Sleep has never come easy to me — and I know I'm not alone with this issue. Whether it's waking up countless times throughout the night, getting up in the morning feeling as if I didn't sleep at all, or having trouble actually nodding off at night, I'm always looking for ways to improve my rest.
Dr. Nate Watson is a sleep specialist, past president of the American Academy of Sleep Medicine (AASM), professor of neurology at the University of Washington, and codirector of the University of Washington Medicine Sleep Center. So we're going to go out on a limb and say he knows what he's talking about when it comes to sleep. He recently did an IamA on Reddit to address people's questions about how to improve their sleep habits, and his answers are so enlightening. Read on to see his helpful advice.
"I suggest that you start a worry journal in the evening, set aside 15 minutes before you go to bed — write down your negative thoughts and then close the book, allowing you to go to bed with those thoughts on the page, not in your head."
"Adults need seven or more hours, but each person is unique. You may need nine hours a night to feel rested. Take three weeks to fall asleep when you are tired and wake up refreshed without an alarm. That should determine how much sleep you need personally."
"Chronotype is the notion that some people are 'morning larks' while others are 'night owls.' Much of this is genetically determined."
"Sleeping better outside of your typical home environment may indicate a problem with your home sleep environment. Check out this page for a lot of info that may help."
"Much of that is yet to be determined. We do know that the spaces in the brain expand to allow clearing out of the day's thoughts — like a garbage man for the brain."
"A hot bath before bed has been shown to increase deep non-REM sleep. Some medications can reduce REM sleep (anti-depressants)."
"1) Make sure you are of optimal weight 2) Avoid sleeping on your back to keep nasal passages clear. These are conservative measures. Other options are oral appliances custom fabricated by a dentist. There are also surgical options from ear, nose, and throat specialists. We always recommend seeing a board-certified sleep specialist to sort this out for you."
"Just set your alarm for 10-15 min. from when you lay down so you don't wake from a deeper stage of sleep and be groggy."
"The bottom line is that very few people are able to succeed and be healthy on less than seven hours of sleep per night. Many who claim to get little sleep are probably exaggerating — and if they're not, I suspect that they would be even more successful, and much healthier in the long term, if their brains and bodies were fully charged with sleep. We tend to be poor judges of our alertness level, and we underestimate how we are affected by insufficient sleep. In addition, there is a ton of data to support that not getting enough sleep puts you at greater risk for heart disease, high blood pressure, diabetes, and more."
"While most adults need seven or more hours of sleep each night, a small percentage of people function well on less sleep. If you feel refreshed when you wake up and remain alert throughout the day without needing to take a nap, then you may be getting enough sleep. But the problem is that we tend to be poor judges of our alertness level, and we underestimate how we are affected by insufficient sleep. In addition, there is a ton of data to support that not getting enough sleep puts you at greater risk for heart disease, high blood pressure, diabetes, and more. Try sleeping seven plus hours for a week, and I think you'll notice a more energetic, productive version of yourself that you didn't know existed."
"You for sure are dreaming. You only remember them if you wake from the dream. Not waking from REM sleep is good and indicates you likely have healthy sleep."
"If you think you may have insomnia, ask yourself the following questions: 1) Does it take you more than 30 minutes to fall asleep, or do you wake up during the night and have trouble returning to sleep, or do you wake up earlier than desired? 2) Do you have daytime symptoms such as fatigue, moodiness, sleepiness, or reduced energy? 3) Do you give yourself enough time in bed to get at least seven hours of sleep each night? 4) Do you go to bed in a safe, dark, and quiet environment that should allow you to sleep well? If you answered 'yes' to all of these questions, then you may have insomnia."
"Rats die after about three weeks of total sleep deprivation. This is how we know sleep is essential to life. I have seen studies of 24-36 hours of sleep deprivation, but not much longer than that."
"That's called a 'hypnic jerk' and it is normal."
"You are probably thinking about this before you go to bed — this could be a self-fulfilling prophecy and I recommend not looking at the clock."
"Sleeping position is mostly personal preference, but if you can't sleep comfortably on your back, it may be a sign of sleep apnea."
"There are medical causes for fatigue that you should have checked out by your doctor. This could also be an indication of a sleep disorder. Sleep and sleep disease, such as obstructive sleep apnea and insomnia, are increasingly recognized as vital to a wide variety of public health and chronic disease concerns, including obesity, hypertension, and cancer. Definitely make sure you getting at least seven hours, too."
"There is some thought that white noise might replicate the sounds you heard in the womb — making it soothing for children and adults."
"It is something that you can teach yourself and it can be an exhilarating experience. Stephen Laberge has produced some excellent teaching materials. Check them out!"
"Melatonin is not a 'sleeping pill' per se and has never been FDA approved. If you take it, then take it at least three hours before your intended bedtime, if not sooner, to notice any effect."
"Sorry, no."