If the stress you are feeling during these uncertain times is getting in the way of good sleep, you certainly are not alone. In the first national study (all states and DC) of self-reported healthy sleep (7+ hours) the CDC reported that in 2016 one-third of Americans were not getting enough sleep on a regular basis. And the same study found that 60% of people who were unemployed were not regularly getting good sleep. This led to the Dr. Wayne Giles, MD, then director of the CDC’s Division of Population Health to state that, “As a nation we’re not getting enough sleep”. Sleep deprivation leads to loss productivity because it causes a loss of mental clarity, focus, and creativity. And according to the Institute of Medicine between 50-70 million Americans have a sleep-related disorder. A 2016 Rand study found that this loss of sleep costs the American economy an estimated $411 billion and an estimated 1.2 million workdays in lost productivity every year. They estimated that if people who slept less than 6 hours a day started sleeping 6-7 hours a day, this would add $226.4 billion to the US economy.
Waking up everyday to more bad news, while trying to manage life under lockdown is not conducive to falling asleep and staying asleep. For those of you already sleep-deprived from the usual daily grind, now is the time to really focus on building good sleep habits, because getting good sleep puts us in a good mood and builds our immune system. A lot of people like to brag about how little sleep they need to perform everyday, but the truth is very few people can do without the recommended 6 – 8 hours. The American Academy of Sleep Medicine recommend that a minimum of 7 hours of sleep is necessary for optimal health and well-being. Not getting those 7 hours on a regular basis is associated with negative health outcomes such as hypertension, stroke, obesity, diabetes, cardiovascular disease, and mental health issues. So when it comes to getting good sleep I like to say that six is the fix, seven is heaven and eight is great. But how do you get good sleep when your life is a little bit upside down, you are afraid for your health and that of your loved ones, and you’re worried about your employment status?
Here are a few simple strategies. If these strategies don’t help and you find yourself suffering from insomnia several times a week, you should consult with your healthcare provider to make sure there are no sleep disorders or underlying health conditions.
1. Reduce stress. It’s not easy but you can manage the stress in your life and stay centered and grounded through these difficult times. Whether you use a mindfulness practice, an exercise routine or journaling, or talking with a loved one, getting rid of stress helps you fall asleep and stay asleep.
2. Restrict your use of caffeine or nicotine. If you’re not able to fall asleep then you may be getting too much of these substances or using them at times that disrupt your sleep. First get rid of caffeine after noon. Yes. I know. Getting alert and staying alert all day may need a java or tobacco boost, especially if you’re not sleeping well and are tired during the day. But caffeine and nicotine are stimulants so try other ways to stay awake such as slow drinking of a glass of water (dehydration often makes us sleepy), getting up and moving around or some herbal tea such as ginger or peppermint that can give you a decaffeinated boost.
3. Turn off your screens. Of course you want to stay up-to-date on the ever-changing COVID19 landscape, but the blue light of screens interrupts the production of melatonin – the hormone needed to fall asleep. Furthermore, the stimulation that comes with the news is counterproductive to the calm you need to fall asleep and stay asleep. Read a book instead. Or do something creative; something as simple as the popular meditative coloring books, or do some knitting or design a photo-book of your last vacation.
4. Create a sleep routine. Doing the same thing each night allows you to ‘train’ your body and mind to relax as it learns a conditioned response to relax into sleep. This routine should start at least 30 minutes (but ideally an hour) before you go to bed. This may start with turning off radio and screens, and include reading, taking a shower or bath, and turning down the lights. Whatever you do, do the same thing at the same time each night and your body’s circadian rhythms will do the rest.
5. No alcohol at least an hour before bedtime. A lot of people use alcohol to relax and that’s fine. The problem is that research shows that although alcohol may help you fall asleep, alcohol interrupts REM sleep, which is the deep sleep that makes you feel rested when you wake. So cut off your alcohol intake between 1-3 hours before bedtime to help it go through your system before you are ready to go to sleep.
6. Increase your melatonin. Melatonin is the hormone that is responsible for sleepiness. Our bodies naturally produce melatonin when it starts to get dark. But modern life has created lots of interruptions to that production cycle, whether it’s the artificial lights in our home or the blue lights of all our screens. There are ways to increase melatonin including drinking tart an 8oz glass of melatonin rich tart cherry juice an hour or two before bedtime. You can also use over the counter melatonin in pill form but check with your healthcare provider as to whether this is recommended for you.
7. Make your room dark, cool, quiet and comfortable. Our circadian rhythms, which includes our melatonin production, is triggered by the lack of light. So make sure that your bedroom is as dark as possible. If that’s a challenge, then use eye masks to keep the light out. Our bodies sleep best in cool temperatures, so keep the temperature down, but not so cold that you’re uncomfortable. Some people like total silence and others like quiet background noise, but whatever your fancy, create the quiet room that makes you fall asleep. Make sure that your bed and pillows are comfortable. If you’re not comfortable you wont sleep well, so investing in a comfortable mattress, good sheets and the pillows of your dream are worth waking up feeling rested and ready to slay.
8. Relax. You can do everything listed above but if your mind is still racing and you have tension in your muscles, it is going to be a hard road to 7 hours. So do whatever works for you to get to a relaxed state. This may be a cup of chamomile tea, using the relaxing scents of lavender or vanilla, meditative practice, some stretching, a prayer, or a good book.
You may not need to use all eight strategies to slay the sleep dragon, but the more you do the more likely you are to get the sleep you need. The challenges of COVID19 wont last forever but your need for sleep is a constant requirement for optimal health, healthy relationships with others, and high performance at work.
A slightly different version of this article appeared in Fast Company on April 4, 2020