Stuck awake again? Insomnia is frustrating, but small, focused changes often make a big difference. Below are clear, evidence-backed actions you can start tonight to fall asleep faster and stay asleep longer.
Keep a consistent sleep schedule. Go to bed and wake up at the same times every day, even on weekends. Your body likes predictability—this trains your internal clock and reduces tossing and turning.
Control light exposure. Get bright light in the morning (natural sunlight if possible) and dim lights in the evening. Avoid screens at least 60 minutes before bed or use blue-light filters; artificial light confuses your sleep hormones.
Watch caffeine and alcohol. Stop caffeine at least 6–8 hours before bedtime. Alcohol may help you fall asleep, but it fragments sleep later in the night.
Time your workouts. Exercise helps sleep, but finish intense workouts at least 2–3 hours before bed. Gentle stretching or a short walk in the evening can be calming without overstimulation.
Limit naps. If you nap, keep it under 20 minutes and before mid-afternoon. Long or late naps make it harder to fall asleep at night.
Use your bed only for sleep and sex. Avoid working, scrolling, or watching TV in bed—this strengthens the mental link between bed and alertness instead of rest.
If you can’t sleep after 20 minutes, get up. Move to another room, do something quiet and boring (read a paperback, breathe slowly), and return when you feel sleepy. Repeating this trains your brain that bed equals sleep, not frustration.
Set your bedroom for sleep: cool (around 60–68°F or 15–20°C), dark, and quiet. Earplugs, blackout curtains, or a white-noise machine can help if your environment is noisy or bright.
Try simple relaxation: box breathing (4-4-4-4), progressive muscle relaxation, or a short guided meditation. These lower heart rate and calm the mind without drugs.
Melatonin can help some people fall asleep faster if used short-term and at low doses. Talk to a pharmacist or doctor before starting any supplement, especially if you take other medicines.
For persistent insomnia, cognitive behavioral therapy for insomnia (CBT-I) is one of the most effective options. It teaches practical skills—sleep restriction, stimulus control, and worry management—and can be done with a therapist or through vetted online programs.
If sleep problems last more than a few weeks or you feel sleepy during the day, see your doctor. Underlying issues like sleep apnea, restless legs, depression, or medication side effects can cause insomnia and need specific treatment.
Try one or two changes at a time and stick with them for a few weeks. Small, consistent tweaks beat big overnight overhauls. Sleep better starts with tiny habits you can actually keep.
In my latest blog post, I delve into the topic of Dolutegravir, a medication used in HIV treatment, and its potential side effects on sleep. Many patients have reported insomnia and other sleep-related issues while on this drug. However, there are several strategies that can be implemented to minimize these side effects. We discuss lifestyle changes, alternative therapies, and even the possibility of adjusting the medication regimen. It's crucial to remember that any changes should be discussed with a healthcare provider to ensure safety.
Health and Wellness