Can’t stop your brain racing at 3am? Try these suggestions from a GP

Here's how to break the cycle of anxiety and sleeplessness.

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Published: April 20, 2023 at 10:00 am

You’re not alone if you spend much of the night ruminating about daily stressors, checking the time and worrying about how tired you’ll bein the morning.Then spending the next day struggling to think straight and keep your eyes open.So, how canyoubreak this cycle of anxiety and sleeplessness?

The first tip, and one of the most important, is to avoid lying awake in bed. If you haven’t nodded off within 15-20 minutes ofrestingyour head on the pillow, get up.Take yourself offto another room and dosomethingrelaxinglikereading, meditatingorlistening to music. Then, when you begin to feel sleepy again, go back to bed. Thiscan behard when you’re so tired thatit’s a struggle to get out from under the duvet, but it works. The idea is to build a strong association with your bed and sleep.

When you’re in bed, calmingany nuisancethoughts with relaxation methods can be helpful. They can feel a bit silly at first, but things like guided imagery, mindfulness and progressive muscle relaxation are all beneficial for a racing mind.You can findguides to these calmingexercisesonline.

Finally, don’t forget the basics of sleep hygiene. Keep work materials, computers and screens out of the bedroom,and avoid looking at screens (especially those displaying social media)for an hour or so before bed. You might also want to try avoiding caffeinated drinks after 2pm,and alcohol and heavy meals in the evenings, if you want toincrease your chances of gettinga better night’s sleep.

A warm bath in the evening can help too, as can exercise during the day,but try to avoidstrenuous workoutsin the three to four hours before bed if possible (sometimes the adrenalinethis late in the daycan be detrimental to your sleep).

If you find yourself feeling comatosethe next day, resist the urge to nap,unless it’s for safety reasons such aswhen you’redriving. If you absolutely can’t get by without one, try to limititto 30 minutes and don’t nap after 3pm.

Avoidbig lunches,which can make you feel sleepier in the afternoon, especiallyif the food hasahigh sugarcontent. We tend to crave less healthy foods when we haven’t slept, but protein-rich meals might help to avoid that afternoon crash.

If possible, a brisk walk and some fresh air might help to fend off the comatose feeling too. Above all,be kind to yourself, and lower your expectations for what you might be able to achieve the day after a restless night.

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Asked by: Henry Parr, Frome

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