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MENTAL HEALTH

HOW TO RESTORE SLEEP PATTERN AND BOOSTING UP YOUR MENTAL HEALTH AND WELLBEING

Dr. Merina Tanzil

HOW TO RESTORE SLEEP PATTERN AND BOOSTING UP YOUR MENTAL HEALTH AND WELLBEING

Dr. Merina Tanzil

This is my first ever writing in a wellness blog. I have been going through mental health issues for many years. I am still struggling with insomnia or sleep deprivation. Some of you may have probably similar experiences and felt that uneasiness for long. For example, you are lying awake at night, watching the minutes and hours tick by. The harder you try to fall asleep, the more futile it is. That is the conundrum of sleep problems. Unfortunately, it is something many people grapple with on a nightly basis.

 

It is interesting to know how much sleep actually one needs in one’s daily life. According to Hirshkowitz et al. (2015), an expert panel from the National Sleep Foundation of the United States, the appropriate sleep duration for newborns is between 14 and 17 hours, infants between 12 and 15 hours, toddlers between 11 and 14 hours, preschoolers between 10 and 13 hours, school-aged children between 9 and 11 hours, teenagers 8 to 10 hours, while 7 to 9 hours for young adults and adults, and 7 to 8 hours of sleep for older adults. Of course, different people have different needs. Some people naturally need less sleep or more sleep. However, for adults, consistently sleeping fewer than six hours a night or consistently sleeping for ten or more hours a night can have health risks or may be a sign of another health problem.

Surprisingly, the treatment recommended for the most common sleep problem, insomnia, is the same for all patients, regardless of whether they also suffer from psychiatric disorders. The fundamentals are a combination of lifestyle changes, behavioural strategies, psychotherapy and counselling, and drugs, if necessary. I am going to share my knowledge gained through readings, taking online courses and my own personal strategies and experiences. I hope those strategies may bring positive changes in you while fighting insomnia or sleep deprivation.

  1. Lifestyle modification: Most people know that caffeine (as contained in coffee or tea) contributes to sleeplessness, but so can alcohol and nicotine. Alcohol initially depresses the nervous system, which helps some people fall asleep, but the effects wear off in a few hours and people wake up. Nicotine is a stimulant, which speeds heart rate and thinking. Giving up those substances is best, but avoiding them before bedtime is another option.
  2. Physical activity (Exercise): Regular walking and jogging in external environment are fruitful and helps people fall asleep faster, spend more time in deep sleep, and awaken less often during the night. Even doing so through treadmill or running machine results in same effectivity. Aerobic exercise is for more muscular activity and sweating. However, special consultation may be needed in respect of age, sex, comorbidities and physical capabilities.
  3. Sleep hygiene: Many experts believe that “people learn insomnia”, and can also learn “how to sleep better”. Good “sleep hygiene” is the term often used to include tips like maintaining a regular sleep-and-wake schedule, using the bedroom only for sleeping or sex, and keeping the bedroom dark and free of distractions like the computer or television. Some experts also recommend “sleep retraining” i.e. staying awake longer in order to ensure sleep is more restful. Some take shower before bedtime to have good sleep.
  4. Relaxation techniques: Meditation, guided imagery, deep breathing exercises, and progressive muscle relaxation (alternately tensing and releasing muscles) can counter anxiety and racing thoughts.
  5. Cognitive behavioural therapy: Because people with insomnia tend to become preoccupied with not falling asleep, cognitive behavioural therapy (CBT) helps them to change negative expectations and try to build more confidence that they can have a good night’s sleep.

References:

Hirshkowitz, M., Whiton, K., Albert, S. M., et al. (2015). National Sleep Foundation’s sleep time duration recommendations: methodology and results summary. Sleep Health, 1(1), 40-43.

Dr. Merina Tanzil MBBS

Medical Coordinator (Diet, Exercise and Fitness)
Phoenix Wellness Centre BD

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