Dr-ho's de stress sleep therapy system

How To Relieve Stress for Bedtime

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Alexa Fry, Senior Health Editor

Alexa Fry

Senior Health Editor

Alexa Fry is a science writer with experience working for the National Cancer Institute. She also holds a certificate in technical writing.

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Medically Reviewed by

Alex Dimitriu, Psychiatrist

Alex Dimitriu

Psychiatrist

Dr. Dimitriu is the founder of Menlo Park Psychiatry and Sleep Medicine. He is board-certified in psychiatry as well as sleep medicine.

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While stress is the body’s natural response to protecting itself Trusted Source Medline Plus MedlinePlus is an online health information resource for patients and their families and friends. medlineplus.gov , chronic stress or anxiety can have many long-term effects, including poor sleep or even sleepless nights.

Stress invokes the “fight or flight” feeling Trusted Source National Center for Complementary and Integrative Health (NICCH) NCCIH funds and conducts research to help answer important scientific and public health questions about complementary health approaches. nccih.nih.gov . This elevates the heart rate, quickens breathing, and increases stress hormones in the body. Anxiety is stress that continues after the stressor is gone, and it produces similar physiological effects.

During times of unwanted stress and anxiety, relaxation techniques can produce the body’s natural relaxation response Trusted Source National Center for Complementary and Integrative Health (NICCH) NCCIH funds and conducts research to help answer important scientific and public health questions about complementary health approaches. nccih.nih.gov . This includes a slower heart rate and breathing pattern, a lower blood pressure, and an overall feeling of calm.

Table of Contents

Best Tips for Relieving Nighttime Stress

There are numerous strategies for relieving nighttime stress and anxiety before bedtime. If you’re feeling too stressed to sleep, these approaches can help you relax. Some sleepers use only one or two of these relaxation strategies while others practice a combination of them. If stress and sleep are a chronic concern, your physician can help you determine what the best approach is for you.

Meditation

Meditation is a mind and body practice Trusted Source National Center for Complementary and Integrative Health (NICCH) NCCIH funds and conducts research to help answer important scientific and public health questions about complementary health approaches. nccih.nih.gov with a specific focus of attention and attitude that lets thoughts come and go without judgment. Meditation is a known strategy for treating insomnia. There are several types of meditation.

Mindfulness meditation is the process of
observing feelings, thoughts, and emotions as they pass without judgment

Trusted Source National Library of Medicine, Biotech Information

The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information.

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Body scan meditation is a technique of slowly concentrating on parts of the body and noticing any sensations or pains. To practice this technique, you should focus on a specific part of your body, one at a time. This can either be a systematic scanning, from head to toe, or a more random scanning of the body parts making a connection with the floor. Let your attention be focused completely on your body.
Guided meditation is when one is verbally guided through a meditative experience and encouraged to visualize a calming location. These guided meditations can include music and nature sounds to assist with relaxing. You can find guided meditations on many popular apps, including Headspace and Calm.

Meditation can be done any time before bed, and it can also be done during the night if you find yourself unable to relax.

Deep Breathing

Deep breathing can be another component of meditation as well as a relaxation technique you can use any time Trusted Source Medline Plus MedlinePlus is an online health information resource for patients and their families and friends. medlineplus.gov . The goal is to take slow, even, and deep breaths.

Though there are many structured practices for deep breathing, including the 4-7-8 method and lion’s breath, you can begin very simply. Start by placing your hand on your stomach and inhaling slowly. When you feel your stomach rise, hold your breath for a moment, then exhale slowly. Different practices may incorporate counting breaths and adjusting the time breath is held before exhaling.

Meditative Movement

Meditative movement incorporates the attentiveness of meditation with gentle physical movement and focused breathing. Yoga, tai chi, and qigong are all types of meditative movement. They require no specialized equipment and therefore can be done in any location, making them accessible to the average person.

Research has demonstrated many physical and mental health benefits of yoga. In addition to promoting healthy activity habits, yoga can be beneficial in managing sleep problems Trusted Source National Library of Medicine, Biotech Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. pubmed.ncbi.nlm.nih.gov . Yoga can help improve stress management Trusted Source National Center for Complementary and Integrative Health (NICCH) NCCIH funds and conducts research to help answer important scientific and public health questions about complementary health approaches. nccih.nih.gov

Less research has been conducted about the other movement forms. However, preliminary research has shown that both tai chi and qigong can assist with improving emotional well-being Trusted Source National Library of Medicine, Biotech Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. pubmed.ncbi.nlm.nih.gov . This includes the management of anxiety and depressive symptoms. Along with the improvement of handling anxiety, it is likely practitioners of these forms can also find improved sleep.

These meditative movements can certainly be done as part of your nighttime routine or during the daytime. While the movements themselves may not be ideal during the night, the mindfulness and breathing techniques used in these practices could be used during periods of nighttime stress or anxiety.

Progressive Relaxation

Progressive relaxation is similar to body scan meditation because it requires concentration on certain parts of the body. You contract and release your muscles up and down your body in sequence, beginning with your toes, feet, calves, and so on. This allows you to relieve the physical tensions and stresses you may be experiencing.

Biofeedback

Biofeedback is the use of an electronic device to help patients learn to control functions of the body Trusted Source Merck Manual First published in 1899 as a small reference book for physicians and pharmacists, the Manual grew in size and scope to become one of the most widely used comprehensive medical resources for professionals and consumers. merckmanuals.com . These devices provide information about functions such as blood pressure, heart rate, and muscle activity. Users need the assistance of a therapist or biofeedback training Trusted Source Merck Manual First published in 1899 as a small reference book for physicians and pharmacists, the Manual grew in size and scope to become one of the most widely used comprehensive medical resources for professionals and consumers. merckmanuals.com to understand how to interpret the readings. They will also learn what affects changes in the body’s functions. For people with stress, anxiety, or even insomnia, biofeedback can be a useful tool for identifying functions of concern and regulating them.

It is important to remember that relaxation techniques are not a replacement for healthcare if there is a medical concern.

Stress Relief During Your Nighttime Routine

While the above relaxation techniques can be incorporated into your nighttime routine, you can also take some other practices into consideration.

Make a good sleep environment. Consider evaluating your sleep environment for possible stressors. A good sleep environment is dark with little noise.
Limit alcohol and caffeine. Both can affect one’s ability to have undisturbed sleep. Excessive alcohol can also
affect how the body handles stress

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The NIH, a part of the U.S. Department of Health and Human Services, is the nation’s medical research agency — making important discoveries that improve health and save lives.

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Take a warm shower or bath. Not only can this help you relax and de-stress, but it will also
lower your body temperature

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The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information.

pubmed.ncbi.nlm.nih.gov
Avoid blue light exposure before bedtime. The light from electronics including phones, computers, and TVs can
interfere with your circadian rhythm

Trusted Source Merck Manual

First published in 1899 as a small reference book for physicians and pharmacists, the Manual grew in size and scope to become one of the most widely used comprehensive medical resources for professionals and consumers.

merckmanuals.com

limit doomscrolling habits
Practice good sleep hygiene.
Journal. Writing down your thoughts and worries can help you to get them out in the open so you can address them. Keep a journal by your bed so you can write down any anxiety that may come up in the moments before bed. Writing down a to-do list for the following day can also help you get to bed sooner.
Schedule worry time. A scheduled time to focus on worrying is a technique used in cognitive-behavioral therapy (CBT). To do this, set aside a specific time of the day to worry about everything you have going on. The goal of this is to address the causes of that worry before it can get out of control.

Good Daytime Habits for Relieving Nighttime Stress

In addition to relaxation techniques, there are steps you can take during the day to relieve stress at night. A common aid is to exercise during the day. In addition to other health benefits, daytime exercise has been linked to better sleep Trusted Source National Library of Medicine, Biotech Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. pubmed.ncbi.nlm.nih.gov in patients with generalized anxiety disorders. Exercise can also assist with issues such as insomnia. Another strategy for sleep hygiene overall is to wake up at a regular time. Even on the weekends, research shows that consistent wake times Trusted Source National Library of Medicine, Biotech Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. pubmed.ncbi.nlm.nih.gov are an important component of sleep hygiene.

Keep in mind there is no exact schedule for how quickly you’ll be able to feel less stressed and anxious before going to sleep. However, consistent practice of relaxing techniques can help long-term. If you have questions or concerns about which strategy or strategies are right for you, consult your physician.

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About Our Editorial Team

Alexa Fry

Senior Health Editor

Alexa Fry is a science writer with experience working for the National Cancer Institute. She also holds a certificate in technical writing.

Alex Dimitriu

Psychiatrist

Dr. Dimitriu is the founder of Menlo Park Psychiatry and Sleep Medicine. He is board-certified in psychiatry as well as sleep medicine.

References

+17 Sources

A.D.A.M. Medical Encyclopedia. (2020, May 10). Stress and your health., Retrieved January 2, 2021, from

https://medlineplus.gov/ency/article/003211.htm
National Center for Complementary and Integrative Health website. 5 things you should know about stress., Retrieved January 2, 2021, from

https://www.nccih.nih.gov/health/tips/things-to-know-about-relaxation-techniques-for-stress
National Center for Complementary and Integrative Health. (2016, May). Relaxation Techniques for Health., Retrieved January 2, 2021, from

https://www.nccih.nih.gov/health/relaxation-techniques-for-health
National Center for Complementary and Integrative Health. (2016, April). Meditation: In depth., Retrieved January 2, 2021, from

https://www.nccih.nih.gov/health/meditation-in-depth
Black, D. S., O’Reilly, G. A., Olmstead, R., Breen, E. C., & Irwin, M. R. (2015). Mindfulness meditation and improvement in sleep quality and daytime impairment among older adults with sleep disturbances: A randomized clinical trial. JAMA Internal Medicine, 175(4), 494–501.

https://pubmed.ncbi.nlm.nih.gov/25686304/
MedlinePlus: National Library of Medicine (US). (2018, August 3). Relaxation techniques for stress., Retrieved January 2, 2021, from

https://medlineplus.gov/ency/patientinstructions/000874.htm
Wang, W. L., Chen, K. H., Pan, Y. C., Yang, S. N., & Chan, Y. Y. (2020). The effect of yoga on sleep quality and insomnia in women with sleep problems: a systematic review and meta-analysis. BMC psychiatry, 20(1), 195.

https://pubmed.ncbi.nlm.nih.gov/32357858/
National Center for Complementary and Integrative Health. (2019, May). Yoga: What You Need To Know., Retrieved January 2, 2021, from

https://www.nccih.nih.gov/health/yoga-what-you-need-to-know
Yeung, A., Chan, J., Cheung, J. C., & Zou, L. (2018). Qigong and Tai-Chi for Mood Regulation. Focus (American Psychiatric Publishing), 16(1), 40–47.

https://pubmed.ncbi.nlm.nih.gov/31975898/
Millstine, D. (2018, September). Merck Manuals Professional Edition: Biofeedback., Retrieved January 2, 2021, from

https://www.merckmanuals.com/professional/special-subjects/integrative-complementary-and-alternative-medicine/biofeedback
Millstine, D. (2019, September). Merck Manual Consumer Version: Biofeedback., Retrieved January 2, 2021, from

https://www.merckmanuals.com/home/special-subjects/integrative-complementary-and-alternative-medicine/biofeedback
National Institute on Alcohol and Alcohol Abuse. (2012). The Link Between Stress and Alcohol. Alcohol Alert, 85., Retrieved January 2, 2021, from

https://pubs.niaaa.nih.gov/publications/AA85/AA85.htm
Haghayegh, S., Khoshnevis, S., Smolensky, M. H., Diller, K. R., & Castriotta, R. J. (2019). Before-bedtime passive body heating by warm shower or bath to improve sleep: A systematic review and meta-analysis. Sleep Medicine Reviews, 46, 124–135.

https://pubmed.ncbi.nlm.nih.gov/31102877/
Schwab, R. J. (2020, June). Approach to the patient with a sleep or wakefulness disorder. Merck Manual Professional Version., Retrieved January 2, 2021, from

https://www.merckmanuals.com/professional/neurologic-disorders/sleep-and-wakefulness-disorders/approach-to-the-patient-with-a-sleep-or-wakefulness-disorder
Garcia-Navarro, L. (Host). (2020, July 19). Your ‘Doomscrolling’ Breeds Anxiety. Here’s How To Stop The Cycle [Radio broadcast episode].

https://www.npr.org/2020/07/19/892728595/your-doomscrolling-breeds-anxiety-here-s-how-to-stop-the-cycle
Herring, M. P., Kline, C. E., & O’Connor, P. J. (2015). Effects of Exercise on Sleep Among Young Women With Generalized Anxiety Disorder. Mental health and physical activity, 9, 59–66.

https://pubmed.ncbi.nlm.nih.gov/26566400/
Irish, L. A., Kline, C. E., Gunn, H. E., Buysse, D. J., & Hall, M. H. (2015). The role of sleep hygiene in promoting public health: A review of empirical evidence. Sleep Medicine Reviews, 22, 23–36.

https://pubmed.ncbi.nlm.nih.gov/25454674/

Dr-ho’s de stress sleep therapy system