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  • Relaxation
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  • Contact Us

SLEEP

Overview

  •  An average of 7-9 hours of sleep is usually best for adults, but children need more depending on their age. 
  • Sleep quality is based primarily on modifiable health behaviors, although physical, mental, and medication effects play a role as well. 
  • Healthy sleep is required for ongoing maintenance of proper mental, physical, and neurological function.  

Details

  • Insomnia is both a cause and consequence of virtually all psychiatric illnesses playing a powerful role in depression, bipolar, anxiety, PTSD, ADHD, and substance use disorders. 
  • Insomnia can lead to short term as well as chronic difficulties in cognitive and athletic performance and is associated with increased risk for major cardiovascular and neurocognitive disorders. 
  • CBTi (cognitive behavioral therapy for insomnia) is made up of teachable tools including sleep hygiene, relaxation, cognitive exercises, and conditioning called stimulus-response.  

Review educational material and then scroll to the bottom of the page to download the program material 

Education: Sleep Hygiene

Negative Factors

Negative Factors

Negative Factors

  • Napping during the day
  • Watching television or lounging in bed
  • Using a device with a bright screen in the hour before bedtime (eg, a smartphone)
  • Consuming drinks containing caffeine 
  • Drinking alcohol or smoking/vaping
  • Eating a heavy meal less than 3 hours before bedtime
  • Staying in bed even if you can’t fall asleep 

Positive Factors

Negative Factors

Negative Factors

  • Regular exercise
  • Set aside some “worry time” each day to write down any issues that are bothering you (at least 1-2 hour before bed)
  • Relaxation exercises (eg, breathing exercises)
  • Having a relaxing bedtime routine (e.g. taking a bath or a shower, followed by reading a comforting book)
  • Make sure the bedroom is completely dark, comfortable, and the right temperature (not too hot or cold) 

Initial Assessment

  • Before starting the SLEEP program, record your current health behaviors
  • For more detailed information, continue to tools section below

Sleep Strategies

Consider the following ideas when picking SMART goals below

Regulate timing

Get up and   go to sleep within 30 minutes of the same time 7 days a week

 

Add relaxation

Use   breathing, mindfulness, and muscle relaxation to get to and return to sleep

 

Stop napping

Avoid napping   which robs sleep from the next night – stay up and go to bed early 

 

Get some exercise

Try to get   more exercise during the day, but not right before bed

 

Limit screens and light

Avoid   screens in bed and 1 hour before bed other than low-light reading

 

Limit substances

Avoid   alcohol, nicotine, caffeine, and cannabis, especially 3 hours before bed

 

Plan your worry

Set aside worry time daily to   journal (at least 1-2 hours before bed)

 

Make a routine

Find a relaxing bedtime routine   (eg, bathe, meditate, then read)

 

Optimize environment

Make the bedroom quiet, dark,   comfortable, and the right temperature 

 

Avoid late-night meals

Avoid eating   a heavy meal less than 3 hours before bedtime 

 

Get up if not sleeping

Leave bed for   meditation, stretching, or reading until you are feeling tired again 

 

Use an app

BetterSleep,   Sleep Score, SleepCycle, ShutEye, Snore Lab (snoring)

 

Do a workbook

The Insomnia   Workbook

SMART Goals and Activity Log

Repeat every 1- 4 weeks – when goals are achieved, return to Health and Lifestyle Scorecards

SLEEP DOCUMENTS

Download SLEEP Documents

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