Stress

Improve your sleep quality

Optimise your sleep for better health

Insomnia is one of the most commonly reported sleep-related problems or disorders affecting about one third of the population at any given time. Some people have problems with sleep onset - falling asleep and others have issues with sleep maintenance - staying asleep or waking in the early hours of the morning.

Short term or acute insomnia occurs for a few days or weeks and can be related to stress, worry or overwhelm. Chronic insomnia is classified if sleep issues occur (3 times a week) for 3 months or more. Some people are just light sleepers, even from childhood and may be due to a number of reasons such as sleep habits, not allowing the body & mind to wind down before bed, not enough physical activity during the day or health conditions such as asthma or anxiety.

COMMON CAUSES OF INSOMNIA

  • Eating & drinking late - allow 2-3 hours for digestion to occur before going to bed.

  • Regular or over consumption of caffeine, alcohol, nicotine

  • Shift work - plays havoc with circadian rhythms

  • Medications & their side effects including sleeping tablets and recreational drugs

  • Stress / anxiety / depression

  • Failure to wind down before bedtime

  • Too much screen time/blue light

  • Health or medical conditions

ONGOING SLEEP DEPRIVATION INCREASES RISK FOR:

  • High blood pressure, risk of developing heart disease & obesity

  • Depression / anxiety

  • Irritability / mood disorders & forgetfulness

  • Lowered immunity

  • Increases Type 2 Diabetes risk by 3 times

  • Increased cravings for sweet, salty & starchy foods

THINGS TO AVOID

  • Limit coffee, chocolate and other caffeinated drinks after lunch time.

  • Avoid participating in vigorous exercise or mentally stimulating activities 2-3 hours before bed.

  • Minimise alcohol – even though it makes you sleepy, it impairs a deep sleep & is associated with more frequent waking, night sweats & nightmares.

  • Avoid screens & bright lights an hour before bed, it interferes with the production of melatonin (the chemical which helps you get to sleep).

  • Avoid electronics in your bedroom & lighting from clock radios.

  • Sleep medications are only a short term solution.

  • Avoid sugar, soft drinks and nicotine which is a stimulant & makes it hard to fall and stay asleep.

  • Avoid napping during the day.

  • Learn new techniques to manage negative thoughts and over-thinking.

TIPS TO IMPROVE SLEEP

  • Create a regular sleep/wake cycle to encourage your body’s circadian rhythm to regulate.

  • Bedroom should ideally be dark, quiet and cool, consider using eyeshades and earplugs if needed.

  • Create a sleep ritual that works for you or activities that help you wind down such as a warm bath or drink herbal tea an hour before bed.

  • Download an ‘App’ which reduces ‘blue lights’ from screens e.g. ‘f.lux ’ or adjust settings on computer.

  • Ensure your blood sugar levels are steady, too many fluctuations may disrupt your sleep.

  • Listen to a relaxation, meditation/guided imagery CD - any of these may help you get to sleep.

  • Try and expose yourself to at least 15- 20 minutes of daylight each day – this helps melatonin production.

  • Aim for 7 – 9 hours of sleep per night.

OTHER CONSIDERATIONS

  • Minimise stress and unnecessary drama in your life if possible.

  • Explore how your relationships are impacting on your wellbeing as well as responsibilities and stressors – consider talking to a professional to implement strategies to help.

  • Not being active enough during the day & leading a sedentary lifestyle can make it difficult falling asleep, keeping physically active can help quality of sleep.

  • Investigate possible medical conditions that may be affecting your sleep e.g. obstructive sleep apnea, restless leg syndrome, snoring etc.

  • Consider a calming or weighted blanket – the deep pressure stimulation may provide a reassuring feeling.

Mindfulness for Stress Management

Why use mindfulness

Mindfulness allows you to be in the present moment and become more aware of your emotions and reactions without judgement. It has the ability to gently build inner strength & resilience, tolerance, improve mental clarity and emotional intelligence.

  • Mindfulness also helps improve mood and sleep.

  • It helps to relieve stress, reduce negative thoughts & feelings.

  • Positive psychological effects include increased feelings of well-being, reduced emotional reactivity and improved regulation of behavior.

  • It helps you to become aware of your own thoughts, gives you a moment to pause and enhances focus and problem solving.

  • It’s beneficial for common forms of psychological distress e.g. anxiety, worry, fear & anger.

Tips about starting your practice

  • Mindfulness techniques can be done in as little as 3 minutes or as long as you like.

  • It can be done passively or actively e.g. walking meditation.

  • The more you practice the easier it gets. The type of mindfulness activity you choose can be flexible and depend on your availability of time and personal preferences.

  • It may be difficult for some people to switch off their mind – which is ok.  It is about becoming aware of your thoughts & letting them pass.

  • You may need to try different techniques before you find one that suits you.

Different types of mindfulness/meditation

Breath awareness meditation:  Focus your entire attention on breathing in and out, how your abdomen rises and goes down with each breath. If thoughts start crowding in, gently let them go and refocus on your breathing.

Progressive relaxation or body scan:  A practice where you focus on each individual body part in turn, from head to toe. Some people like to tense each body part and then completely relax.

Walking meditation:  Concentrate on the feel of the ground under your feet, breathing while walking & observe what is around you as you walk, staying in the present & enjoy the moment.

The observer-thought meditation: This teaches you to notice as thoughts arise, label them as positive or negative, but avoid getting absorbed in them.

Five senses meditation:  What are 1-2 things you can see, feel, hear, smell or taste.  This exercise is used to quickly ground yourself in the present when you only have a moment. The goal is to notice something that you are currently experiencing through each of your senses.

Loving-kindness meditation:  A meditation to improve positive feelings of love and care, toward a close loved one, to yourself and others.

Guided visualisation: Practiced by listening to guided meditation with or without music. It focuses on visualisation and designed to deepen your body awareness, calm your mind and improve relaxation.

Different breathing techniques

There are numerous breathing techniques you can practice during mindfulness practice. The easiest breathing technique is to count your breaths, start by counting 1 on the inhale, 2 on the exhale, 3 on the inhale and so forth.

Some other breathing techniques include:

Abdominal Breathing Technique:  With one hand on the chest and the other on the belly, take a deep breath in through the nose, ensuring the abdomen (not the chest) inflates higher than the chest.  Take 6 to 10 deep, slow breaths per minute and aim for 10 minutes each day to experience reductions in stress response and heart rate.

Box breathing:  Helpful during extreme stress, where you practice the following process: Inhale for a count of 4 ... hold your breath for a count of 4 ... exhale for a count of 4 ...wait at the very end of the exhale for a count of 4, and repeat. This is a deep breathing exercise that has been shown to calm and regulate the nervous system.

The Breathing Waltz:  Breath in for a count of 3 ... Hold your breath for a count of 3 ... Breath out for a count of 3.  Repeat steps 1 to 3 for a period of one minute or as long as needed.

The 4-7-8 technique:  Breathe in quietly through the nose for 4 seconds ... hold the breath for a count of 7 seconds ... exhale forcefully through the mouth, pursing the lips and making a "whoosh" sound, for 8 seconds. Repeat the cycle up to 4 times

A practice such as mindfulness is not only beneficial to both mind and body, it is free and has a positive impact on overall health and wellbeing. It is safe to do and anyone can try it no matter what age. It can be done as a stand alone practice or combined with psychological or other therapies.