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How To Fall Asleep Fast http://www.spring.org.uk/2011/05/6-easy-steps-to-falling-asleep-fast.

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Psychological research over three decades demonstrates the power of Stimulus Control Therapy.

Cant get a good nights sleep? Youre not alone. In surveys of what would improve peoples lives, a good nights sleep frequently
comes near the top of the list.

Poor sleep results in worse cognitive performance, including degraded memory, attention, performance and alertness. And in the
long term insomnia is also associated with anxiety and depression. And peoples sleep gets worse as they get older. After 65 years
old, between 12% and 40% of people have insomnia.

All sorts of methods have been tried to combat poor sleep, from drugs through psychological remedies to more outlandish treatments.

The problem with drugs is that they have side-effects and are often addictive. The problem with the more outlandish treatments is
that although they tend not to have side-effects, we dont know if they have any effect at all. Psychological remedies, though,
combine the best of both worlds: studies show they work without side-effects.

Stimulus Control Therapy


Professor Richard R. Bootzin has been researching sleep disorders for many years at the University of Arizona Sleep Research Lab.
Writing in the Annual Review of Clinical Psychology, he describes the different psychological approaches that have been used to
treat insomnia (Bootzin & Epstein, 2011).

Of these the most successful single intervention is called Stimulus Control Therapy (Morin et al., 2006). Youll be happy to hear it
consists of six very straightforward steps. If you follow these it should improve your sleep. After the list Ill explain the thinking
behind them. First, here are their six steps:

1. Lie down to go to sleep only when you are sleepy.


2. Do not use your bed for anything except sleep; that is, do not read, watch television, eat, or worry in bed. Sexual activity is the
only exception to this rule. On such occasions, the instructions are to be followed afterwards, when you intend to go to sleep.
3. If you find yourself unable to fall asleep, get up and go into another room. Stay up as long as you wish and then return to the
bedroom to sleep. Although we do not want you to watch the clock, we want you to get out of bed if you do not fall asleep
immediately. Remember the goal is to associate your bed with falling asleep quickly! If you are in bed more than about 10
minutes without falling asleep and have not gotten up, you are not following this instruction.
4. If you still cannot fall asleep, repeat step 3. Do this as often as is necessary throughout the night.
5. Set your alarm and get up at the same time every morning irrespective of how much sleep you got during the night. This will
help your body acquire a consistent sleep rhythm.
6. Do not nap during the day.

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How To Fall Asleep Fast http://www.spring.org.uk/2011/05/6-easy-steps-to-falling-asleep-fast.php

Why it works
This method is based on the idea that we are like Pavlovs drooling dog. We attach certain stimuli in the environment to certain
thoughts and behaviours. Famously Pavlovs dogs would start drooling when a bell rang, because they associated hearing the bell
with getting food. Eventually the dogs would drool at the sound of the bell even when they didnt get any food. Replace the bell with
a bed and food with sleep and conceptually youre there.

If we learn to do all kinds of things in bed that arent sleep, then when we do want to use it for sleep, its harder because of those
other associations.

This is just as true of thoughts as it is of actions. Its important to avoid watching TV in bed, but its also important to avoid lying in
bed worrying about not being able to get to sleep. Because then you learn to associate bed with worry. Worse, you suffer anticipatory
anxiety: anxiety about the anxiety youll feel when you are trying to get to sleep.

So, this therapy works by strengthening the association between bed and sleep and weakening the association between bed and
everything else (apart from sex!).

Other treatments supported by the research are progressive muscle relaxation, which is exactly what it sounds like, and paradoxical
intention. This latter technique involves stopping people trying so hard to get to sleep. The paradox being that when people stop
trying so hard, they find it easier to fall asleep.

All this assumes you dont live next door to a late night drummer and youre not downing a double espresso before hitting the sack,
but those sorts of things are pretty obvious. Everything else being equal, though, Stimulus Control Therapy seems the easiest for
most people to implement.

Image credit: Meredith Farmer

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Unwind

This post is part of a series on the science of rest, relaxation and sleep:

The Peaceful Mind: 5 Step Guide to Feeling Relaxed Fast


6 Easy Steps to Falling Asleep Fast
Rethinking The Stress Mindset: Can You Find The Upside of Pressure?
Can Everyday Hassles Make You Depressed?
Perform Better Under Stress Using Self-Affirmation
Venting Emotions After Trauma Predicts Worse Outcomes
8 Ironic Effects of Thought Suppression
How To Get Rid of Negative Thoughts
5 Relaxation Techniques for Anxiety
Bad Nights Sleep? Blame the Full Moon
Later School Start Times Improve Sleep and Daytime Functioning in Adolescents
How Sleep After Learning Enhances Memory

Related Articles:

1. Unwind: The Science of Rest, Relaxation and Sleep


2. The Peaceful Mind: 5 Step Guide to Feeling Relaxed Fast
3. Like to Stay Up Late? Different Neural Structures Found in the Brains of Night Owls
4. How Just One Nights Poor Sleep Can Hurt a Relationship
5. Why the Sleep-Deprived Crave Junk Food and Buy Higher Calorie Foods

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How To Fall Asleep Fast http://www.spring.org.uk/2011/05/6-easy-steps-to-falling-asleep-fast.php

Dr Jeremy Dean is a psychologist and the author of PsyBlog and HealthiestBlog.com. His latest book is "Making Habits, Breaking
Habits: How to Make Changes That Stick". You can follow PsyBlog by email, by RSS feed, on Twitter and Google+.

Published: 9 May 2011

Text: All rights reserved.

Images: Creative Commons License

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