Showing posts with label insomnia. Show all posts
Showing posts with label insomnia. Show all posts

Insomnia Solutions: Yoga You Can Do in Bed (Rerun)

by Nina

Patterns in a French Garden by Brad Gibson
Did I say “in bed? Yep. It’s normally not a good idea to fall asleep when you are doing yoga (you can overstretch your muscles if you fall asleep in a restorative pose and if you’re practicing conscious relaxation, well, being unconscious pretty much negates the positive effects you’re aiming for). However, there is one exception to this rule of thumb: when you’re lying in bed sleepless due to insomnia.

Whether you have trouble falling asleep initially or can’t fall back to sleep after waking in the middle of the night, instead of working on your To Do list (it’s tempting, I know), try a little yoga. There are a number of yoga practices that just might help you relax enough to finally drift off to sleep and/or improve the quality of your sleep. While practicing any of these techniques, be sure to stay warm and keep the lights off to keep stimulation down to a minimum.

Breath Awareness. This is the simplest yogic breath practice and one of the most basic forms of meditation. Simply bring your awareness to the sensations of your natural inhalations and exhalations. When you notice your mind wandering to your To Do list or elsewhere, gently return your mind to your breath.

Extending Your Exhalation. After observing your natural breath for a few minutes, you can try extending your exhalation (while inhalations are slightly stimulating, exhalations are naturally relaxing). When you reach the end of your exhalation, instead of immediately inhaling, lengthen your inhalation by one or two beats. Keep it relaxed, and if at any point you find the practice irritating, return to your natural breath.

Silently Reciting a Mantra. Just as you would when you are meditating, you can use a silent mantra or any word or phrase in bed to keep your mind from drifting into anxious thoughts. This is helpful for those of you who don’t find focusing on the breath effective (or when you have a cold!). When you notice your mind wandering from your mantra to your To Do list or elsewhere, gently return your mind to your mantra.

Guided Relaxation. Following the instructions for a guided physical relaxation (see here), with or without ear phones, allows you to focus your mind on a soothing voice and your physical sensations, enabling some people to drift off to sleep.

Self-Guided Relaxation. When you are familiar with the basic instructions for deep physical relaxation, it’s simple enough to skip the relaxation track and just gradually relax your body by following your own instructions. Many years ago, my first yoga teacher recommended this as insomnia practice.

Slight Inversion. Take the pillow out from under your head and lie on your back with your knees bent. Lift your pelvis up and place the pillow underneath it. You’re now in a very low version of Supported Bridge pose, a gentle inversion that naturally triggers the relaxation response. Try to stay in the position for five to ten minutes.

Supported Forward Bend. If you sleep alone or aren’t worried about disturbing your partner and you find forward bends soothing, you could try a supported bend in your bed. Sit with your legs straight or in crossed-legs position (whichever is more comfortable and allows a deeper forward bend) and place a stack of pillows on top of your straight legs or in front of your crossed legs. Then lengthen your spine forward and rest your forehead and arms on the pillow and relax. Try to stay at least three minutes. If you can’t get comfortable in the pose, then this one isn’t for you.

If you suffer from insomnia, I sincerely hope you’ll find something on this list that will help. Most of these are techniques are ones I’ve found useful myself (I'm a bit too lazy to sit up and try an actual pose, however). Readers, if you have any additional suggestions, please chime in!


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Never go to bed angry

by Nina

Santa Barbara Botanical Gardens: A Detail by Joan Webster
On Tuesday I read a short little piece in the NY Times questioning the adage “Never go to bed angry” (see here). It was one of those bottom line pieces, and the bottom line was this:

“Going to sleep upset or disturbed preserves the emotion, research suggests.”

In the cited study in The Journal of Neuroscience, scientists exposed 106 men and women to images that elicited various emotions. In some cases the emotions were negative and in other cases the emotions were positive or neutral. The researchers then looked at what happened 12 hours later when the subjects were shown both new images and the previous ones, either in the morning after a night of sleep, or at the end of a full day of wakefulness. The conclusion was:

“The scientists found that staying awake blunted the emotional response to seeing the upsetting images again. But when the subjects were shown the disturbing images after a night of sleep, their response was just as strong as when they had first seen them—suggesting that sleep “protected” the emotional response.”

That doesn’t sound good, does it? Going to bed angry and waking up angry is not only an unpleasant experience for you, but it probably doesn’t enhance your relationships with the people around you. Besides, it's also not a good idea to go to bed angry if you are concerned about getting a good night's sleep. Your stress levels will be high and your sleep, if you can sleep, will be restless—maybe filled with upsetting dreams—and you won’t feel rested in the morning.

But very probably you—unlike the people in the study—can’t just put away an “upsetting image” when you are very angry. In fact, the chances are you’ll keep having one angry thought after another, and with each angry thought you’ll get another jolt of adrenaline (that’s why they call it the “fight or flight response,” people), keeping your stress levels as high as they were before.

The good news is that Baxter says it takes only about 90 seconds to clear the adrenaline released in your system by an angry thought if you switch to a more neutral topic. So to put away your anger, he recommends a structured breath practice, in which you measure your inhalations and exhalations, and count your breaths to engage your mind. If you combine this type of breath practice with a supported inversion (such as Legs Up the Wall pose) or a supported forward bend (if you find those soothing), both of which help switch your nervous system to relaxation mode, you’ll get a double dose of calm.

You could also use a guided relaxation (see here) as a way to engage your mind and relax your nervous system at the same time.



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Five Tips for Better Sleep

by Nina

Field of Tulips by Melina Meza
I recently read a very disappointing list of same-old, same-old tips for better sleep. You know, don’t use your bedroom for anything but sex or sleep, light candles, take supplements, blah, blah, blah—does that stuff even work?—and nothing at all about addressing the root causes of insomnia. And I thought, really I could do a lot better than that. So here goes:

Five Tips for Better Sleep

1. Reduce your overall stress levels. Because insomnia if often caused by chronic stress, regularly practicing conscious relaxation or calming yoga poses can help prevent the busy mind and over-stimulated nervous system that is keeping you awake at night. See The Relaxation Response and Yoga, Yoga for Insomnia: Part 1 and Conscious Relaxation vs. Sleep for information. 

2. Plan your day. What you do in the hours before bed can affect your state when you get into bed. So schedule your stimulating activities, including aerobic exercise and strong yoga practices, such as flow practices, standing poses and backbends, for earlier in the day. (Of course, you don’t want to be watching an action film in the late evening, either.) Start to wind down before bed with calming practices, such as restorative yoga or meditating, so you’re in a relaxed state when you get into bed. See Day to Night for information.

3. Get comfortable. Physical pain or discomfort can keep you awake, so think about your sleeping position the same way you would about a yoga pose. Use “props” in bed, such as extra pillows, towels, and so on, to help get more comfortable. If you are having back problems, sleeping on your tummy can overarch your lower back, exacerbating back problems. You could try placing a folded blanket or towel under your lower abdomen to see if that helps, or, even better, sleep on your back instead with a pillow under your knees. If you’re having neck problems, sleep on your side or back, rather than on your tummy. If you try sleeping on your side and find that your knees press together uncomfortably, place a pillow between your knees. If nocturnal leg cramps are keeping you awake, stretch your legs before bed (see Nocturnal Leg Cramps and Yoga). 

4. Practice yoga in bed. Sometimes just getting into bed—even if you’ve been relaxing beforehand—can trigger worries about your life or fear about falling asleep. Instead of letting your mind race, try your favorite relaxation practice while you’re falling asleep (in this case, it’s okay if you fall asleep while you’re relaxing) You could practice a guided relaxation or yoga nidra (by listening to an audio recording or just talking yourself through it) or even do a restorative yoga pose, such as Child’s pose, with a mental focus to calm yourself down. See Yoga You Can Do in Bed and Yoga Tricks for Better Sleep for information.


5. Work with your breath. One of the easiest things you can do to calm yourself before you fall asleep or if you wake up in the middle of the night is to work with your breath. This moves your mind away from your worries onto a neutral subject and triggers the Relaxation Response, which will help you fall asleep more quickly and sleep more deeply. You can either practice simple breath awareness or work on gently lengthening your exhalation (see Yoga for Better Sleep). If you have trouble breathing because you have a cold or allergies, try working with a mantra (a phrase you repeat to yourself) of any kind instead. 
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Sleep, Alzheimer’s Disease and Yoga

by Nina

Sun Behind Clouds by Melina Meza
One of the worst fears I think we all share about getting older is of developing dementia. Just recently I had a long phone conversation with a woman who is trying to deal with a mother in the early stages of Alzheimer’s Disease, and it was just so sad. I had some advice for her, but no solutions, of course. Then I heard a news piece on NPR “Brains Sweep Themselves Clean of Toxins During Sleep”  that gave me  glimmer of hope.

Scientists have been trying to figure out the purpose of sleep for a very long time. A recent study “Sleep Drives Metabolite Clearance from the Adult Brain”  published in Science Magazine, proposed a fascinating new theory. The team of researchers from the University of Rochester discovered that while the brain sleeps it clears out harmful toxins, a process that may reduce the risk of Alzheimer's. According to the NPR interview, during sleep, the flow of cerebrospinal fluid in the brain increases dramatically, washing away harmful waste proteins that build up between brain cells during waking hours. Professor of Neurosurgery and an author of the study, Dr. Maiken Nedergaard, said, "It's like a dishwasher."

The waste proteins getting washed away during sleep are toxic to brain cells, which could explain why we don't think clearly after a sleepless night and why a prolonged lack of sleep can actually kill an animal or a person. The results appear to offer the best explanation yet of why animals and people need sleep.

“Thus, the restorative function of sleep may be a consequence of the enhanced removal of potentially neurotoxic waste products that accumulate in the awake central nervous system.” Lulu Xie, et al.

Alzheimer's Disease researchers say this research could help explain a number of recent findings related to sleep and AD. Dr. Randall Bateman, Professor of Neurology  at Washington University said this about beta amyloid, which is the main component of certain deposits found in the brains of patients with Alzheimer's Disease.

"Beta amyloid concentrations continue to increase while a person is awake. And then after people go to sleep that concentration of beta amyloid decreases. This report provides a beautiful mechanism by which this may be happening.”

The team of scientists discovered the cleaning process while studying the brains of sleeping mice. Dr. Nedergaard said that during sleep the system that circulates cerebrospinal fluid through the brain and nervous system was "pumping fluid into the brain and removing fluid from the brain in a very rapid pace.” When the mice went to sleep, their brain cells actually shrank, making it easier for the fluid to circulate. But when the mice woke up, their brain cells enlarged again and the flow between cells slowed dramatically.

The researchers speculated that the reason the brain doesn’t do this cleaning all the time is because the cleaning uses a lot of energy, and it’s probably not possible for the brain both to clean itself and at the same time be aware of its surroundings, talk, move, and so on. So getting enough sleep—which we already know is vital for our physical and mental health—may be one key to preventing Alzheimer’s Disease as you age.

But what does all this have to do with yoga? Well, if you’re having trouble sleeping, yoga can help with that. Because insomnia is so often related to stress, yoga’s stress management techniques can help you quiet your nervous system so you fall asleep more quickly and sleep more soundly. For  information on how yoga can help you sleep better, see Yoga for Insomnia, Part 1  and Day to Night: Yoga for Better Sleep. The Supported Inverted poses I wrote about recently (see All About Supported Inversions) are poses that I've found particularly helpful.

We’re so careful here at YFHA not to make any false promises and of course as this research is new, we can’t promise that getting enough sleep will definitely make a difference for you. But encouraging you to get a good night’s sleep can’t be harmful in any way, and if this gives you more motivation to practice stress management techniques, which are helpful for preventing a whole host of health problems, we’re doing you a favor. And if you'd like to add an additional practices to encourage brain health, start meditating on a regular basis (see Meditation and Brain Strength) and keep practicing your yoga asanas (see Yoga for Brain Health?).
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Take Your Time: Results from Yoga Practice

by Nina

Horses Grazing by Brad Gibson
It's a running joke in our family that when Brad gets impatient with me—because I often do various household tasks a bit slower than he does—he says to me, "Take your time!" He swears that Bill Murray said this repeatedly in the movie Caddy Shack, but when we watched it again recently, no one actually ever uttered that line. Regardless, I always reply, "You take your time."

But many worthwhile things really do take time. For example, if you want to cook a really good meal instead of eating fast food, you need to shop for fresh ingredients and prepare everything from scratch. And if you want to turn a new acquaintance into a close friend, you need to spend a lot of time together, getting to know and trust each other. The same is true for seeing results from yoga practice. Obviously, one Downward-Facing Dog pose doesn't instantly make your arms stronger, though with regular practice, it definitely will increase your strength. And it also seems obvious that if you want to reduce your stress levels, you'll need to practice stress management regularly over a period of time.

So it was very interesting for me to hear about a recent study at the Feinberg School of Medicine, Northwestern University, that looked at the effect of exercise on insomnia. One of the findings as reported by Gretchen Reynolds in the New York Times post How Exercise Can Help Us Sleep Better was:

"After the first two months of their exercise program, the exercising volunteers (all of them women) were sleeping no better than at the start of the study. Only after four months of the program had their insomnia improved."


Yes, it took four whole months of regular exercising to bring improvements. That's quite a bit of time, don't you think? The women in this study were not practicing yoga for exercise, but it's likely that using yoga as a form of exercise to help with insomnia (something I definitely recommend) might take a similar amount of time. And it also makes sense to me that if you are practicing yoga for insomnia (see Yoga for Insomnia, Part 1) by using stress management techniques, you should also give that some time (though some people report that doing breath practices in the middle of the night produces immediate results). So be patient.

In general, the time you invest in your yoga practice—whether you are practicing for your physical health, your emotional health or both—is what brings the payoffs. After all, yoga sutra 1.14 tells us that equanimity is attained only through steady, dedicated, attentive practice:

Long, uninterrupted, alert practice is the firm foundation for restraining the fluctuations of the mind. —trans. by B.K.S. Iyengar


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Insomnia

Insomnia which is also known as sleeplessness is a disorder which mostly experienced by people having age more than 18 or one can say adults in their life. An estimated 25% to 45% of the general population are affected by this disorder and around 10% have chronic insomnia, insomnia is not a disease but it is a condition or state of mind, in this state of mind an adult mostly experience less or sometimes no sleep at all, which effects the whole body and the daily life activities.
I have its definition on which every one will not agree , but generally:
Symptoms which lasts less than 1 week are known as transient insomnia,
And the symptoms between 1-3 weeks are known as short-term insomnia and those longer than 3 weeks are known as chronic insomnia.

Causes Of Insomnia:

There are many physical and psychological causes of this disorder:
1. Stress.
2. Depression.
3. Schizophrenia.
4. Unpleasant noises.
5. Unpleasant moods.
6. Relationship mis under standings.
7. Withdrawal from drug, alcohol, sedative, or stimulant medications.
8. On high altitudes.
9. Nasal congestions.
10. Fever.
11. Cough.
12. Heart failure.
13 Angina.
14 Fear.
15 Anxiety.
16 Tension.
17 Pregnancy.
18 Menopause.
19 Drug addiction.
20 Severe injury.

Symptoms Of Insomnia:

1. Memory difficulty.
2. Alcohol and antihistamines may compound the problems with sleep deprivation.
3. Irritability and impaired social interaction
4. Lack of interest in daily lives
5. Poor focus and concentration

Treatment of Insomnia:

The patients should seek advice from the doctors and specialists and the people with psychological disorders should see a psychologist also which an help them in solving their problems and making them sleep without an stress and tension.


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