insomnia

Nighttime 201: Small Sleep Strategies that Make a Big Difference

Welcome to Part Two!

If you're coming from our Nighttime 101 Guide (and if you're not, why don't ya start there first!), it may seem the techniques offered there are a bit more on the advanced side as they'll compare to what's about to be presented. So, why would we have picked that as the starting point if these are more simplistic, quicker fixes?

While those ‘foundational four’ skills - a nighttime routine, journaling, internal communication, and medication - do require more in-depth understanding and greater effort overall, we really feel that for survivors with Complex PTSD and dissociative disorders, that approach to sleep is truly your first line of defense. It is your ground level to build on. If you cannot successfully apply some of those tools, your sleep could remain interrupted and fitful even if you completed every single item on this list. The tips and tricks here are more like icing on the cake; things to add to your already-reliable baseline that will improve the quality of the rest you may finally be getting.

It's possible some of these may become a part of your own foundation, particularly if they tackle a critical issue that's been keeping you up, but for the most part, none of these alone will be the key that unlocks decades of restlessness for you. We hope they instead improve what you've already been working on - tying up loose ends, and settling any of the hiccups that continue to cause you grief. With trauma, sometimes the simplest of steps can still make the largest differences, particularly in this complicated fight for good rest.

So, let's go some sleep! Here is a list of several additional things you can try that may create a safer, more comfortable, restorative, and peaceful rest.

  • Make your room, and your bed, an inviting place to be.  If your room is full of clutter, food, or your school or work items, or is comprised of drab colors, lifeless pillows, and only the bare bones necessary to call it a bedroom, how is your poor mind ever supposed to want to be there for several hours? How is it going to feel calm, secure, and nurtured? Warm things up! Make it a place that welcomes you, pulls you in, is a place you want to be.

    Even if you possess very little or have minimal means to change things, there are small ways to make your room your own and tell your mind ‘at least I care about me'. Keep it decluttered, refreshing, and not too busy. Try not to bring things into it that wind you up or stress you out - like work, school, or therapy projects. Create a sea of fluffy pillows, cozy blankets, soft colors. Maybe add a few nice pictures or go real wild and buy some new drapery that makes it look like you really know what you're doing in there. ;)

    Try out a simple DIY project that makes you proud of yourself and what you've done with the space. (And hey, not crafty at all? All the more reason to create something just for you! Because not only will you be even more proud of what you were able to make, you'll always be reminded of the fact you believed you were worth that effort! Because you are!) Even with the smallest of budgets, it's possible to take a space you've sorely neglected and transform it into your perfect, personalized little oasis. And, this seemingly insignificant change to where you rest your head can actually do wonders for your mind and body - which leads to more Zzz's.

  • Use signs or pictures near your bed to help with grounding.  Put notes and personalized reminders right where you can see them from your space on the bed - especially if you should awake with a start from a nightmare. Create a pretty sign for the wall, put a notecard or photo in a frame that stays on your nightstand, decorate the ceiling if you have to! Make something that has the current year in bold lettering, along with with other grounding or reassuring statements.
    Perhaps you need to elaborate further on where you are, how old you are, that you are safe now, or a mantra that settles or re-centers you — anything that you know you'll need to see the moment you open your eyes struggling. Whether you wake from a nightmare, re-open your eyes as you're drifting, or wrestle away flashbacks during the night, having those reminders right where you can see them - without having to work too hard to find them when you're already disoriented - can really be the thing that helps you right then until you're in a better place to help yourself more broadly.

  • Turn all the clocks in the room around. As long as you have a trusty alarm set, no one needs to see those glowing numbers taunt them with how much time you do or don’t have left to sleep. Is it 12:16 or 4:52? Who knows?! Who cares! I got time and can’t wait to use all of it on sleep!

  • Make a music playlist just for sleep.  The options here are limitless. Some folks like calming versions of songs they enjoy during the daytime, while others go for ambient music, music made for sleep, classical sonatas, or even kids' lullaby music. If you have child parts inside, sometimes an album full of kids' music (or just sprinkling a song or six into your otherwise adult playlist) can be great for all of you as a unit. Whether you like a Fisher Price or Baby Mozart album made with newborns and young children in mind, pretty Helen Jane Long albums, any of (ironically named) Sleeping At Last's instrumental tracks, or songs from your favorite film score, there is such a wide range of music that can help you strike a balance between adult you and music for a child-oriented mind.  ..no matter which end of that spectrum you'd like to fall on. And, even if you don't have parts inside, you'd be amazed how much lullaby-esque songs can soothe even the toughest of adults - sending them peacefully off to dreamland.

    Some individuals prefer there be lyrics, so as to keep their mind engaged and less likely to drift into dark places, while others need zero lyrics because they keep them awake or cause them sing along ;) Whatever you need is just right and definitely out there with a little bit of effort! Change it up weekly if you need, or keep it exactly the same so that your body always knows it's time to rest when you hear it. And? If you sleep with a partner who's anti-tunes, the lightest little bit of quiet music from beneath your pillow can still be more than enough to reach you. Headphones/earbuds are also an option, but we'll hit on those later!

  • Discover podcasts, Spotify playlists, or white noise apps that really appeal to you.  The internet and smartphones/iPads/etc have changed the game in helping people get some sleep - particularly if they cannot staaaaand silence, yet outside noise keeps them up. Entire Spotify playlists exist just for sleep. There are apps upon apps upon apps that contain soothing sounds or "white noise" options specifically designed to help you rest easier.

    If music isn't your thing but a flashing TV is too much, podcasts may be your solution. Find one you love, one that bores you to tears, or is a happy medium between fascinating and something you aren't too invested in. That way you can stop listening and fall asleep without being sad you missed something important. Podcasts without massive highs and lows in volume or content that could be stressful are most recommended. Some of us find that the podcast A Way With Words fits that bill nicely for most survivors :) But there are tons out there for you to discover.

  • Consider buying some darkening curtains/blinds. If you are super light-sensitive or find you're only able to sleep during the day, a set of darkening curtains/blinds can be a lifesaver. And the good news is, inexpensive stores like Walmart and Target even have some great options now. We're sure other outlets or discount fabric stores would have even more impressive prices, but you don't have to completely break the bank for darkening curtains anymore.

  • Conversely, buy lighter blinds if you have a hard time waking up or like to sleep all day as an escape.  We all want our blinds closed at night so no one can see in, but if you're prone to sleeping in all day or struggle with depression to the point it keeps you returning to that bed in the daytime - some lighter blinds may be what you need. A bright, sunny room is harder for many to sleep in, but it also helps keep your internal clock more aware of the time of day - willing you to stay awake even if you want to come back. Staying on a proper sleep|wake schedule during the day can make resting at night a much better experience.

  • Consider going to bed with a full tummy.  We know traditional sleep guides (and whack diet advise columns) insist on not eating an hour or more before bed. Whether they claim it gives you bad dreams or makes you gain weight, little to no science agrees. And when it comes to Complex PTSD and dissociative disorders specifically, for many survivors, an empty stomach can be upsetting for a number of reasons. Some grew up rather poor and had to go to bed hungry each night. Others were plainly denied food as punishment or as part of their abuse. Many survivors have struggled severely with eating disorders, and may still be struggling today. Some simply just could not eat after trauma when they were young, or wouldn't do so before bed if they thought trauma was imminent because it made them sick.

    All of these reasons and countless others can be terrible reminders of trauma, pain, and sickness — the simple growl of your stomach as you try to go to sleep can signal to your mind and body that you aren't okay. Something as simple as heading to bed with a moderately satisfied, or even full, tummy can lead many to feel more secure, and thusly safe enough to disengage for rest. And, eating a bit before bed can even lead some to just naturally get sleepier, solely because their body is no longer trying to get their attention to tell them they're hungry. Imagine that!

  • Try not to drink too much right before bed.  Conversely to above, drinking too much before you head to bed can not only make you feel a little sloshy when you lay down, but it frequently leads to that midnight bathroom run. Sometimes just KNOWING you'll need to go to the bathroom in the middle of the night can keep you restless and unable to fall asleep as easily just because you're on alert - anticipating when it's time to "go".  And, above all, once you've had to get up to make that pit stop, it can sometimes be nearly impossible for sooo many of you to get back to sleep. We don't want that for you.

  • Make sure to listen to what YOU need, not just what someone else tells you is good or bad to do before bed - including us!  There are countless guides out there telling you what to do and not to do at night. Whether it's the ones that say don't eat before bed, to never sleep with a TV on, not to drink ANY caffeine 12 hours (or whatever arbitrary number) before bed, to never exercise or be active at night (or the reverse!), or any other seemingly sound instruction, no rule is gospel. That includes ours!

    Some can drink coffee RIGHT up until the second they lay down without the slightest disturbance. Others require a TV on. Someone else may not be able to even tolerate laying down without having a huge mug of their favorite beverage first. Listen to your needs and know that your body may be more or less sensitive to certain things than others'. No matter what someone else insists the root of your sleep problems is, they might not be right. Only you can know that.

    We provide suggestions based on what we've seen in so very many survivors, ourselves included, but wholly recognize that it won't apply to each and every one of you. Feel free to pass on those that don't! You know you better than we (or anyone else out there) ever could. Try out new things - as you may be surprised by their effectiveness or your ability to adjust to something you thought you'd hate but turned into real help - but, ultimately, do what your body needs.

  • Invest in nicer pillows, throw blankets, or comfort items.  Not only do some of these items make your room LOOK nicer and more inviting, they are actually comforting to your physical body and mind together. They make you eager to lay down in your now very-gorgeous, soothing bed. The sense of being able to flop down on pure comfort, or cozy up in the softest, snuggliest of blankets, just automatically makes your body want to relax and let its guard down for the night.

    Don't have much money? Sometimes something as simple as buying some extra stuffing for 3 bucks on Amazon (especially if you have, or want to buy, pillows that zip close) that you can use to fluff your pillows up to your own desired squishiness can make a dramatic difference in the coziness of your bed. Sure beats a flat and sad pillow. ;) Or, just choosing to go in on one velvety soft blanket that all but swallows you up, and is only yours, can bring so much gentle peace.

  • Pajamas. In the same spirit, maybe get yourself some nice pajamas or underclothes for sleep -- something you can't wait to get into and that immediately makes you feel ready for bed. Ragged T-shirts and basic cotton bottoms with paint on them can get the job done, but if you're really struggling to sleep, sometimes just taking a little more interest in you and what you wear can be a game-changer. It's also about self-care. Not only do you just feel snuggly in your nice, new PJs, you also feel taken care of.  ...reminded that you are worth the rest you are about to get.

    You are worth more than just that disheveled tee and holey pants you've been wearing for years once they were no longer presentable in public. If you have an impossible time feeling motivated to lay down, a nice new set of PJs can make you a bit more eager to get started just so you can be in those comfy clothes sooner. (As an aside, they don't even have to be ~fancy~ pajamas by any stretch. Sometimes just getting something new is enough. It feels fresh. It feels different. It feels special. Too many of us have been in the same haggard jammies for yeeears. The lifetimes we’ve lived in them can bring reminders of the past, too. A simple item or two can spruce things up a lot and remind you that you deserve to be comfortable. You are worthy of good sleep.)

  • Linen sprays or fragrance/oils. If you aren't a fancy schmancy homemaker, you might not have known there even is such a thing as linen sprays! But, boy, are they a thing! There are so many fragrances you can put on your linens that just call to you - inviting you to breathe them in deeply and melt in deeper as you exhale. Isn't that what we all want to feel when we hit the bed for the first time after a long day?

    Find a fragrance that does that for you. The same is true for essential oils or other items that produce fragrance. Whether you believe in the calming properties of various essential oils or not isn’t important, the fragrances alone can just take you to a nice, relaxed state that speaks directly to you and your needs. …while also being a grounding presence that keeps you in the here and now.

  • Light a candle a bit before bed that will leave your room with a pleasant aroma.  We don't want you to leave candles lit while you sleep, but sometimes lighting a candle for an hour or so before bed and blowing it out still leaves the room billowing with a fragrance you love. This is not only calming, pleasant, and/or inviting (just like above), it can be really grounding as a strong scent that lingers should you re-wake.

  • Consider purchasing a tiny child's stuffed animal or baby blanket - even as an adult.  It may seem silly, but sometimes that younger you who feels so afraid of sleep can feel at ease by these little gestures. You're never too old, too cool, too tough, or too anything for a stuffed animal or small blanket. And, if you have internal parts, this simple "gift" can bring such wonderful comfort to you all.

  • Try color breathing before bed or once you lay down.  This is a wonderful way to calm down. Additional breathing techniques, especially those combined with visual imagery, may be equally as helpful if you have one you really like. You can also create your own technique! Yes, you are completely allowed to just make something up. Not every breathing technique has to come from a manual, guide, doctor, or study. Sometimes you just know what settles you best.

  • Progressive muscle relaxation. Here is one example, but there are many - some even come with audio recordings to lead you through.

  • Healing light/healing pool imagery - especially for pain.  Healing light and healing pool, along with some other similar imagery-based techniques, can be critical skills in relieving physical pain that could be the root of what's keeping you up. You can read about those here. They can also be so satisfying and relaxing for mental distress, upsetting emotions, or just the natural tension we all carry.  

  • Consider asking your therapist to make you a voice recording. They aren't hard to do anymore, as just about every smartphone has a record feature that can be easily sent through email (or even text if it's short enough). The recording could be a guided imagery, various grounding statements, or just generalized comforting thoughts to lead you to sleep. Hearing them from your therapist (or a loved one) can offer an added layer of security and calm that many of us can benefit from as we try to rest our eyes.

  • Positive reinforcements and gratitudes.  We mentioned something similar in our Nighttime 101 Guide, but that was a bit more specific to journaling practices before bed. This is something you can do in your mind alone. If you are particularly restless, in an anxious or upset place, or just can't stop the recursive self-shaming your mind wants to do as you rethink the day - consider redirecting your thoughts to name 5 positive things about the day. They don't have to be groundbreaking, but they're there. You'll find them even on the worst of days.

    Similarly, you can try thinking of 5 or 10 things you're thankful for - in general or just for that day. Others may want to pick 3-5 things you like about yourself or that you did right/well that day. Challenging other cognitive distortions may be an area someone else needs to focus on today. Whatever you need most, just be sure to flip the script on that rough tone of thought that was finding you and you'll be grateful for how much calmer and sleepier you feel. It may even improve your dream quality.

  • Do some light stretching before bed.  Tension is a jerk. It causes pain, increases anxiety, steepens depressive feelings, and just plainly makes us miserable. Some slow stretching can get the day’s excess energy that’s still zinging through your nervous system out — while soothing and calming your body down for the night. It can loosen stiff muscles, un-pinch painful spots, and send fresh blood throughout your whole system so that your body can more effectively heal and repair itself during your period of rest.

  • Temperature, pets, and outside influences.  There are so many things outside of our own selves that keep us up but that we also can’t control. So, anything we can do to tend to those things before laying down is a great step. Double-check that the temperature will still be comfortable as night falls, your pets are where they need to be (with you or closed away in their sleeping areas), family members are aware you're trying to turn down, your phone's notifications are silenced, any TV timers are set, you have any extra blankets or socks you may need ready and in reach, your contacts are out, mouthguard is washed, makeup is off, meds are taken, teeth are brushed, etc, etc.

    Double-check all the things that could make you have to get up after you've already snuggled in (or worse, already fallen asleep). No one likes having to get up after they've already experienced that first wonderful sigh climbing into bed. The second time around is never nearly as satisfying, and if you were already asleep, getting back to sleep can be a nightmare on its own. Let’s try to prevent that!

  • Wash your sheets frequently.  Simple, simple. Little is more inviting than fresh sheets to make your body feel peaceful and happy when you lay down. Crumbs, dirt, or "stale" sheets aren't exactly the most welcoming invitation for your dreams and sleep. Wash 'em. You'll be glad you did.

  • Consider buying a therapeutic pillow or (if you have the finances for it) a new mattress. This is certainly not in the realm of possibilities for everyone - and it's something most of us have all heard plenty of times.  ...but sometimes the solution to poor sleep really does lie within your physical mattress and pillow. Given that so many survivors with complex trauma are also sufferers of chronic pain, a proper mattress and pillow that supports your head and neck sufficiently may be what you truly need.

  • Invest in some soft and pliable earbuds or earplugs. For many, any outside noise at all will wake them up, startle them into symptoms, or keep them from sleeping at all. Earplugs can be either a savior or deeply unsettling (if all you hear is yourself breathing in your ears, or your pulse, it’s not exactly helpful for the anxious). But, many headphones aren't comfortable to sleep in. There are a few companies that make super soft and flimsy earbuds that have little-to-no hard plastic or metal inside your ear. Some even have fairly soft connecting pieces, that way when you lay on your side, it doesn’t hurt your ears.

    We know that Samsung makes a few, but there are most assuredly other companies out there, too. This would not only allow you to listen to music/podcasts/recordings/white noise without bothering anyone else (particularly if you have a partner or have to sleep in a more public area for any reason) - but for those really sensitive to outside noise, earbuds ensure that you hear nothing else. The sounds you want to hear just get injected into your ears, filling your whole head with goodness, while the outside worlds gets effectively shut out - leaving you free to get the sleep you need. We know some don't mind sleeping on even the hard earbuds or earplugs (and we recommend giving both a go if you don't mind them!) - but if you can't take the discomfort, spending a little extra money for the softer earbuds might let you sleep through the night, both pain- and distraction-free.

  • Look into information regarding blue light or the effect electronics can have on your sleep cycle.  There is now a ton of literature on the way the 'blue light' from our electronics can affect brain activity, but more importantly, how it can alter the cadence of our sleep cycle. There are various ways to turn this off in our devices. If this is something that concerns you, is something you want to learn more about, or is something you just want to learn how to turn off in your personal gadgets, you shouldn't have to google too far before finding what you need. It could make a difference - particularly if you're someone who is more sensitive to it than you knew!

  • Get browser extensions, or use the installed features, on your personal devices that disallow using certain apps/websites at certain times.  Ha, yes, they exist out there! Some even come on the device itself now. And there are plenty of them - for both computer and mobile - that are designed to meet your specific needs. These can be extremely helpful in getting you off youtube/social media/gaming websites if you just can't resist or are using them as a distraction to keep you from sleeping.

    Many allow you to set the times you need it run, like an "every day at this time" function, while others require you to turn it on when you need/want it in use - setting a timer for how long until you’re allowed back. Some are even created to ensure that even if you un- and re-install it, the timer will still be in effect until it runs out.  ...so you can't cheat by just getting rid of it! If you find yourself glued to your phone or computer when you should be sleeping (or working!), you may need to look into these extensions and apps that exist to help you out here.

  • Better waking up.  If you can wake up easier and more smoothly, you are much more likely to be ready for sleep when bedtime rolls around. If you have trouble with sleeping TOO long, ignoring your alarms, or returning to bed during the day, that will inevitably disrupt your sleep rhythm and leave you wide awake come nighttime. So, to target better waking:

    Set alarms that have music that MAKE you want to get up - invigorating fun music. Something that makes you happy. We don't like the idea of obnoxious, annoying alarms because that just puts you in a bad mood the very moment you open your eyes.  ...or rather, before you've even had a chance to open them yet! That doesn't make anyone want to be awake. Start your day off right with something that makes you happy. Change it often so that happy-fun-new-alarm-you-love doesn't turn into one you hate! No one likes when a good song gets ruined! ;)

    Put your phone across the room so you have to get up to turn it off. Or, incentivize. If you get up and stay up, you get to have x treat. Remind yourself that if you're truly that exhausted by late afternoon, you are allowed take a short nap then.  ...but not until you've given the day your best shot for a good while. You'll be surprised how ready to get up you actually were!

  • Just. Get. Started.  The hardest part of any task - absolutely any task whatsoever, including something as seemingly simple as heading to bed - is just getting started. Once you get up and begin your nighttime routine before bed, you'll be baffled by just how ready for sleep you really were. ...no matter how sure you were that you were totally wired and sleep was nowhere in your near future.  Just. get. started.  Once you mentally "turn off" and start heading for the pillow, you'll be consistently impressed almost every time at just how much your body was craving the collapse. ...even though it was only mere seconds ago you were convinced otherwise.

  • Give it a shot anyway.  Sufferers of chronic sleep disturbances are no stranger to the losing game of just not being able to sleep, no matter how hard they try. You can do everything right, but still be awake for ages after you lay down. After experiencing this so much over time, we can convince ourselves so confidently each night that "it's just not gonna happen tonight" - because for so much of our lives it really hasn't.

    But this kneejerk response to how we THINK sleep will go can lead that to become our reality as we stay up far longer than necessary and refuse to even entertain the idea of settling down. ...all because "we just know". But our confirmation bias - looking for only the signs that prove we were right - can actually influence what our body believes, and lead it to respond accordingly. We can become the reason we're still up, because we just decided how our body was feeling and it followed suit. And, sad to say, we're often wrong. Had we just given it a shot anyway, we would've actually been fast asleep by now.

    So, what's the worst that happens if you do give it a shot? You get nice and ready for bed and it's a no-go. Oh well. So you get up or do something in bed and try again later. But at least you're now cozier in your PJs and physically ready for bed. Then, the moment you are sleepy, you can just turn down right away instead of having to "wake yourself up" just to go get ready for bed — additionally running the risk of missing that window of opportunity we all know exists. But hey, the other possibility is: you might actually crash. You've been trained your whole life to ignore your body. You'd be amazed (and impressed) by how exhausted and ready for sleep it can actually be without you realizing it. You are very rarely going to regret trying, but you almost always regret waiting too long. ..especially the once you wake the next morning, utterly dragging yourself across the floor!

  • Finally, we can't forget about things like journaling, internal communication, grounding, medication, and more (each discussed in our first post)!  The suggestions here may be a bit easier to apply, but the skills there will be relevant and useful throughout your entire life - no matter the home you live in or the path life has taken you. Give those a look-see and don't forget their importance either :)

Some thoughts for those with DID/OSDD systems specifically:

  • Put the kiddos to bed first. For survivors with young child parts, the nighttime is often the most difficult. But, they’re also very young. They may be used to going to sleep before the adults, want a bedtime story first, or would benefit from a corrective, safe, and comforting tuck-in. You can try doing this internally with older caretaker parts on the job, in your mind yourself (either earlier in the night or once you lay down), or out in the body through the actions you take just for them. Maybe that’s reading a real children’s book to them first, putting on lullaby music or a movie just for them, or even using soothing items for tiny children just before laying down (like cuddling baby blankets, using a sucker/paci, or snuggling a stuffed animal). Just be sure your most adult self is forward before you truly drift off to sleep! We want to be sure your body and mind stay their safest after giving those kiddos what they need.

  • Change the time of internal clocks. For some survivors, there is a specific time of night they routinely find themselves waking up in distress - or, perhaps they just can’t fall asleep at all a certain time has passed. In survivors with histories of organized abuse, they may even have parts with strict rules that tell them to wake up, switch, or perform a task at specific times of the night. If that sounds possible for you, you can always alter the internal clocks instead.

    You can try pushing them ahead or behind an hour. Or, have it slow to a crawl just before that critical time - long enough to allow you a few hours’ rest - and then have it zoom forward to the correct time when it’s time to wake. There will likely be some part inside who is capable of managing this task and they may even feel really important for getting to do so. Get creative! The clock itself hasn’t done anything to you, so it no longer gets to have power over you and your lives. You can control it now :)

  • Temporarily reverse day|night shifts. Similarly, for survivors of organized abuse (and even some whose trauma was not systematic), there may be a harsh division between parts who are active during Day versus Night hours. If your system was conditioned to be active or perform jobs in the evening, sleep may feel all but impossible now on a traditional work schedule.

    Internally, there may be dials, levers or other controls that mandate or signify when the switch from Day to Night is to occur. So, it may be possible for someone inside to temporarily switch things to “Day” and let you just “take a nap”. It’s just, y’know, an 8-hour nap ;) Then, when you wake for the day, you can either choose to switch it back to Night and utilize the most wakeful and energized members of your system, or leave it as the real daytime that it is because you’ve found that still works for you all. All you have to know is that you all are in control of the levers today. If doing so will help you rest, that’s the most loving and healthy thing you can do for yourselves.

  • Simply say goodnight! You’d be surprised how much a simple acknowledgment and kind gesture of saying ‘goodnight’ to internal parts inside can do! Create a little role call in your mind, add a little g’night message to it, and take that time as you close your eyes for sleep. You may even choose to pop inside, peek your head in their respective rooms, and say it that way quickly, too. But, sometimes a little telegraph in words through the mind is enough! Some validation to feel seen, a little “I didn’t forget about you!”, can make parts feel good—helping them close their eyes, too!

 

Now it's your turn!

Because so many of these are much simpler options, we’re certain many of you have countless ideas just like 'em! Tell us, and all the other survivors reading, what you do to get some sleep!  What's the one thing you can't get to sleep without, or has made the biggest difference for you in your journey for better rest?

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MORE POSTS YOU MAY FIND HELPFUL:

  ✧  Grounding 101: 101 Grounding Techniques
  ✧  Distraction 101: 101 Distraction Tools
  ✧  Self-Care 101: 101 Self-Care Techniques
  ✧  Nighttime 101 and Nighttime 201Sleep Strategies for Complex PTSD
Color Breathing 101: How to Calm Overwhelming Emotions and Physical Pain
  ✧  Imagery 101Healing Pool and Healing Light
  ✧  DID MythsDispelling Common Misconceptions about Dissociative Identity Disorder
  ✧  Did You Know?: 8 Things We Should All Know about C-PTSD and DID
  ✧  Trauma and Attachment: 3-Part Series on Attachment Theory with Jade Miller
 
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Article Index  ❖

 


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Nighttime 101: Sleep, Nightmares, Insomnia and More

 

Getting Some Rest as a Complex Trauma Survivor

It’s no secret survivors of trauma often have an incredibly difficult time with sleep. Whether that's due to terrible nightmares, night terrors, or sleep paralysis, having a racing mind that won’t turn off, only feeling safe to sleep during the daytime, or wrestling with any of the other complications that can surround bedtime, we know the time of day most really look forward to can be the one to fill many survivors with dread. We have accumulated, utilized, and witnessed the success of a wide variety of sleep strategies over the years - tools specifically designed to help trauma survivors not only get to sleep, but do so safely and stay asleep more peacefully. In sharing some of them with you, we hope it may even shift your overall approach to sleep and, ultimately, lead to a much more secure, restorative rest. As an added bonus, you can fund reassurance knowing you are not alone, crazy, nor making too big a fuss out of “something so easy” or “basic". It is not easy; there are incredibly valid reasons this is so difficult. Be kind to yourself. And, hopefully, we can help get you some long overdue rest!

We'll be tackling four main areas: Nighttime Routine, Journaling (both before bed and as a tool for nightmares), Internal Parts (for those with DID/OSDD, but also still applicable to most), and Medication. Feel free to take what you need and just leave the rest. Also, be sure to add your own experiences, struggles, and suggestions below! You may find that someone else has the perfect solution for your biggest challenge, or - by sharing your own experiences - you spark a light bulb for someone else and bring clarity to their lifelong sleep battle. So, don’t be shy! Your voice is valuable.

 

Nighttime Routine

One staple skill for just about anyone to have in their toolbox when they're warring with sleep is: creating a nighttime routine. When you take a series of deliberate, personalized steps about 30-60 minutes before bed - and do so night after night - you send an early signal to your mind and body that you plan to disengage soon. It learns that once you've begun step one, it’s time to start slowing down, settling your heart rate, and preparing to turn off and recharge. As you likely know all too well, most (C/)PTSD minds are extremely hyperaware and vigilant for any sign of distress throughout the day, and some turn on their Expert Level mode once they suspect sleep is on the horizon. So, any early indicators you can give your mind that you plan to disconnect - while also offering reassurance that you’re both taking intentional steps to ensure it's safe to do so and that this is all in your control - can make a dramatic difference in it following suit. ..and doing so in a timely manner.

For many, this routine may start with taking nightly medications - which is a great place to start if you have any that are for sleep. Doing so 30-45 minutes before you aim to rest allows them time to take effect before your eyes are closing. Perhaps there are sitcoms or online videos you like to watch to help you unwind and shift into a lighter place. If this kind of entertainment is an important part of your evening, it’s good to add it to the routine early so that you’ve had a solid 15-30 minutes without electronics before shuteye (longer is even better, but let's start realistic!). This isn’t only a good idea because of the way digital devices keep our minds active and can affect sleep rhythms, but they are notoooorious for sucking us in and getting us to watch one more episode, scroll a little longer, or play just one more game. …or, okay, one more. ;) If you're also dissociative or just really, really avoiding sleep? I don’t think you need us to tell you that it can lead down a tech-hole that's not easy to get out of, robbing the entirety of your designated sleep hours from you. So, enjoy these treats early on, with focused intention and built-in boundaries, then continue on with the rest of your bedtime routine. Get a snack, drink some tea, or enjoy another calming treat. Feed your pets if you have them. Wash your face. Brush your teeth. Take out your contacts. Put on your PJs. Set your clothes out or gather other items that you need for the next day.  Do all the things that you need to be ready for bed while adding in any self-care items you aren’t currently doing that could be helpful to you and your sleep.

Once you’ve climbed into bed, we know this can be the hardest part. Ease into it. Go ahead and plug in your phone, set your alarms for the next day, and turn on any light music or white noise apps that you enjoy. Then, instead of just closing your eyes, you’ll want to take some extra steps that are just for your mind. This is part of the Nighttime Routine, not just what brings you to the physical bed. Whether this is done through journaling (discussed more below!) or mental imagery, do what you can to consciously put the day and alllll its stressors and triggers away. Take some time to acknowledge to yourself where you are, the year, that you are an adult, and that you are safe. Look around and do some self-talk, reminding yourself of all the ways you are secure in your home and in your room, that no one can interrupt your rest in an unsafe way now (even if you easily startle by pets, kids, or partners). If you have parts/alters inside (DID/OSDD), go ahead and take time for them; make sure their needs are met and they are ready for bed as well. (More on this below!) Then, spend a bit more time on pleasing imagery for yourself, whatever that may mean for you: safe place imagery, progressive muscle relaxation, color breathing, or just envisioning a special place you’d like to visit. Hopefully, it shouldn’t be too long before you drift.

While we know there can be other pitfalls to sleep that we’ll discuss in a moment, establishing a routine like this that you try really hard to follow in the same order each night can do wonders for your rest. Setting that rhythm and getting your mind, neurology, and whole body in sync can be the key to achieving - at the very least - a more still and restful state of being. The more you can stick with it, the better the efficacy. And hey, we know life happens. It’s okay if your routine gets interrupted or you forget a step or two. It’s less about absolute perfection and more about the intentionality of taking gradual steps away from high-alert and toward a more settled and calm you. 

Journaling

 

Journaling to Help with Sleep

One of the best ways to ensure a good night’s sleep is to practice a coping skill called containment - and, one of the most universal mediums for that is journaling. Containment allows you to temporarily “put away” difficult thoughts, feelings, memories, urges, and more by mindfully and consciously giving them a place to go. This way, you can continue on with your day - or in this case, your rest,l - without those things intrusively revisiting you.

Everyone has experienced sleep that was made more difficult by mild stress throughout the day. But, trauma triggers you've encountered, worries and fears you have about the upcoming day, memories you’ve been wrestling with, and all sorts of similarly challenging material can make it a million times harder. Taking a moment to briefly write some of these things down gives your mind a chance to acknowledge and validate how much these things are affecting you.

This is important because it keeps you from “stuffing” (pushing things down or pretending they don’t exist, don't faze you, or are so invalid they shouldn't be there at all). Stuffing nearly always results in those unpleasantries thrusting themselves back into your awareness when you least expect it or are most vulnerable (including in dreams). “Hey! I'm still here! Don’t forget me! Okay, you're ignoring me! No! Meet this need or I won't stop 'til you do!” Validating these things by jotting them down (and just a headline or bulletpoint will do - see below!) tells your mind “I see you, I can't forget you now, and I will come back this.” But, even more importantly, journaling gives it a place to go. The journal gets to hold on to it, and when you shut the book, the hard stuff is contained within its pages - allowing your mind the freedom to concentrate on more pleasant, calming thoughts. No more ruminating, bouncing from one trigger to the next, or ancient anxieties sprung from the grave. Thinking of it in this way and making the conscious effort to believe the difficult items are contained tight within your journal pages - until you want to revisit them (be it the next day, in therapy, or weeks from now) - means you're far less likely to be kept awake or have your dreams disturbed by their content in any form. This skill is especially important if you’ve been having an excess of nightmares/terrors, body memories, or unsettling dreams.

  “How long should I journal?”  “What should I write about?”  “Won’t thinking about all the hard stuff right before I lay down just make me feel WORSE?”  “I’m so tired before bed, I don’t have time for that, I just wanna sleep!”  “I have never journaled before and I’m not a writer.”

Fear not, we’ve got some answers! You don’t need to have ever journaled before to be able to benefit from or be “good” at this skill.  Because the cool thing is, you don’t even need to write full sentences. In fact, many avid journalers can get swept away in their storytelling and get themselves worked up and fully “in it” again. We don’t want that before bed! So, some useful tips include not only setting a time limit for yourself, but consider keeping it a short one. If you want to do longer journaling (which we highly support and recommend!), you can do so any other time of the day! Keeping it simple is as effective and doesn’t get your neurological system all revved up and firing again when we just settled it down via your routine. Try briefly writing a bit about your day, some of what recycles in your mind or is upsetting you, and at least a word or two on how it made you feel. For some, this may literally be just a bulleted list, no sentences at all. If the material is particularly triggering, writing a full sentence about it may take you right back there. An effective tool to prevent that, or if you just don't know how to explain a huge event with brevity, is to give it a headline. What would a newspaper title the full story? You'll know what it means because you were there; you know they story. For other material, it's possible to list what you did or what happened that day through timestamps or a web of emotional experiences. There are countless journaling techniques out there (we will likely even make a post about them one day!), so try to personalize it based on what you know about your mind and heart. Don’t give up if it the first few attempts didn't feel right! Listen to your brain and go where it needs you!

(Note: another common, justifiable, objection to journaling a lot of survivors have is the fear someone will read it. While we love the thought of you getting a journal that feels like a really personal, inviting place to hold all of your experiences for you — there is nothing wrong with or ‘lesser' in just writing via the Notes section of your phone. Then it is always on your person, you can lock entries so no one can find them, and you still help your mind displace some of its recursive thoughts by putting them somewhere outside of your sweet little head. There are also now good “hidden apps" for this on phones and computers you may want to explore, too. We are happy to help you brainstorm if your living situation isn't conducive to safe journaling.)

Final thoughts on this! Ultimately, the purpose of journaling right before bed is to put away the day’s worries and stressors, but some use it for a ‘next step’, too. While we highly recommend following your journaling up with pleasant imagery as you lay down, many incorporate that into their journaling.  They use their 'good thoughts' as a bookend to their writing so it doesn’t feel as if all the “yuck” was just left open-ended on the page. If this appeals to you, you can do so in various ways:
- Further describe a container you'd like to place these specific things in, like a locked chest deep in the sea, flown away on a private jet, a flood of emotions filling up an entire canyon in a remote desert, images projected on to a movie screen that you can leave in the theater, a filing cabinet or bank vault system with an elaborate system of locks, so many possibilities!
- End your entry with 5 to 10 statements that challenge current upsetting beliefs or distorted thoughts. Statements like, “I have worth.” “I am safe and can protect myself.” “Their beliefs about me do not MAKE me those things. I know who I am.” “I am not to blame; they made that decision.” “My needs are important.” “I am not too much.” “I am not responsible for other people's feelings.” .
- Close with: 3 positive things you like about yourself, several grounding statements, 5 good things in the day (no matter how small), and/or 10 things you are grateful for.  There are many positive, uplifting, affirmative, or calming things you can use. 

Choose whatever feels right to you and meets your greatest need in bringing things to a more peaceful, light place. Then, that satisfying thunk shut, locking away all the bad memories and heavy thoughts, can feel that much more successful - nothing bursting at the seams or already clawing to get out - because you pacified all its energy before even picking it up. It's such an excellent closer technique. ..literally!

 

Journaling to Help with Nightmares

  Journaling isn’t only a great tool to use before you go to sleep, it can also be incredibly useful after you’ve had a nightmare. Some nightmares are just too stubborn and intrusive that all the coping skills in the world beforehand can’t keep them from finding you. But, returning to sleep after one can be positively dreadful, if even possible at all.  Keeping your journal nearby may be all that lends a hand when little else does.

  Similarly to above, this can work as a kind of containment your mind really needs after all that distressing content was pulled to the forefront of your mind. Though you may be exhausted, unintelligible and handwriting illegible, scribbling down a bit of your nightmare can help you ‘get it out’ so you’re less likely to keep replaying it as you try to fall back to sleep. It also allows your journal to “hold it” for you, protect you, by keeping it far away from your mind or sleep. You don’t have to write much detail or elaborate heavily, just hitting the key components that were most distressing to you is what matters most. Just list them, give them a headline, name a few feelings, objects or people, draw something if the words are too hard—any means to get the bulk of the nightmare out of your poor head and onto something inanimate. For good measure, a lot of people like to fold that page of their journal over so they can’t even see it anymore. It gets extra-contained in its layers and thickness; unseeable. Then, you can close the book up tight, set something heavy on top of it if you please, shut it tight in a drawer, and even move to the other side of the bed if you can or feel you need to. …nothing is too silly if it helps you feel it can no longer reach you. Now you're free to think about pleasing scenery or a place you wish to be instead, knowing it is tight and secure where it belongs, and you’re in your safe place heading towards relief via rest.

  As a bonus, jotting these nightmares down can be incredibly useful to later bring to therapy. If you have a particularly recurring dream, there are strong themes in your nightmares that may be trauma-related, or you’re having actual flashbacks in your nightmares, these notes can be extremely valuable when you’re in sessions. Having them written down the moment you woke from them, as authentically and raw as they came, can help you tackle things in a much more nuanced way. This can get you through them more quickly and more accurately, which inevitably leads to better solutions for them all-around. And better sleep far sooner. Nothing could be more relieving than that!

 

 

Internal Parts (DID)

  Not all survivors with Complex PTSD have internal parts, as this is more DID-specific, but that doesn’t mean some of these ideas won’t still be helpful for all to at least consider. There are many different aspects of the whole self that can struggle with sleep, aspects of yourself that you may be unaware of or had never considered before.  For those who have DID, we know it can seem so simple or obvious that alters may be the reason your sleep is so disrupted.  But it’s also completely understandable that you might be inclined to look just about everywhere else for what may be to blame before you ever think to look inside.  "Did I have too much caffeine?" "Is this work project getting to be too much?" "Did I stay online too long?" "Maybe I shouldn’t eat that before bed anymore..?"  When there are sooo many things that can keep a person from sleeping, it never hurts to be reminded to stop and consider…hm, maybe someone inside is keeping me up.  While individual alters may be physically responsible for keeping you awake, for trauma survivors without DID, the younger aspects of yourself and traumatized parts of your mind may still need just as much attention and care.  They could very much be the source of your restlessness, too.

  For DID/OSDD systems…. Parts inside might not be intentionally trying to keep your body awake, but that is actually also a possibility, too.  Checking inside to see if someone is afraid to go to bed, has a belief that you need to be more productive or don’t deserve to sleep, or actively wants to punish you for something they feel you did wrong, are all things that could be going on beneath the surface.  Looking to see if any of these types of feelings are what’s at play may lead you to some very surprising answers.  Other possibilities may be much more innocent. Like parts making a bit of a ruckus inside, but not because they wanted to keep the body awake; it was just an accidental byproduct of their distress.  Maybe a small kiddo part really wanted a you to sleep with their favorite stuffed animal or wear your fuzzy socks. Or they needed someone inside to come tuck them in or read them a story before they could rest, which left you wide awake up front.  Other parts may be having an incredibly difficult with nightmares or triggers around bedtime that you weren’t even aware of - and their nervous energy or insomnia even on the inside may be keeping you up. Some insiders may just be ungrounded or unaware that it’s 2017, and extra grounding help before bed may be all they needed to quell their terror and lead them to sleep.  Other struggles may be more challenging to overcome, though, like a part not liking that you have to share the bed with your partner if you have one.  Issues like this may require a lot of talking and compromise before you can all get some shut-eye.  A simple nighttime snack may have been the answer for someone one night, while making sure to double-check the locks on the doors may be a absolute non-negotiable every single night for someone else.  There are countless things different parts could be having a hard time with - some that may relate to sleep and others that might not at all.  But until their needs are heard and met, you will likely be left awake. 

  The good news is that there are often solutions to many of these issues.  Some are quick fixes while others take a lot of work, time, therapy, and/or compromise. But there are usually answers somewhere, if given the proper time and attention.  If you don’t yet have good internal communication, learning what the issue even is may be the harder part for you.  But if you remain open to hearing from your mind, and let everyone know it's safe for them to express their needs or worries, you’ll likely hear (or at least pick up on) something you can work with.  Perhaps making sure all parts have gone to independent safe places before bed is what you will need to do nightly.  If they each have their own room, maybe child parts will need bedtime stories and snugs from maternal, comforting parts inside.  And, sometimes things on the outside are your answer to making parts happy - like special PJs, blankets, a fan being turned on, a favorite movie, or even something more serious like not sleeping in just undies.  The solutions may not always be comfortable to you, and this is where compromise and explaining your needs alongside theirs will be necessary.  But it’s a start.  And a start is often better than nothing if it’s been months since you’ve slept and you’ve tried EVERYTHING. If this is the first time you’ve gotten any insight to what’s keeping you up, it’s worth giving it your best effort. 

  It’s just too easy as we go about our lives to forget about parts inside or even those younger, traumatized parts of ourselves if we don’t have individual alters.  Tending to their needs, fears and worries - or just taking extra time on self-care and grounding for all of you before bed - can do wonders for your mind.  You’ve been through so very very much and your mind is going to wrestle with the idea of turning off for awhile, especially when it's the most vulnerable position you can be in all day.  It’s only natural that you may need to take some extra time, thought and attention toward your health, safety and comfort.  Yes, when you’re absolutely exhausted and just want to rest, this can feel like such a pain.  But I can promise you that it’s well worth it if it actually results in good, restorative sleep in contrast to the restless, angst-ridden wrestling and warring you’re currently doing.  Be kind to yourself, to your body, to young you and teenage you and adult you.  You each have your unique challenges, but you are all one, and that whole person in this singular body needs and deserves a great night’s rest each day of the year.  So, whenever you find yourself just having zero luck catching even a moment of decent sleep, or you're routinely waking up at the same time each night, we urge you to check inside.  See what might be going on for the rest of you that you’re often less aware of during the day.  Whether that is to each individual alter, or the traumatized and still-healing aspects of the singular you, give some thought to what you may need and ways you could tend to those worries or fears.  The worst that happens if you try and it’s not where the problem was?  Well, you just get a little extra self-care and comfort.  Shucks!   ;)

 

 

Medication

  Oh, medication — it seems it’s either the most vital necessity or the greatest enemy to complex trauma survivors.  And heck, both can even be true within the same person at different points in their life, orrr even at the same exact time!  When it comes to sleep, there are no ifs, ands, or buts about it — you absolutely must get it and you just cannot keep going if you aren’t getting a good amount.  For many of you, this will require medication at some point in your life, and that is one-hundred percent okay.  Whether the decision to try medication comes after you’ve tried everything else, or is something you jumped for at the first sign of trouble, there is never any shame in asking for, or needing, medication to help you sleep.  We fully support and recommend its assistance to you under the direction of a mental health professional (most preferably one who is familiar with complex trauma, but we know those are hard to find.  We’re working on that!).  That said, we know just as well as many of you know, that sometimes medication can just stop working one day, never really did in the first place, gave you awful side effects, left you with terrible nightmares, or is something parts inside (or even you alone) have intense misgivings about and can’t reliably take each night.  We want you to know that no matter where you fall on this spectrum of the medication journey, we empathize with you completely and are sorry that it has to be so difficult.  Sleep is so important and absolutely vital; we ache for anyone who, even after all their best efforts on their own terms, can't even rely on medication to be a sustainable resource.

  We don’t have any hard and fast answers or guidelines here, but we did want to mention its role in this battle against insomnia and nightmares.  Because, while it may not be a long-term solution, and may include some unpleasant side effects, it may still be the most welcome rescue to your desperate need for sleep. Now, just going to your personal care physician and telling them you’re having an impossible time with sleep maaay lead to them prescribing some pretty heavy duty sleeping pills.  But, we want you to know that not only are these NOT the only options out there, they aren’t always the best option for someone with your specific needs anyway. Talking with a psychiatrist tends to lead to a much more nuanced understanding of what about sleep is so difficult for you.  And this can make all the difference in getting either a medication that just physically sedates you, one that takes down your excessive anxiety so you can fall asleep organically, or even antidepressants that can regulate your body’s natural sleep cycle so that you can turn down when you want and wake when you need.

Another lesser-known but available option is a group of medications that target nightmares more specifically.  These are usually only prescribed by very knowledgable psychiatrists since they tend to affect blood pressure, and nightmares are not the medication’s primary focus.  However, in recent years, they have found that certain medications (such as MiniPress/Prazosin and Catapres/Clonidine), which typically lower blood pressure, have been affective in treating PTSD nightmares.  They do not always work and require very close monitoring of the person’s blood pressure since most who are taking it for PTSD reasons do not need their BP lowered. ...but that will still happen anyway.  However, it’s always helpful to know that some of these options exist out there and could potentially be viable for you.  You will need to talk thoroughly with your physicians to find what is right and safe for you, but just knowing there are various possibilities out there may lead you to the help you deserve.  “Sleeping pills” or the hardcore medications you’ve heard tons of awful things about are not your only option. In fact, they’re pretty rarely used for trauma patients (with exceptions of course).  Whether it’s through benzodiazepines, antidepressants, other psychiatric drugs with sedating side effects, blood pressure medications, or any other class of meds — there are so many ways to tailor your sleep regimen to your specific needs.  There is no one-size-fits-all when it comes to sleep, and that even includes within the same person.  What you needed, or did terribly with, as a teen may be the most unhelpful or perfect solution to you now.

  Of course, we know there will still be a subsection of you who have tried literally every concoction under the sun and there’s just no way to get relief through medicine.  We extend our sincerest sympathies and encourage you to look deep for internal reasons that insist you fight and override every combination of medicines thrown at you.  The mind is an incredibly powerful force and if it doesn’t want to sleep, it can beat even the most powerful of substances.  This could very much be the case for you, and really taking the time to explore why sleep is so forbidden, frightening, or “bad” could eventually unlock the mystery that’s been - quite literally - keeping you up at night.  And, if that doesn’t seem to be a fruitful exploration and you’re still desperate for some Zzz’s, it's never a bad idea to at least consider retrying medications you’ve tried once before.  The body, its chemistry, and your personal needs can change dramatically over time.  What you need now may be completely different than what you’ve been trying at this stage or in the past.  We know just how frustrating this can be and completely understand why you may've thrown your hands in the air already not wanting to try anymore.  But you deserve sleep. You NEED sleep.  We want to see your body and mind get that wonderfully restorative break.

  If you needed a nudge or for someone to tell you that it’s okay to try medication again - or for the first time - this is it.  We’re telling you it’s okay.  It doesn’t have to be forever, you don’t have to rely on them, and you can stop at any time.  But you deserve a chance at peace, comfort and rest.


  We truly hope that this has helped some of you in your fight against nightmares or insomnia.  If nothing else, we hope that it’s helped you think about this battle you face every night in a different way, and perhaps it will lead to some looooong, peaceful nights.  Please don’t forget to share your experiences or own personal tips an tricks with us and others below.  We have far too many possibilities to include them all here, so we know that you guys have even more!  And, nothing could be more helpful than a collection of survivors’ stories on how they beat what kept them up for so long and finally got some solid sleep!


 

MORE POSTS YOU MAY FIND HELPFUL:

  ✧  Grounding 101: 101 Grounding Techniques
  ✧  Distraction 101: 101 Distraction Tools
  ✧  Self-Care 101: 101 Self-Care Techniques
  ✧  Nighttime 101 and Nighttime 201Sleep Strategies for Complex PTSD
Color Breathing 101: How to Calm Overwhelming Emotions and Physical Pain
  ✧  Imagery 101Healing Pool and Healing Light
  ✧  DID MythsDispelling Common Misconceptions about Dissociative Identity Disorder
  ✧  Did You Know?: 8 Things We Should All Know about C-PTSD and DID
  ✧  Trauma and Attachment: 3-Part Series on Attachment Theory with Jade Miller
 
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Article Index  ❖

 


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