Skip to main content

How can I improve sleep, and when does insomnia need treatment?

Quick answer

A consistent wake time, a quiet sleep environment and fewer stimulants near bedtime can help. If insomnia persists and affects daily life, cognitive behavioural therapy for insomnia is a core treatment option. Sleep tips alone are not enough for everyone.

Details

Choose sustainable changes

Allow time to wind down, reduce stimulating light and activity before bed, and make the room comfortable and dark. Notice the effects of caffeine, nicotine and late meals, and maintain suitable physical activity. Alcohol is not a sleep treatment; it can fragment sleep later in the night.

If wakefulness continues

Record sleep times, naps, medicines and overnight symptoms. This can help identify contributions from pain, anxiety or a particular medicine. Avoid starting sleeping tablets or supplements at random: they can cause adverse effects or interact with other treatment.

Treating persistent insomnia

Cognitive behavioural therapy for insomnia addresses thoughts and habits that maintain the problem through a structured, guided plan. Seek assessment when sleep problems affect work or safety, or occur alongside snoring and gasping. Do not drive when drowsiness compromises your attention. A tailored approach is more useful than repeatedly adding new sleep remedies.

Related reading: Are six hours of sleep enough for an adult?.

Note: This answer is for educational purposes and does not replace a consultation with a specialist who examines your case in person. Do not use it for self-diagnosis.

References

  1. Insomnia: Treatment — NHLBI / NIH
  2. Living with insomnia — NHLBI / NIH