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What to Do When You Can't Sleep

Short answer

When you can’t sleep, start by creating a calm environment and follow a simple routine to relax your body and mind. Try progressive muscle relaxation, deep breathing, or reading a book under soft light. If sleep doesn’t come, get up to avoid frustration and return only when sleepy to reset your sleep cues effectively.

What do you need before starting to improve your sleep?

Before you begin trying to fall asleep when you can’t, gather a few essentials to create a sleep-friendly space and mindset. First, make sure your bedroom is cool, quiet, and dark; blackout curtains, earplugs, or white noise machines can help. Have comfortable bedding and pillows that suit your preferences. Avoid screens like phones, tablets, or TV because the blue light they emit interferes with melatonin production, the hormone that signals your body to sleep. Also, prepare a calming activity like a book or relaxing music that isn’t stimulating. Lastly, ensure you are not too hungry or too full—light snacks like a banana or a small bowl of cereal can help if needed. These preparations set the stage for your body to wind down naturally.

What are the step-by-step actions to take when you can’t sleep and why do they work?

Follow these steps as a routine to help your body and mind relax:

  1. Get Comfortable in Bed: Adjust your pillows and blankets to a comfortable position. Comfort reduces physical distractions that keep you awake.
  1. Practice Deep Breathing: Inhale slowly through your nose for a count of four, hold for seven, and exhale through your mouth for eight. This technique relaxes your nervous system and lowers stress hormones.
  1. Try Progressive Muscle Relaxation: Starting from your toes, tense each muscle group for five seconds, then release. This helps reduce physical tension that can keep you awake.
  1. Use Visualization: Imagine a calm, peaceful place like a beach or forest. Visualization diverts your mind from anxious or racing thoughts.
  1. Read a Book Under Dim Light: Choose a calming, non-stimulating book. Reading helps distract your mind without overactivating it.
  1. If Still Awake After 20 Minutes, Get Out of Bed: Go to another room and do a quiet, relaxing activity like reading or listening to soft music. Avoid screens and bright lights. This prevents your brain from associating the bed with wakefulness and frustration.
  1. Return to Bed When Sleepy: This reinforces the bed as a place for sleep, improving your body’s sleep cues over time.

These steps work by calming your mind, reducing physical tension, and resetting your brain’s association between bed and sleep.

How can you tell if this routine is working?

You’ll notice several positive signs if the routine is effective. First, you’ll feel more relaxed and less tense in your body and mind as you lie in bed. Your breathing will slow, and your heart rate may decrease. You might find yourself naturally drifting into sleep within 20 minutes of returning to bed. Over several nights, you’ll likely experience fewer nights of prolonged wakefulness and feel more rested the next day. If you’re able to fall asleep quicker or sleep more soundly after following these steps, these are clear indications your routine is working. Additionally, you’ll feel less anxious about bedtime, which itself improves overall sleep quality.

What should you do if this method doesn’t work?

If the routine doesn’t help you fall asleep after several nights, try these adjustments. First, evaluate whether external factors might be interfering, such as caffeine intake late in the day, late heavy meals, or stressors that need addressing. Avoid naps longer than 20 minutes during the day as they can disrupt nighttime sleep. Consider reducing screen time at least an hour before bed. If racing thoughts keep you awake, try writing them down in a journal before bed to clear your mind. If frustration grows, get up again and do a calming, non-stimulating activity. If difficulty sleeping persists for weeks or months, or if you experience daytime fatigue or mood changes, consult a healthcare provider because persistent insomnia might require professional evaluation and treatment.

How can you adapt these steps for different adults?

Different adults may face unique challenges with sleep. For example, older adults often produce less melatonin and might benefit from increased natural daylight exposure during the day and careful use of dim lighting in the evening. Shift workers can adapt by creating a dark, quiet sleep space during daytime hours and maintaining consistent sleep and wake times even on days off. Parents of young children may need to coordinate sleep routines around feeding or soothing schedules, using relaxation techniques when they finally have time to rest. Adults with anxiety or depression might incorporate mindfulness or cognitive behavioral strategies alongside these steps. Tailoring the environment, timing, and relaxation methods to your lifestyle and health needs increases the chances of success.

What lifestyle habits support better sleep overall?

Beyond the immediate steps when you can’t sleep, supporting healthy sleep habits daily is essential. Regular physical activity during the day promotes deeper sleep but avoid vigorous exercise close to bedtime. Limit caffeine in the afternoon and evening, as it blocks sleep-inducing chemicals. Avoid alcohol before bed; it might make you drowsy initially but fragments sleep later. Establish a consistent sleep-wake schedule, even on weekends, to regulate your internal clock. Create a relaxing pre-sleep routine, such as warm baths, reading, or gentle stretches. Manage stress through mindfulness, counseling, or journaling. Good daytime habits, combined with your bedtime routine, create the foundation for better sleep.

Where can you find more guidance on what to do in bed when you can’t sleep?

For further detailed strategies, consider sources like What to Do in Bed When You Can't Sleep, which explains specific actions and mental exercises to try while lying awake. Articles on How to Relax When You Can't Sleep provide helpful relaxation techniques to reduce anxiety and physical tension. If you want to understand underlying causes, Understanding Insomnia and Its Causes offers insights into reasons for sleeplessness and when to seek professional help. These resources provide additional tactics and understanding you can incorporate into your sleep routine.

Frequently asked questions

How long should I wait before getting out of bed if I can’t sleep?

Wait about 20 minutes after you try to fall asleep. If you’re still awake, getting out of bed helps prevent your brain from associating the bed with wakefulness, which improves sleep over time.

Can I use my phone or watch TV if I can’t sleep?

It’s best to avoid screens because their blue light suppresses melatonin, making it harder to fall asleep. Instead, try reading a physical book or listening to calming music.

What if I have racing thoughts that keep me awake?

Writing down your thoughts in a journal before bed can help clear your mind. Practicing mindfulness or deep breathing also helps reduce anxiety that interferes with sleep.

Is it okay to take sleeping pills if I can’t sleep?

Over-the-counter or prescription sleep aids should only be used under a doctor’s guidance. They can have side effects and may not address the root causes of insomnia.

How does caffeine affect my ability to sleep?

Caffeine is a stimulant that can stay in your system for several hours, making it harder to fall asleep. Avoid consuming caffeine in the late afternoon and evening.

Can napping during the day cause trouble sleeping at night?

Long or late naps can interfere with nighttime sleep. If you need to nap, limit it to 20 minutes and avoid napping late in the day.

More on sleep →

Sources and further reading

General health education, not medical advice. For symptoms or emergencies, contact a doctor or call 911. Poison Control: 1-800-222-1222.