I can't sleep I go to bed but it takes 2 hours for me to fall asleep because of which I feel sleepy during the day please help.
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One of the most common causes of sleep onset insomnia is anxiety or chronic worry. You get into bed at night but can’t fall asleep because your mind is racing with anxious thoughts about what you didn’t get done today, about what tomorrow might hold, or simply feeling overwhelmed by daily responsibilities. As well as addressing daytime habits that contribute to sleep onset insomnia—such as avoiding caffeine late in the day and exercising in the morning or afternoon—there are steps you can take to learn how to stop worrying at bedtime and look at life from a more positive perspective. To help calm your mind and prepare for sleep, you can also try: Using the bedroom only for sleeping and sex. Don’t work, watch TV, or use your computer in bed or the bedroom. The goal is to associate the bedroom with sleep alone, so that your brain and body get a strong signal that it’s time to nod off when you get in bed. Turning off all screens at least an hour before bed, dimming the lights, and focusing on quiet, soothing activities, such as reading, knitting, or listening to soft music. Avoiding stimulating activity and stressful situations before bedtime. This includes big discussions or arguments with your spouse or family, or catching up on work. Postpone these things until the morning. Moving bedroom clocks out of view. Anxiously watching the minutes tick by when you can’t sleep—knowing that you’re going to be exhausted when the alarm goes off—is a surefire recipe for insomnia. You can use an alarm, but make sure you can’t see the time when you’re in bed. Getting out of bed when you can't sleep. Don’t try to force yourself to sleep. Tossing and turning only amps up the anxiety. Get up, leave the bedroom, and do something relaxing, such as reading, drinking a cup of herbal tea, or taking a bath. When you’re sleepy, go back to bed. Harnessing your body's relaxation response. Relaxation techniques such as meditation, yoga, and deep breathing not only help you quiet your mind and relieve tension in the body, but they also help you fall asleep faster. It takes regular practice to learn these techniques and harness their stress-relieving power. But the benefits can be huge. You can do them as part of your bedtime routine or when you are lying down preparing for sleep. A variety of smartphone apps can guide you through the different relaxation methods, or you can follow these techniques: Relaxation techniques for insomnia Abdominal breathing. Breathing deeply and fully, involving not only the chest, but also the belly, lower back, and ribcage, can help relaxation. Close your eyes and take deep, slow breaths, making each breath even deeper than the last. Breathe in through your nose and out through your mouth. Progressive muscle relaxation. Make yourself comfortable. Starting with your feet, tense the muscles as tightly as you can. Hold for a count of 10, and then relax. Continue to do this for every muscle group in your body, working your way up from your feet to the top of your head. Mindfulness meditation. Sit or lie quietly and focus on your natural breathing and how your body feels in the moment. Allow thoughts and emotions to come and go without judgment, always returning to focus on breath and your body. What to do when you can't stay asleep One of the keys to countering sleep maintenance insomnia is to figure out why you’re waking up in the night or too early in the morning. If light from streetlamps or noise from traffic, neighbors, or roommates is disturbing your sleep, for example, the answer could be as simple as wearing an eye mask or ear plugs. If you’re awake at 2 a.m. Worrying, you need to take steps to get your anxiety under control. Things to avoid before bed: Drinking too many liquids in the evening. Waking up at night to go to the bathroom becomes a bigger problem as we age. By not drinking anything an hour before sleep and going to the bathroom several times as you get ready for bed, you can reduce the frequency you’ll wake up to go during the night. Alcohol before bed. While a nightcap may help you to relax and fall asleep, it interferes with your sleep cycle once you’re out, causing you to wake up during the night. Big meals at night. Try to make dinnertime earlier in the evening, and avoid heavy, rich foods within two hours of bed. Spicy or acidic foods can cause stomach trouble and heartburn which can wake you during the night. What to do when you wake up at night: Stay out of your head. Hard as it may be, try not to stress over your inability to fall asleep again, because that stress only encourages your body to stay awake. To stay out of your head, focus on the feelings in your body or practice breathing exercises. Take a breath in, then breathe out slowly while saying or thinking the word, “Ahhh.” Take another breath and repeat. Make relaxation your goal, not sleep. If you find it hard to fall back asleep, try a relaxation technique such as visualization, progressive muscle relaxation, or meditation, which can be done without even getting out of bed. Even though it’s not a replacement for sleep, relaxation can still help rejuvenate your mind and body. Do a quiet, non-stimulating activity. If you’ve been awake for more than 20 minutes, get out of bed and do a quiet, non-stimulating activity, such as reading a book. Keep the lights dim and avoid screens so as not to cue your body that it’s time to wake up. Postpone worrying and brainstorming. If you wake during the night feeling anxious about something, make a brief note of it on paper and postpone worrying about it until the next day when it will be easier to resolve. Similarly, if a great idea is keeping you awake, make a note of it on paper and fall back to sleep knowing you'll be much more productive after a good night's rest. Cure insomnia by tackling daytime stress and worries For many of us, our sleeping problems can be traced back to residual stress, worry, or anger from the day that makes it difficult to wind down and sleep well at night. The worse we sleep at night, the more stressed, worried, and angry we become. To break the pattern: Get help with stress management. If the stress of managing work, family, or school is keeping you awake at night, learning how to handle stress in a productive way and to maintain a calm, positive outlook can help you sleep better at night. Talk over your worries with a friend or loved one during the day. Talking face to face with someone who cares about you is a one of the best ways to relieve stress and put an end to bedtime worrying. The person you talk to doesn’t need to be able to fix your problems, but just needs to be an attentive, nonjudgmental listener. Get enought exerise. Regular exercise not only relieves stress but improves the symptoms of insomnia, increases the amount of time you spend in the deep, restorative stages of sleep, and helps you to feel less sleepy during the day. To maximize sleep benefits, try to exercise vigorously for 30 minutes on most days—but not too close to bedtime. Watch what you eat and drink. Caffeine can cause sleep problems 10 to 12 hours after drinking it, and your diet can also play a role in how well you sleep. Some people find that cutting back on sugary food and drinks and refined carbohydrates during the day makes it easier to sleep at night. When to see a doctor about insomnia If you’ve tried a variety of self-help techniques without success, schedule an appointment with a sleep specialist, especially if insomnia is taking a heavy toll on your mood and health. Provide the doctor with as much supporting information as possible, including information from your sleep diary. Therapy vs. Sleeping pills for insomnia In general, sleeping pills and sleep aids are most effective when used sparingly for short-term situations, such as traveling across time zones or recovering from a medical procedure. Your insomnia won’t be cured by sleeping pills—in fact, over the long-term they can actually make insomnia worse. Since many people complain that frustrating, negative thoughts and worries prevent them from sleeping at night, cognitive-behavioral therapy (CBT) can be much more effective in addressing insomnia. CBT is a form of psychotherapy that treats problems by modifying negative thoughts, emotions, and patterns of behavior. It can be conducted individually, in a group, or even online. A study at Harvard Medical School found that CBT was more effective at treating chronic insomnia than prescription sleep medication—but without the risks or side effects.
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