated anxiety and mood disorders can often contribute to disrupted sleep, so addressing those concerns in therapy is also important. 


If you’d like to meet with one of our professionals regarding sleep, contact our office at 248-220-3332.


Citations and Resources for Further Reading

The Centers for Disease Control, Sleep and Sleep Disorders: https://www.cdc.gov/sleep/data_statistics.html 

The National Sleep Foundation: https://www.thensf.org/ 

Institute of Medicine (US) Committee on Sleep Medicine and Research; Colten HR, Altevogt BM, editors. Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem. Washington (DC): National Academies Press (US); 2006. 3, Extent and Health Consequences of Chronic Sleep Loss and Sleep Disorders. Available from: https://www.ncbi.nlm.nih.gov/books/NBK19961/

Liu, Y., Wheaton, A. G., Chapman, D. P., Cunningham, T. J., Lu, H., & Croft, J. B. (2016). Prevalence of healthy sleep duration among adults–United States, 2014. Morbidity and Mortality Weekly Report, 65(6), 137–141., Retrieved March 24, 2023, from https://pubmed.ncbi.nlm.nih.gov/26890214/ 

Walker J, Muench A, Perlis ML, Vargas I. Cognitive Behavioral Therapy for Insomnia (CBT-I): A Primer. Klin Spec Psihol. 2022;11(2):123-137. doi: 10.17759/cpse.2022110208. PMID: 36908717; PMCID: PMC10002474.

What Is “Revenge Bedtime Procrastination”? https://www.sleepfoundation.org/sleep-hygiene/revenge-bedtime-procrastination 

“A ‘Sleep Divorce’ Might Be Exactly What Your Relationship Needs”

https://health.clevelandclinic.org/sleep-divorce