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    Why We Can’t Sleep & How to Fix It with Dr. Shelby Harris

    enJuly 09, 2024

    Podcast Summary

    • Women's sleep challengesWomen face unique sleep challenges due to hormonal, psychological, and social factors, requiring a focus on realistic wellness and small gains for better sleep. Understanding these challenges can help prioritize sleep needs and make adjustments.

      Women face unique challenges when it comes to getting enough sleep due to various hormonal, psychological, and social factors. Sleep specialist Dr. Shelby Harris emphasizes that it's essential to focus on realistic wellness and making small gains towards better sleep rather than striving for perfection. Women require a little more sleep than men, and sleep issues can occur at different stages of their lives, from childhood to menopause. Additionally, anxiety and depression are more prevalent in women, contributing to sleep disturbances. Women often juggle multiple responsibilities, including caregiving and work, which can further impact their sleep. Understanding these challenges can help women prioritize their sleep needs and make adjustments for better rest.

    • Sleep healthSleep is essential for overall health, including body repair, memory, mood, and cognitive function. Neglecting sleep can increase the risk of various health issues and negatively impact various aspects of life. Prioritize sleep alongside other health practices, and consider seeking treatment for sleep issues if they persist.

      Sleep is not just about avoiding tiredness or being productive during the day. It is the foundation of overall health and well-being. During sleep, our bodies repair and regenerate, and lack of sufficient sleep can increase the risk of various health issues, including cardiovascular disease, diabetes, and even certain types of cancer. Sleep also plays a crucial role in memory, mood, and cognitive function, especially for children. Neglecting sleep can negatively impact various aspects of our lives, and it is essential to prioritize it alongside other health practices like diet and exercise. Additionally, sleep anxiety and the pressure to achieve perfect sleep every night can actually worsen sleep quality for some individuals. Cognitive behavioral therapy is an effective treatment for insomnia, suggesting that sleep problems can be influenced by mental factors, such as anxiety about sleep.

    • CBT-I behaviorsCBT-I addresses both cognitive aspects and behavioral habits for effective insomnia treatment. Limiting time in bed and maintaining a consistent sleep-wake schedule are essential steps.

      Cognitive behavior therapy for insomnia (CBT-I) is not just about addressing cognitive aspects like anxiety and perfectionism, but also behavioral habits that contribute to sleep problems. The cognitive part is important for some individuals, but for others, it's more about changing behaviors such as bedtimes, napping, or using substances that interfere with sleep. The effectiveness of CBT-I lies in the dovetailing of cognitive and behavioral interventions. Additionally, it's essential to note that sleep hygiene, while important, is not a comprehensive solution for insomnia. Limiting time in bed and maintaining a consistent sleep-wake schedule are crucial steps to improve sleep quality. Lastly, the stigma surrounding therapy and the misconception that it's a lengthy and ongoing process prevent many from seeking help. CBT-I typically involves only a few sessions.

    • Mental load and sleep disturbances in womenMeditation during the day can help women manage thoughts and reduce mental load, leading to better sleep quality. Other strategies include using to-do lists, shared apps, and sleep tracking devices.

      Women's sleep disturbances can be linked to the mental load they carry and the inability to let go of their thoughts at night. Meditation during the day can help build the skill to manage these thoughts and distribute mental load more evenly between partners. Practicing meditation regularly can lead to better sleep quality, but it requires patience and commitment. Other strategies include using to-do lists and shared apps to help manage tasks and reduce mental load. Sleep tracking devices can be helpful for some individuals, but they may not be suitable for everyone. Overall, addressing the root causes of sleep disturbances, such as mental load and anxiety, can lead to more effective solutions than relying solely on sleep aids or devices.

    • Sleep trackers vs Sleep DiarySleep trackers can cause stress and anxiety for individuals with insomnia, using a simple sleep diary is a more effective and human approach.

      While sleep trackers can be helpful for some individuals, particularly those with a curiosity about their sleep patterns or those who prioritize sleep less, they can also cause unnecessary stress and anxiety for individuals with insomnia. Instead, using a simple paper sleep diary to record self-assessed sleep quality can be a more effective and human approach. Research is ongoing to better understand and address the unique sleep challenges women face, particularly during pregnancy, menopause, and in relationships. It's important to prioritize proper evaluation and treatment before considering more extreme measures like sleep divorce.

    • Sleep allianceCreating separate sleep environments can improve relationship by promoting fairness, respect, and intimacy through shared activities before bedtime.

      Creating a "sleep alliance" with your partner, where you each have separate sleep environments, can actually improve your relationship rather than causing harm. This arrangement allows for fairness and respect for each other's individual sleep needs, while also fostering intimacy through shared activities before bedtime. The idea of a "sleep divorce" can be misleading and cause unnecessary anxiety, as many couples find that sleeping apart brings them closer together. It's essential to remember that every couple is unique, and finding what works best for you may involve experimentation and compromise. Additionally, the concept of "revenge bedtime procrastination," or using late-night screen time as a form of self-punishment, can negatively impact sleep quality and overall well-being. Making conscious decisions about your evening routine and setting healthy boundaries can lead to better sleep and a stronger relationship.

    • Sleep requirements and diagnosisIdentify individual sleep needs for optimal function, recognize signs of poor sleep quality, advocate for medical help, consider sleep studies for diagnosis, prioritize quality sleep for overall health

      Everyone's sleep needs are different, and it's essential to identify your individual sleep requirement for optimal function. Signs of poor sleep quality include long sleep latency, excessive daytime sleepiness, and difficulty falling back asleep after waking up. Hormonal changes, such as menopause, can also impact sleep quality, leading to restless legs and night sweats. It's crucial to advocate for yourself when seeking medical help for sleep issues, as some doctors may dismiss women's concerns as anxiety or hormonal issues. Sleep studies are the gold standard for diagnosing sleep disorders and can provide valuable information on breathing patterns, REM behavior, and other factors. To determine your sleep need, consider taking a week off work to record your natural wake-up times without an alarm or gradually adjusting your bedtime or wake-up time to observe the impact on your energy levels. Ultimately, prioritizing quality sleep is essential for overall health and well-being.

    • Rest and SleepPrioritizing rest and sleep is crucial for personal growth and well-being, essential for overcoming challenges, and necessary for a fulfilling life.

      Prioritizing rest and sleep is essential for personal growth and well-being. The hosts of "We Can Do Hard Things" podcast expressed their wish for everyone to have more rest, emphasizing its importance as a literal need, metaphorical representation, and a crucial aspect of life. They encourage listeners to follow the podcast, give ratings and reviews, and share episodes to support the show. The hosts also shared their belief that being known and loved is necessary to overcome challenges and live a fulfilling life. They emphasized that it's okay to get lost sometimes and that the journey of life is about growth and self-discovery.

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