The Vancouver Sleep and Breathing Centre

 

SLEEP HYGIENE

 

Good sleep hygiene is very important. Good sleep hygiene consists of practices that reinforce the body's natural tendency to sleep at night.

  1. Maintain a regular bedtime and awakening time. For most people, nightly time in bed should be no longer than 7 hours since excessive time in bed may fragment sleep. Get out of bed at the regular time even if sleep was poor, as "sleeping in" can disturb sleep the following night.
  2. Do not nap during the day as this results in poorer sleep at night.
  3. Do not drink alcoholic beverages in the evening as this disturbs sleep.
  4. Avoid cafeinated beverages after noontime, as caffeine disturbs sleep. Limit total caffeine consumption to no more than two beverages per day.
  5. Do not smoke just before bedtime or during the night as this disturbs sleep.
  6. Exercise regularly during the day, but avoid exercise in the evening within 3 hours of bedtime.
  7. Do not use the bed or bedroom for anything other than sleep and sexual activity. If the bedroom is used for non-sleep activities (such as watching TV), it may become a stimulus for alertness, rather than for sleep.
  8. Establish a routine in preparation for sleep. Engaging in frustrating activities or excessive worry close to bedtime may result in arousal and prevent sleep.
  9. Maintain a comfortable temperature in the bedroom.
  10. Keep the bedroom dark and quiet. Try to screen out any disturbing noise or light.

 

RELAXATION

 

One of the most effective ways to relax at the end of a stressful day is to do some abdominal breathing. Put on some relaxing music or nature sounds (the sound of rain or running water). Dim the lights or turn them off. Stretch out on the bed or sofa and roll your shoulders around a few times. Now you can focus on your breathing.

Take note of the following:

When you are tense, breathing can be irregular and forced. Most people also use their chest to breath when they are upset. The most natural way to breath is to use the diaphragm which pushes down into the abdomen. Breathing should be relaxed and rhythmic.

Try the following exercises:

Practice these exercises for a minimum of 30 minutes each day so that the abdominal breathing becomes a habit that you do without thinking.

Once you have formed this habit, you are ready to move on to the next phase. In this phase, you simply add a brief pause at the end of each breath. Therefore, the breathing cycle becomes: inhale, exhale, pause... inhale, exhale, pause...

If you find that the worries of the day are intruding on your breathing exercises, simply say to yourself: "Ah ha, my mind has wandered. Let's return to the breathing task."

If this is not successful in getting you refocused on the breathing, try repeating a simple two syllable expression to yourself. Some examples are "one-two", "deep down", and "in-out".

Remember, practice makes perfect.

 

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