I’d done everything right, yet it was 2 am and I still couldn’t sleep. I had meditated for 30 minutes before I went to bed. I even took a couple of melatonin pills right after to be sure. Yet, here I was wide awake dreading how exhausted I would be the next day at work.
My problem wasn’t unique. In America, one in every 10 adults will experience chronic insomnia1. It takes just one poor night of sleep to devolve into long term sleeping problems. This is because the majority of sleeping problems stem from anxiety and worry2. The more you worry about not getting enough sleep, the worse your sleep gets.
For me, my sleeping issues began right out of college. I had started a job as a software engineer and I was starting to feel the pressure. I had a couple of big deadlines coming up and I found myself tossing and turning unable to sleep one night. My mind kept racing, thinking about all the work I had until I finally fell asleep.
I thought that was it — an abnormal night, but then it happened again. This time, my outlook changed. I started worrying about how not getting enough sleep would affect my day. I looked up basic sleep hygiene tips online and decided to go to bed extra early to make sure I made up for lost sleep. This ended up backfiring and it took a few hours before I could finally sleep.
At this point, my sleeping struggles started becoming more regular. I downloaded a couple of meditation apps in the hopes that meditating and listening to soothing sounds would help me sleep better. I even resorted to over the counter sleeping aids on nights when it took me too long to fall asleep. The results were mixed — I’d fall asleep faster but over time I’d revert back to having poor sleep.
I finally caved and decided to try prescription medication. I had read a lot about them and was very reluctant because of their long term side effects. On a visit to my doctor, I asked her if she could prescribe me something to help me sleep. She said she said she could, but it wasn’t going to be medication. Instead, she put in a referral to a CBT-I (Cognitive Behavioral Therapy for Insomnia) therapist.
CBT-I is an evidence-based (proven in clinical trials) technique used to treat sleep problems3. Two driving forces induce sleep — sleep drive & mental arousal. Your sleep drive is how sleepy/tired you feel when going to bed. Your mental arousal is the racing thoughts and alertness you feel when you go to bed. When your sleep drive is high and your arousal levels are low; it is easier to fall asleep. CBT-I prescribes a sleep schedule that ensures you have a high sleep drive. It also teaches you techniques to worry less and reduce your arousal.
CBT-I is extremely effective in treating sleeping problems. Clinical trials have shown that 80% of people that follow a good CBT-I program will have normal sleep by the end4. The results are also permanent, unlike sleeping aids which are effective only as long as you are taking them5.
I underwent a CBT-I program with a therapist for 3 months. We started by restricting the time I spent in bed to increase my sleep drive. I started noticing a decrease in the amount of time it took me to sleep by the end of my first week. By the third week, I was sleeping more and taking less time to fall asleep consistently. At the end of the program, I was sleeping over 7 hours a night. More importantly, I wasn’t spending my days worrying about my sleep.
CBT-I isn’t an easy solution. The sleep schedules are hard to follow and the results aren’t instantaneous. It takes time and effort but the reward of permanently improved sleep is well worth it. I’m grateful to have had a coach help me through my journey. Let me know if you do decide to try it and if it helps you improve your sleep. Here’s to hoping you get better sleep soon.
CBT-I changed my life, but the program cost me $700 out of pocket. I was fortunate to have had the means to afford it but it is well out of the price range for many people. We built Sleepedy with the hopes of making access to a coach-led CBT-I program more affordable. If you’d like to know more, check out our website or download our iOS app below.
Trauer, James M. et al. “Cognitive Behavioral Therapy for Chronic Insomnia: A Systematic Review and Meta-analysis. Ann Intern Med. August 2015 163(3) : 191-204