3 ms·
I get insomnia. I've been doing CBT-i for a month. It's been transformational. Throughout this experience, I've learned a lot about sleep that I wouldn't have l
by nunez 4y ago
I get insomnia. I've been doing CBT-i for a month. It's been transformational. Throughout this experience, I've learned a lot about sleep that I wouldn't have learned otherwise.
8 hours of sleep per day is generally a myth. The amount of sleep people need varies from person to person. Ironically, fixating on getting eight hours can cause some people to get insomnia.
Insomnia is a condition that is often caused by something (like work stress for the author) but drastically overstays its welcome. My CBT-i program emphasizes that trying to determine the root cause of the insomnia is pointless because of this phenomenon. This theory of how insomnia develops is called the 3P model and was developed by Dr. Arthur Spielman in the NINE TEEN EIGHTIES. (We've been sleeping for thousands and thousands of years!) https://insomnia.sleep-disorders.net/clinical/three-factors-model https://insomnia.sleep-disorders.net/clinical/three-factors-...
Sleep apnea is super duper common. But the world (well at least the US) prides itself on working harder and sleeping less. I've met tons of people who start work at 6am but "get to sleep" (usually means "get to bed") at 10pm or later, partially because they wrap up work at home.
There is an over-fixation on the long-term degenerative effects of sleep. However, those effects are poorly understood because sleep in itself is poorly understood.
You can't really control sleep. That blew my mind. You can train yourself to get sleepy on a schedule, but actually falling asleep isn't up to you. This is why a lot of common sleep hygiene advice isn't that effective (or is actually regressive) long-term. CBT-i focuses a lot on this in particular.
Alcohol and sleeping pills DESTROY sleep. That is one of the few things about sleep that is extremely well understood. These things help people get to stage 1 sleep but inhibit the deeper sleep stages that start recovery processes. (The author took antihistamines for years. Antihistamines are used as sleep aids, though they are habit-forming and can cause gnarly insomnia when you get off of them without weaning off.)
So I agree with the author. I strongly believe that ALMOST EVERYONE in the US struggles with sleep, but, like sex, talking about that is taboo and drugging your way through the solution is socially acceptable.
- DrThunder 4y agoI would agree with almost all of this. The worst bouts of insomnia I had were caused by going without sleep for a day or two and then starting to fixate on all the issues it might cause if I did not sleep. The anxiety surrounding the problems I would have the next day with little sleep was the biggest culprit. You stick yourself in a programmatic loop by trying so hard to make yourself sleep. As you said, sleep just happens, you don't force it. Generations of people have gone on very little sleep for decent stretches of time. It is impossible for your body to not sleep and at some point it will happen whether you want it to or not. Fixation on making your sleep better will only do the opposite. Do the main things that help sleep - exercise, no caffeine after noon or so (if you're on normal day schedule), get off the screens at night near bed time and wind down appropriately. Other than that you must take an attitude of 'So what if I don't sleep. I'll feel slightly bad tomorrow and that's about it'. You will not suffer all that many long term effects of a little sleep deprivation here and there.
- theonething 4y agoThank you. This and GP's comment are refreshing to hear. All I see on the news about lack of sleep is doom and gloom. According to them, I'm totally fucked in a myriad of ways and it's too late for me since I've held a sleep deficit for so long now. Yeah, I understand lack of adequate sleep is bad for me, no shit. I'm doing the best I can and you're not helping. (addressing those sleep gloom and doom people)
- DrThunder 4y agoI just had a kid. I came to the conclusion that if sleep deprivation was a detrimental as some of these people say then our species would have become extinct long ago. Our bodies are able to cope just fine on lack of sleep and recover down the road. Is it ideal? No, but I've surprised myself with how functional I can actually be with lack of sleep. I just say, hey that sucks, and then move on with my day.
- pfannkuchen 4y agoDoesn’t this assume that sleep was similarly disrupted in the ancestral environment? Do we know that it was? Is it possible that it wasn’t?