Handouts · Sleep
Understanding Insomnia & Sleep Hygiene
Insomnia means trouble falling asleep, staying asleep, or waking too early — even when you have the chance to sleep. The habits below help your brain relearn that bed means sleep.
What Is Going On
Sleep is driven by two systems: sleep pressure (which builds the longer you're awake) and your body clock (which times sleep to darkness). Insomnia takes hold when worry, irregular timing, or too much time in bed awake teach your brain to stay alert at night.
The good news: sleep is a habit your brain can re-learn. Most of the fixes are behavioral, not medication.
Keep a Steady Rhythm
- Wake up at the same time every day — even weekends. This is the single most powerful step.
- Get bright light (ideally outdoors) within an hour of waking.
- Go to bed only when you feel sleepy, not just tired.
- Skip or limit daytime naps to 20 minutes, before mid-afternoon.
Bed Is for Sleep
Train your brain to link bed with sleep:
- Use the bed only for sleep and intimacy — not scrolling, working, or worrying.
- If you're awake more than ~20 minutes, get up, do something calm and dim, and return when sleepy.
- Turn the clock away so you're not watching the minutes.
Watch the Inputs
- Caffeine: none after early afternoon (it lingers 6+ hours).
- Alcohol: may help you fall asleep but fragments sleep later in the night.
- Nicotine is a stimulant — avoid near bedtime.
- Finish large meals and heavy exercise 2–3 hours before bed.
Wind-Down Routine
Give your brain a 30–60 minute off-ramp:
- Dim the lights; power down screens or use night mode.
- Keep the room cool, dark, and quiet.
- Do the same calming steps each night — shower, stretch, read, slow breathing.
Quiet a Busy Mind
- Keep a notepad by the bed — write tomorrow's worries down to deal with later.
- Try slow breathing: breathe out longer than you breathe in.
- If your mind races, remind yourself: rest itself is valuable, even before sleep comes.
When to reach out: If poor sleep lasts more than a few weeks, or you snore loudly / stop breathing / feel unrefreshed despite enough hours, tell your clinician. Loud snoring can signal sleep apnea, which needs a different treatment. Don't start or stop sleep medications without guidance.