The Powercut

There was a local powercut in my street on Sunday night. This is quite rare and the last time I remember a power cut was several years ago when I was living in London, so I am really grateful that it doesn't happen that often. I am also aware that this blog has quite a global audience, so powercuts maybe more frequent for some people reading this.

However the timing could have been better as it was 15 minutes before an on-line event, I was organising, went live! It was frustrating knowing that it was all happening and I wasn't able to monitor the progress or sort out any blips. It was also frustrating seeing the lights on in the building opposite and having the internal debate with myself about whether I should go to the local bar and log on to their wi-fi.

Aside from all that, it was quite interesting experiencing a black out. The power went at 6.45pm as I was doing the ironing (in fact there is still a huge pile to be tackled, watching me write this!) At first there was the hope the power would come back quickly.
It was still daylight, reading was an option - until it got to dark to do that.
I had one head torch but don't think I've replaced the batteries on that, so didn't want to use it too much as I didn't know if they would run out.
So then it was the candles - which seemed very romantic at first, but were difficult to read by or do anything by, I have to say it was fun at first and quite novel but not something to be repeated too often!

Then I had a bath reasoning that by the time I'd soaked for a bit the power would be back on, it wasn't. This made the internal debate about the local bar even more difficult as I was now in pyjamas and didn't want to get dressed again!

Cooking by torch and candle light is interesting (but fortunately have gas!)
Once the washing up was done - what was there to do?

Yep, the night owl was curled up in bed by 10 pm, almost unheard of!

It made me think a lot about how our sleep problems are quite a modern day phenomenon. I am not for one minute suggesting that insomnia is a modern day problem, there are enough references to it in literature to know it has been around a long time.

It is the other sleep problems that we have that are more modern in making. The fact that we have distractions such as TV and the internet, smart phones, kindles - all of which raise the level of brightness that we expose our eyes too just as we should be doing the opposite and preparing our bodies for the night, the dark and bed.

How modern technology, that is supposed to liberate us and make lives simpler, actually makes it more difficult to have 'down time' as we check our emails one last time before bed, or 'just listen to the news headlines' or 'just watch this one more programme', before switching off.

Computer games (of all sorts) where we think 'Just one more round/level/game etc' before going to bed.

All this is eating into time where we used to be able to unwind and relax. The ultimate result of this relaxing and unwinding was a better quality of sleep for most of the population. No wonder that we are facing a health crisis in the West - with raising rates of stress, diabetes, heart disease, obesity. All these health problems have been linked to people who suffer from sleep deprivation (ranging from insomnia to not allowing enough time to sleep).

So my lesson from the powercut is to really make an effort to unwind and relax in the evenings - dim the lights, switch off the technology and allow time for me.

I hope I can do this long enough so that it becomes a habit!

Routines - how they can liberate you

I've been having thoughts along these lines in different areas of my life for a while now, and would like to share how they help with sleep too.

In a former life I used to work with parents, helping them improve their children's behaviour and one of the most common problems was that there was little or no routine in the house. Bedtimes and wake up times were erratic, mealtimes were whenever someone felt like cooking, in fact the only routine seemed to be around school (if there were school aged children in the home) and weekends ended up as one long blur.

When I asked these parents why there was no routine the common response was that they wanted to be 'spontaneous' 'live in the moment' and 'have fun'. There was also a popular theme of having a strict upbringing and wanting to be different with their children. However having no routine meant that the children were insecure, not sure what was happening and this displayed itself in their behaviour. I often found myself explaining that if you had no routine you couldn't be spontaneous, throwing in something different to do just added more chaos to the mix. Conversely if you have a good routine going, then saying to yourself one evening 'Let's jump in the car and go to the beach' is spontaneous and a fun and different thing to do because it is not the norm. It makes it more fun and more special and a brighter memory.

So what does this have to do with sleep?

Our brains and bodies need a structure to work round. For an adult the most obvious and defining point of this structure would be being asleep and being awake. then work and mealtimes, after that it is your free time and how you chose to spend it.

However - if your sleep times keep changing or are erratic then this begins to throw the whole routine out. If you are constantly changing your sleep times your body does not know what is happening, it is confused and doesn't work as well. Just like the children being cranky and displaying difficult behaviours when there is no daily routine.
As discussed in previous posts our bodies need triggers and reminders that it is time to sleep or time to be active, which is why good bedtimes routines can help adults as well as children. It is why shift workers have such problems sleeping as they are constantly changing their body rhythms.

I used to fight long and hard against the concept of any daily routine, especially in regards to sleep. I would tell myself that it was impractical to have a regular bedtime and wake up time, if I was actually sleeping - why wake and stop that. When on a week's holiday I could quite easily stay up till 2 or 3 in the morning reading and then wake up mid-morning, have a nap in the afternoon (because I had gone to sleep late) and go to sleep even later the next night. Within a couple of days my sleep patterns would be out the window and I would be cat napping when ever and where ever, but not getting a good night's sleep. The end result was that I would go back to work feeling exhausted, despite having had all that extra time to sleep!

Last year I took a good hard look at what was going on and decided to redefine my sleep routines. Though it was hard to admit, I am no longer a teenager and all night parties two or three times a week just don't happen any more!
So I looked at my work schedule, took into account my night owl tendencies and came up with a plan that I would get up at 8.30am at the latest. Every day. It seemed really tough for me at first but it has worked. A couple of days a week I need to get up earlier for work but I tell myself this is the exception, not the norm. On the weekends and the days I work from home the alarm is set for 8.30. It is easier to set up a regular getting up time, than a going to sleep time.

I won't lie and say it was easy. There were times I longed to stay in bed and sleep some more. It wasn't quick either, but I have stuck with it and it is paying off. My sleep has really improved!

I now get tired in the late evenings and actually want to go to bed (depending on how busy the day has been it varies between 11 and midnight). Though I do wake in the night, it is briefly. I now tend to wake before the alarm - something that I thought I would never say, and have some time in that nice drowsy state that used to happen after a lie-in, so I'm not missing out on that. The urge to nap has decreased and if I nap now, it is usually after an early start. I still have the occasional bad night, but it is now once every couple of weeks rather than several times a week.

The strange thing is that I now don't feel as if I am depriving myself of anything. I really thought that would be a problem (and in the early days it was hard) but as I am sleeping in more of a block, I wake up more refreshed and am able to achieve more and do more with my day.

The added bonus is that if I do pull a late night because of a party etc, it feels more special, like something spontaneous and different! There is a difference between going to bed at 3am because I was mooching round the house as usual and going to bed at 3am because I was out celebrating.

So if your sleep patterns are erratic, then I encourage you to take the plunge and set up a routine and see what happens. Remember, if you want advice or support with this, then please contact me, I'd love to help you get a great night's sleep.

Also if you want some new ideas and methods to help you go to sleep then check out next week's free http://www.worldsleepsummit.com/index.html, which I have set up especially to support people with sleep problems.

Sweet dreams!

The drugs don't work.... (well, not in the long term)

Ok, so I have shamelessly taken the title from The Verve classic - please forgive me.

I've know for ages that sleeping tablets don't cure insomnia, at best they help you get some sleep, but will leave you feeling drowsy, foggy, lethargic and not exactly raring to go. After a while your body becomes used to them and they lose their potency, so higher and higher doses are needed, or to change types.

I have used sleeping tablets in the past. Living in the UK these were difficult to get hold of. I'd be lucky to get a fortnight's supply 'to get back into a sleep pattern', however this never seemed to work. After a few years I had this system going with my doctor where he would prescribe me a pack about twice a year, and I would use half a tablet at a time, normally when I'd had a bad run of nights or had something important to do the next day. This didn't really help change my sleep patterns but was enough to stop me going over the edge. This worked well enough for another few years until one day I was in the doctor's surgery, crying my eyes out, absolutely exhausted from sleeping about 2 hours a night for nights on end and being told that he couldn't give me any more tablets as it was against the new Trust policies.
Then, when asking if there was a sleep centre he could refer me to, being told there wasn't and being presented with some leaflets about reducing caffeine and having a bath before going to bed. At this point I hadn't drunk caffeine for about 15 years. I was so angry that my one source of help, the tablets, were being denied me.

Now, when I look at some of the insomnia forums on the web and see people writing up what combinations and doses of drugs they use to go to sleep, I am quite glad that I was never given the option to go down the taking ever increasing amounts of drugs route. It forced me to look into alternative methods to change my sleep patterns.

Last night I was interviewing a friend and colleague of mine, Warren Broad, who is a clinical hypnotherapist, for my upcoming Sleep Summit and he told me why the drugs don't work long term, it was really interesting.

So here comes the science bit -

When going to sleep, your brain slips from being fully conscious into a state of trance, and then into sleep. We often slip into a state of trance during the day without realising it, normally when we are doing something that is repetitive or part of our routine. It is so familiar to us that we don't have to concentrate fully. The example he gave was driving into work. How many times have you got to work and can recall nothing about your journey?

Being in a state of trance is an important part of drifting off to sleep. You have probably been jolted out of this state by a loud noise etc, just as you are drifting off to sleep and have to then take the time to get into that state.

Sleeping tablets work by taking you directly from a state of waking into a state of being comatose, missing out the state of trance. Being comotosed also means that you are unable to dream, which is an important part of sleep. It is the not dreaming that leaves you with this feeling of drowsiness in the mornings, because despite actually sleeping, it has not been a fully restorative sleep. There are also the unpleasant side effects of the drugs themselves such as a dry mouth to contend with as well.

So sleeping tablets can not help long term, as they do not allow the brain to go through the stages needed to drift off to sleep. For most people insomnia is a long term problem and the ability to turn off and drift off has been lost. It is a common complaint for those with sleep problems say they cannot switch of the mental chatter in their brains, and it is the ability to stop this chatter that allows you to go into trance and then into sleep. This is why methods that help you retrain your brain (such as hypnosis and behaviour therapy) have proven to be more effective at helping with long term sleep problems than using sleeping tablets.

If you are interested in learning about methods to help you improve your sleep, then please check out the Sleep Summit here.

At this point I would like to say that there are of course situations where sleeping tablets are the most effective and helpful course of treatment and should be used when prescribed by a doctor. As stated I have used them in the past and been grateful for the sleep they gave me. This article is not intended to replace any medical advice and you must discuss with your doctor first any changes you may wish to make to your prescription. 

Hummingbirds

I have had a couple of conversations with people recently about the whole Night Owl/Morning Lark concept and is it really a genetic thing and is it possible to change and have come across a new term - Hummingbirds. I adore these little birds and loved seeing large flocks of them in Costa Rica. Unfortunately I am not one!

There are people for whom their circadian rhythms are hard wired and they find it difficult to change. Latest studies estimate that 1 in 10 of us is a Lark and 2 in 10 are Owls. The rest hover in-between and can adapt to either situation, the Hummingbirds.

I see this when working in daycare with the young children. Most of the children are Hummingbirds and are lively throughout the day, perhaps slightly quieter first thing in the morning and becoming a little more grisly towards the evening. However you do see outstanding examples of Owls and Larks too.

One little 18 month old is a happy little boy, he arrives in the morning and gets on with his day. He is perfectly sociable and enjoys taking part in the activities and being around the other children. He has his midday nap and when he gets up he is a completely different child, he is far more energetic, laughs, shows his cheeky side, and is generally far more outgoing. It is amazing to watch. With his being so young, his sleep patterns take up most of the day and are standard for a child his age, but watching his temperament and behaviour you can see that he will be someone who comes alive later in the day.

Likewise, there is a little baby of 7 months, who rarely sleeps in the morning. He enjoys rolling around on the floor and playing with the toys. Try and get him to have a morning nap is difficult, put him in his cot and he will cry. You may be lucky to get 15 minutes from him. However he will sleep in the afternoon. it will be interesting to see how this develops but I suspect he will become an Lark.

The Hummingbirds have the advantages of being flexible and adaptable, they can get up early to start a shift, catch a flight etc as well as party till the early hours. The Hummingbird can also adapt more easily to life changes like a staying up late when at college, getting up earlier when starting in the workforce, having early rising children, switching to later sleep patterns when they retire.

I am a hard wired Night Owl and it has been difficult to bring my sleep times forward to Midnight to 8.30am, (my preferred times were 2am to 10am) and at the moment I can not see it getting any earlier. I struggle when on shift patterns and these are only variations of a couple of hours, not a day/night shift pattern such as hospital staff.  The way I cope now is to tell myself that the two days a week that I need to get up before 8.30 are the exception and not the norm. Psychologically that works for me.

Hummingbirds profit well from the modern lifestyle and work well throughout the day. Some Owls and Larks are in jobs that suit their hours but how do you make this work if you are in the 9-5. In reality the best thing to do is to work out your personal timings and when you do things well and incorporate those into your day. These can apply to Hummingbirds too as you may show a slight preference to when you are feeling more alert and when you are feeling more tired.

- You are alert in the mornings? Then use this time to be your most creative, working on projects, compiling reports etc. Then save your more mundane and routine tasks for later in the day when you are feeling tired or sluggish - checking emails, filling in stats forms etc.

- You take a while to get going in the mornings? Instead of staring into space waiting for inspiration use the time for the routine tasks that do not take much effort and save your meaningful and creative work for the afternoons when you are feeling more dynamic.

More and more jobs offer flexible hours and you can also also use these to your advantage.

So which do you think you are - Owl, Lark or Hummingbird?