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Surviving the Day After a Sleepless Night: Tips and Tricks
🧠 Early Modern Medical Case: Moonlit alertness/Sleep dysfunction
The first clinical description of insomnia as a distinct condition resembling the modern understanding may be attributed to:
Thomas Willis (1621–1675), an English physician and anatomist, who studied brain function and described “watchings” or persistent inability to sleep in patients. He believed it was due to overactivity of the nervous system.
Etiological factors in insomnia/sleep stealers
Stress (work, finances, relationships)
Anxiety disorders
Depression (early morning awakening is common)
Post-traumatic stress disorder (PTSD)
Grief or emotional shock
Chronic pain (arthritis, fibromyalgia)
Asthma or breathing disorders
Gastroesophageal reflux disease (GERD)
Hyperthyroidism
Neurological conditions (Parkinson’s, Alzheimer’s)
Menopause or hormonal shifts
Irregular sleep schedule (shift work, travel)
Excess screen time before bed
Lack of physical activity
Stress activates the hypothalamic-pituitary-adrenal (HPA) axis, increasing cortisol (stress hormone), which interferes with sleep onset and quality.
It also causes racing thoughts, worry, and increased heart rate, keeping the body in a "fight-or-flight" mode — not ideal for sleep.
Napoleon Bonaparte: Slept very little—reportedly 3–4 hours a night—and likely had chronic insomnia, though some debate whether it was physiological or due to high stress and ambition.
How we can handle/intervention/care plan:
Earlier treatments were:
Warm baths before bed.
Use of aromatic pillows (lavender, rose, hops).
Dietary adjustments (cooling foods like lettuce, barley water).
👨⚕️ Notably:
Thomas Willis, who was ahead of his time, viewed insomnia partly as a neurological issue, especially in relation to overexcitement of the brain and nerves.
🛁 A tepid bath of chamomile and rosemary water, before retiring (to ease the limbs and quieten nervous stirrings)
First-Line Treatment: Cognitive Behavioral Therapy for Insomnia (CBT-I)
Gold standard treatment, even above medication.
Sleep hygiene educationStimulus control (e.g., only using the bed for sleep)
Sleep restriction (limiting time in bed to consolidate sleep)
Cognitive restructuring (challenging sleep-related anxieties)
✅ Over-the-Counter:
Melatonin supplements
Relaxation techniques: Deep breathing, progressive muscle relaxation
Mindfulness or meditation apps
Acupuncture, aromatherapy (e.g., lavender)
Yoga or Tai Chi
chamomile tea – mild sedative, calms the nerves
Valerian root – helps reduce sleep latency (time to fall asleep)
Passionflower – reduces anxiety and promotes relaxation
Lemon balm – soothes digestive system and nervous tension
Warm milk with nutmeg – classic Ayurvedic remedy
Ashwagandha – adaptogen that reduces stress and improves sleep
Military Sleep Technique / quick sleep hack
Face: Relax your forehead, jaw, tongue, and the muscles around your eyes.
Shoulders: Drop them as low as possible.
Arms: Let one arm go limp, then the other.
Breathing: Exhale deeply and slowly. Breathe naturally.
Clear your mind
Repeat silently: “Don’t think, don’t think, don’t think” for 10 seconds.
Diagnosis Tools
Sleep diary
Polysomnography (if other disorders suspected)
Insomnia Severity Index (ISI)
Most preferred techniques
CBT-I (Cognitive Behavioral Therapy for Insomnia) – often via apps like Sleepio or with personal therapists
Guided meditation apps – Calm, Headspace, Insight Timer
Yoga Nidra / Breathing techniques – promotes deep relaxation without grogginess
Most executives prefer a “clear next-day mind” approach
In sleepless nights, the mind finds flight,
Exploring stars that hide from light. ✨
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