Mt. Ascutney Hospital and Health Center

Sleep Hygiene

“Sleep hygiene” is the term used to describe good sleeping habits.  Considerable research has gone into developing a set of tips which are designed to enhance good sleeping, and there is much evidence to suggest these strategies can provide long-term solutions.

Sleep hygiene tips:
1.  Get regular.  One of the best ways to train your body to sleep well is to go to bed and get up at more or less the same time every day, even on weekends and days off.  This regular rhythm will make you feel better and will give your body something to work from.
 
2.  Sleep when sleepy.  Only try to sleep when you actually feel tired or sleepy, rather than spending too much time awake in bed.
 
3.  Get up & try again.  If you haven’t been able to get to sleep after about 20 minutes or more, get up and do something calming or boring until you feel sleepy, then return to bed and try again.  Sit quietly on the couch with the lights off (bright lights will tell your brain that it is time to wake up) or read something boring like the phone book.  Avoid doing anything that is too stimulating or interesting, as this will make you wake up even more.
 
4.  Avoid caffeine and nicotine.  It is best to avoid consuming any caffeine (coffee, tea, cola, chocolate and some medications) or nicotine (cigarettes) for at least 4-6 hours before going to bed.  These substances act as stimulants and interfere with the ability to fall asleep.
 
5.  Avoid alcohol.  It is also best to avoid alcohol for at least 4-6 hours before going to bed.  Many people believe that alcohol is relaxing and helps them to get to sleep at first but it actually interrupts the quality of sleep.
 
6.  Bed is for sleeping.  Try not to use your bed for anything other than sleeping so that your body comes to associate bed with sleep.  If you use bed as a place to watch TV, eat, read, work on your laptop, pay bills, and other things, your body will not learn this connection.
 
7.  No naps.  It’s best to avoid taking naps during the day, to make sure that you are tired at bedtime.  If you can’t make it through the day without a nap, make sure it’s for less than an hour and before 3pm.
 
8.  Sleep rituals.  You can develop your own rituals of things to remind your body that it is time to sleep.  Some people find it useful to do relaxing stretches or breathing exercises for 15 minutes before bed each night or sit calmly with a cup of caffeine-free tea.
 
9.  Bath time.  Having a hot bath 1-2 hours before bed can be useful as it will raise your body temperature causing you to feel sleepy as your body temperature drops again.  Research shows that sleepiness is associated with a drop in body temperature.
 
10.  No clock-watching.  Many people who struggle with sleep tend to watch the clock too much.  Frequently checking the clock during the night can wake you up (especially if you turn on the light to read the time) and reinforces negative thoughts such as “Oh no, look at how late it is, I’ll never get to sleep” or “ it’s so early, I have only slept for 5 hours, this is terrible.”

11.  Use a sleep diary.  This worksheet can be a useful way of making sure you have the right facts about your sleep rather than making assumptions.  Because a diary involves watching the clock it’s a good idea to only use it for 2 weeks, just to get an idea of what is going on, then perhaps two months later, track again to see how you’re progressing.
 
12. Exercise.  Regular exercise is a good idea to help with good sleep, but try not to do strenuous exercise in the 4 hours before bedtime.  Morning walks are a great way to start the day feeling refreshed.
 
13.  Eat right.  A healthy balanced diet will help you to sleep well, but timing is important.  Some people find that a very empty stomach at bedtime is distracting, so it can be useful to have a light snack, but not a heavy meal before bed as that can also interrupt sleep.  Some people recommend a warm glass of milk which contains tryptophan, which acts as a natural sleep inducer.
 
14.  The right space.  It is very important that your bed and bedroom are quiet and comfortable for sleeping.  A cooler room with enough blankets to stay warm is best and make sure you have curtains or an eye mask to block out early morning light, and earplugs if there is noise outside your room.
 
15.  Keep daytime routine the same.  Even if you have a bad night's sleep and are tired it is important that you try to keep your day-time activities the same as you had planned.  Otherwise, you risk reinforcement of the insomnia.