Drug Effects

  • Do not smoke to get yourself back to sleep.

  • Do not smoke after 7 p.m. or give up smoking entirely.

  • Avoid caffeine entirely for a 4-week trial period; Limit caffeine use to no more than three cups no later than 10 a.m.

  • Light to moderate use of alcoholic beverages. Alcohol can fragment sleep over second half of sleep period.

How to Get to Sleep

  • Keep clock face turned away and do not find out what time it is when you wake up at night.

  • Avoid strenuous exercise after 6 p.m.

  • Do not eat or drink heavily for 3 hours before bedtime. A light bedtime snack may help.

  • If you have trouble with regurgitation, be especially careful to avoid heavy meals and spices in the evening. Do not retire too hungry or too full. Head of bed may need to be raised.

  • Keep you room dark, quiet, well ventilated and at a comfortable temperature throughout the night. Ear plugs and eye shades are OK.

  • Use a bedtime ritual. Reading before lights-out may be helpful if it is not occupationally related.

  • List problems and one-sentence next steps for the following day. Set aside a worry time. Forgive yourself and others.

  • Learn simple self-hypnosis to use if you wake up at night. Do not try too hard to sleep: instead, concentrate on the pleasant feeling of relaxation.

  • Use stress management in the daytime.

  • Avoid unfamiliar sleep environments.

  • Be sure mattress is not too soft or too firm, pillow is right height and firmness.

  • If possible, make arrangements for care-giving activities (children, others, pets) to be assumed by someone else.