Here's What Sleep Doctors Do When They Can't Fall Asleep At Night

Sleep experts share the tips they swear by.
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Carol Yepes via Getty Images
Stressing over sleep creates more anxiety, which only exacerbates the problem.

We all deal with sleepless nights from time to time ― and yes, that includes experts like sleep doctors. 

Though having trouble falling (or staying) asleep can be distressing, it may be comforting to know that it’s a common problem. According to a 2016 Consumer Reports survey, 68% of Americans struggle with sleep at least once a week.

“It’s perfectly normal for all of us to have poor sleep or insomnia, but it becomes more of an issue for people that begin to become anxious and fixated on their sleep,” Ruchir P. Patel, medical director of the Insomnia and Sleep Institute of Arizona, told HuffPost. “Remember, if you have a bad night here or there, it’s normal. The more you stress about your sleep, the less it will return back towards normal.”

We asked sleep doctors to share the tips, tricks or other advice they follow when they personally have trouble sleeping. Some you can implement during the day as preventive measures; others you can try on a sleepless night. 

1. They don’t look at the clock. 

“When I am up in the middle of the night, I try my hardest not to stare at the clock because clock watching is an easy way to have anxiety about the sleep loss and make the insomnia worse.” —Raj Dasgupta, assistant professor of clinical medicine at the University of Southern California’s Keck School of Medicine 

2. They listen to soothing music.

“I will listen to Max Richter’s ‘Sleep’ in the background, as this is very unique classical music where he worked with neuroscientists to create music utilizing tones that can help to relax the mind and assist with sleep. My wife and I also use it for our 15-month-old baby since he was born and [it] has helped him too.” —Patel

3. They try to find some enjoyment in quiet, cozy time in bed.

“I have learned to enjoy being awake in my bed. It’s a pleasure to have quiet, comfortable time to reflect, plan, muse and simply be present. When you treat the situation as ‘a living nightmare,’ as one patient put it, you’ve already lost the battle.” —W. Chris Winter, president of Charlottesville Neurology and Sleep Medicine and author of “The Sleep Solution

“When you treat the situation as ‘a living nightmare,’ as one patient put it, you’ve already lost the battle.”

- W. Chris Winter, author of “The Sleep Solution”

4. They remind themselves that they can always sleep in on the weekend.

“It helps me to not worry that I did not sleep well last night or that I’m tired today.” ―Patel

5. They don’t look at their phone.

“I try my hardest not to grab my cellphone because once I open my phone, I’m suddenly answering emails, checking my Instagram and watching ‘The Mandalorian’ on Disney+.” —Dasgupta

6. They move to another room and read something dull. 

“If ultimately I have a very difficult time initiating sleep (greater than 30 minutes), then getting out of bed and going to a different part of the house, using dim light and reading something boring on paper can help to distract my mind that I have not fallen asleep. Then, I return to bed as soon as I get drowsy.” Patel

7. They try not to take a sleep aid if they can help it. 

“I generally do not take anything for sleep as it is a slippery slope. It’s very easy to become accustomed to taking something to ‘help me sleep.’” ―Patel 

8. But if they really need it, they take a small dose of melatonin.

“Rarely, I have taken melatonin, 3 to 5 mg as needed.” —Anupama Ramalingam, sleep medicine physician at the Insomnia and Sleep Institute of Arizona

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Starting your day with some time outdoors can help realign your circadian rhythms.

9. They go outside in the morning.

“Bright light exposure can be accomplished by going for a walk or having breakfast outside on a sunny day, or by using a light therapy box for 30 minutes.” ―Stacey Gunn, sleep medicine physician at the Insomnia and Sleep Institute of Arizona

10. They focus on resting rather than sleeping.

“I know that restful meditation is a restorative process, much like sleep. Unlike sleep, resting is something I have complete control over. I choose to focus on what I can control.” —Winter

11. They make time for exercise during the day.

“To help with sleep, I get at least 20 minutes of exercise a day, whether it’s just me on the elliptical at the local gym or the whole family taking a walk outside or at the park.” ―Dasgupta

12. They tell themselves it’s not a big deal if they have a night of poor sleep. 

“I keep reminding myself that it is OK if I don’t get enough sleep tonight and that it’s not the end of the world. This helps me to not get worked up, which in turn is going to take you longer to fall asleep. I also journal my thoughts, which helps.” —Ramalingam

13. They avoid sugar and caffeine later in the day. 

“I try to eat smart before going to bed, which is not easy at all. I love junk food and Sour Patch Kids, but as a general rule I try to avoid high carbohydrate meals and things with lots of sugar or caffeine.” —Dasgupta

14. They create their own bedtime rituals. 

“It starts two hours before bedtime and includes putting technology away, reading books to my children, keeping the rooms quiet [and] cool, and turning down the lights. Happy and calm kids usually translate into better sleep for me.” ―Dasgupta

Before You Go

Gifts For Troubled Sleepers
Blue light-blocking glasses(01 of09)
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The advice:
Brendan Duffy, a certified clinical sleep educator with Start School Later, recommends scrapping all your electronics well before hitting the sheets. But if a full digital detox before bed is too much of a challenge, he suggests trying blue light-blocking glasses. They work to block the blue light that emanates from your computer and phone screens. “Several athletic teams use blue blocker glasses as a way to assist their players that use digital devices late in the evening,” he told HuffPost.


Our picks:
There are plenty of blue light-blocking glasses on Amazon, including these Warby Parker-looking clear frames and these flattering-on-everyone tortoise shell frames.
(credit:Amazon)
Stocking stuffers that encourage a good bedtime routine(02 of09)
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The advice:
Dr. Kannan Ramar is the president-elect of the American Academy of Sleep Medicine. He’s also a sleep physician, and the professor of medicine in the Division of Pulmonary and Critical Care Medicine at the Mayo Clinic. You could say he’s a guy who knows a thing or two about getting quality zzz's. He recommends leaving your books and Netflix out of the bedroom, and instead using your sheet time for sleep.


“You should do these activities in a different room and go to bed when you are sleepy,” he said. “What’s most important is that your bedroom provides a dark, quiet and cool space.”


Our picks:
Quality ear plugs
and a cult-favorite blackout eye mask are useful stocking stuffers for troubled sleepers who need help blocking out the energy of the day.
(credit:Amazon)
A way to unwind before bed without their phone screen(03 of09)
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The advice:
Wendy Troxel, senior behavior and social scientist at the RAND Corporation, recommends a relaxing activity — that does not involve technology — before bed. This could be a bath, a book or conversation with family.


“When we race off to bed without any wind-down, it’s really difficult for our brains to be able to shut down and prepare for a deep, restful sleep,” she said.


Our picks:
Products like CBD bath salts, relaxing bath bombs or a fun-to-use bathtub tray caddy will encourage a relaxing pre-bed routine that has nothing to do with a phone.
(credit:Amazon x Bed Bath & Beyond)
A good book they’ll reach for when they just can’t drift off(04 of09)
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The advice:
“Instead of lying there for hours, staring at the ceiling and wishing oneself to sleep (and likely getting increasingly frustrated), the best strategy is to get out of bed and go to another room and do some relaxing but distracting activity, like reading a book,” Troxel said. “You may find that you get sleepy again, and at that point, you return to bed.”


Our picks:
Snag your sleepy friend or family member a copy of a bestseller to crack open when they just can’t shut their brain down after bedtime. In fact, there are plenty of books hitting store shelves this season they might enjoy reading when they’re wide awake at night.
(credit:Radovanovic96 via Getty Images)
An incentive to get pent-up energy out before bedtime(05 of09)
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The advice:
Terry Cralle, a registered nurse with the Better Sleep Council, has a sleep hack that’s been proven by a recent Brandeis University study: Taking a brisk stroll to walk off any remaining stress and energy prior to hitting the sheets.


“Other research has shown that evening exercise does not necessarily disturb your sleep at night as long as you avoid vigorous activity one hour prior to bedtime,” she said.


Our picks:
Encourage them to trade in their slippers for a new pair of comfy (and sustainable!) sneakers before bedtime to walk off remaining worries from the day. Otherwise, they might enjoy a fitness tracker like a Fitbit to track their steps and heart rate prior to bedtime.
(credit:PredragImages via Getty Images)
A sunrise alarm clock, so they can wake with the “dawn”(06 of09)
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The advice:
Sunrise alarm clocks are exactly what they sound like: alarm clocks that wake you up with a simulated sunrise. They work by exposing you to a slowly increasing intensity of morning light for 15 to 30 minutes or more prior to awakening.


Cralle, the registered nurse, notes that a previous study demonstrated that light exposure during the last 30 minutes of sleep increased subjective alertness and improved cognitive and physical performance after waking.


Our picks:
There are plenty of top-rated sunrise alarm clocks on Amazon worth browsing, like this Philips Wake-Up Light Alarm Clock. Your sleep-deprived friend will thank you.
(credit:Amazon)
Gifts to take their sack time to a new level(07 of09)
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The advice:
Dr. Rachel Salas, associate professor of neurology at the Johns Hopkins University School of Medicine, has simple advice we could all use, even if we're usually good about falling asleep and staying asleep. “Wash your sheets regularly,” she said. “Dust mites and allergens can negatively affect your sleep. Also, fresh smells can be helpful.”


Our picks:
Gift the insomniac on your list a new set of snooze-worthy sheets they’ll love. Otherwise, a nice-looking air purifier that’s also quiet could be the key to helping them get more shuteye. Don’t forget a small stocking stuffer of bedroom sleep spray to help lull them to dreamland.
(credit:Amazon x Brooklinen)
A way to soak in some sun during the day, even during winter(08 of09)
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The advice:
What you do during the daytime is also important for a good night’s sleep, says Dr. Sabra Abbott, a sleep specialist from Northwestern Medicine. “While it is important to allow time to wind down before bedtime, getting bright light and activity during the middle of the day can improve your sleep at night.”


Our picks:
Changing daylight hours and long working days can mean folks go without natural sunlight for longer than they would like. And for some, that lack of natural light can sap energy, potentially making it harder to fall and stay asleep. Light therapy lamps, like the Carex Day-Light Lamp or the desktop Boxelite Lux Light Therapy Box, might be good solutions for folks who feel like they aren’t getting enough bright light during the day.
(credit:Amazon)
Temperature-regulating pajamas(09 of09)
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The advice:
“Temperature regulation is particularly important for sleep quality because overheating disrupts sleep,” said Janet Kennedy, a clinical psychologist and sleep specialist. That’s why she recommends Cool Nights pajamas from Soma Intimates for women. “They perform as advertised, keeping you from overheating as body temperature fluctuates during the night. They look and feel great, too.” For men, try SHEEX moisture-wicking performance sleepwear. They’re made of the same breathable material as SHEEX moisture-wicking sheets.
(credit:Vera_Petrunina via Getty Images)

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