When sleep won't come
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Family Library · Topic guide
Sleep difficulties can mean trouble falling asleep, waking repeatedly or waking too early, often with tiredness or poor concentration during the day.
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An occasional poor night is common. Repeated poor sleep matters when it affects how you feel and function during the day; an exact hour count is not the whole picture.
Worry, shift work, pain, some medicines, caffeine, alcohol and an uncomfortable sleeping environment can contribute. More than one factor may be involved.
Try a consistent waking time and a calm wind-down period. Make the sleeping space as comfortable as circumstances allow and review late caffeine.
If worries return at bedtime, try writing them down earlier and talking them through with someone you trust.
Seek help when sleep is making daily life difficult or changes to your routine have not helped. Treatment may include cognitive behavioural therapy for insomnia.
Breathing pauses, gasping during sleep or persistent daytime sleepiness need medical assessment. Do not treat these as a bedtime-habit problem alone.
No. Many adults need around seven to nine hours, but needs vary. Daytime functioning also matters, and children usually need more sleep.
Speak with a clinician before taking a sleep aid. Some cause next-day drowsiness or dependence, and they do not address every cause of poor sleep.
Arrange a medical assessment. Breathing pauses, choking or gasping can be signs of sleep apnoea, which needs specific assessment and care.
Ask about assessment and treatment rather than blaming yourself. Cognitive behavioural therapy can address thoughts and behaviours that keep insomnia going.
Try setting aside time before bed to write down worries and next-day tasks, followed by a quiet wind-down routine.