Sleep Hygiene Doesn’t Cure Insomnia—Do This Instead

Sleep hygiene is so bad at treating insomnia that it's used as the placebo in clinical sleep trials. Before you buy darker blackout curtains, try these expert tips

woman suffering from insomnia

Join Our Community of Science Lovers!

Insomnia is one of the most frustrating experiences in our modern existence. You stare up at the ceiling (or worse, at the red numbers on a clock), mind buzzing with random thoughts, tossing and turning while everyone else snores away blissfully. It can really drive a person crazy!

Everyone has insomnia sometimes. Even though I’m a sleep expert (and I was lucky enough to be born with good sleep genes), I still sometimes toss and turn all night. And these occasional sleepless nights are totally fine. They just mean you're excited about something, or you have had one too many cups of coffee, or some other fluke stars aligned to make you unable to shut down for a night or two. All you have to do is ride it out, knowing you'll be back to your normal sleep routine soon.

But for many people, insomnia becomes chronic. If you’re having a really hard time falling or staying asleep a few times per week, and this has been going on for a few months, then we’re dealing with a different animal. Chronic insomnia can really disrupt your life. It puts a damper over your everyday mood and turns sleep into a chore instead of a relief.


On supporting science journalism

If you're enjoying this article, consider supporting our award-winning journalism by subscribing. By purchasing a subscription you are helping to ensure the future of impactful stories about the discoveries and ideas shaping our world today.


If you don’t have chronic insomnia yourself, I bet you know someone who does. About one in ten adults have chronic insomnia by the strictest diagnostic criteria. But if you ask everyone visiting a primary care doctor, one in three will have it. In my own clinic, the average patient has had chronic insomnia for 15 years before finding their way to me because they didn’t know there were treatment options other than Ambien and sleep hygiene.

That’s because most doctors’ go-to for treating insomnia are Ambien (and other prescription sleep medications) and sleep hygiene. As a psychologist and not a medical doctor, it’s not my place to talk in-depth about medications. But I can talk to you about sleep hygiene.

I’m sure you’ve already heard some things about it. Here’s what the National Sleep Foundation recommends (slightly paraphrased): 

  • Avoiding stimulants such as caffeine and nicotine close to bedtime

  • Exercising, but not too close to bed time

  • Steering clear of food that can be disruptive right before sleep

  • Ensuring adequate exposure to natural light

  • Establishing a regular relaxing bedtime routine

  • Making sure that the sleep environment is comfortable by using blackout curtains, keeping it cool, and banning all screens

»Continue reading “Sleep Hygiene Doesn't Cure Insomnia—Do This Instead” on QuickAndDirtyTips.com

It’s Time to Stand Up for Science

If you enjoyed this article, I’d like to ask for your support. Scientific American has served as an advocate for science and industry for 180 years, and right now may be the most critical moment in that two-century history.

I’ve been a Scientific American subscriber since I was 12 years old, and it helped shape the way I look at the world. SciAm always educates and delights me, and inspires a sense of awe for our vast, beautiful universe. I hope it does that for you, too.

If you subscribe to Scientific American, you help ensure that our coverage is centered on meaningful research and discovery; that we have the resources to report on the decisions that threaten labs across the U.S.; and that we support both budding and working scientists at a time when the value of science itself too often goes unrecognized.

In return, you get essential news, captivating podcasts, brilliant infographics, can't-miss newsletters, must-watch videos, challenging games, and the science world's best writing and reporting. You can even gift someone a subscription.

There has never been a more important time for us to stand up and show why science matters. I hope you’ll support us in that mission.

Thank you,

David M. Ewalt, Editor in Chief, Scientific American

Subscribe