Hello @britelite - I feel for you, having dealt with not sleeping for a few years. It caused me anxiety and stress which disturbed my sleeping. Round and round we go, right?
I'd like to share sleep tips from the Mayo Clinic Pain Rehabilitation Center which have helped greatly give me a plan of action on that bad word called insomnia! A bit run on, sorry, but here you go:
1. Check current meds for sleep affecting side effects and alter if possible. (I weaned off opioid, stopped medical Marijuana and other non-productive meds)
2. Create a pleasant, comfortable sleep space - cool temp, comfy bedding, quiet, dark room with fan or white noise, no clocks, loose clothing, no pets.
3. Develop good habits for sleep - go to bed and get up same time every day, establish daytime routines, avoid heavy meals 2-3 hrs before bed and eat them same time each day, exercise 20-30 min each day 4-6 hrs before bed, don't bath more than 2-3 hrs before bed (regulate body temp and keep cool), limit naps to 30 min and no sooner than 6-8 hrs before bed, limit liquids 3 hrs before bed, no caffeine after 12pm, find time each day to relax if you are under stress, write in a stress diary midday, avoid falling asleep to TV.
4. Have a routine to prepare for a good night's sleep - reserve 1-2 hrs before bed for quiet, relaxing activities like non-fiction reading, when in bed focus on images that are pleasant and relaxing, develop bedtime ritual by doing things that bring you comfort like lock doors, turn off lights, personal grooming, don't go to bed until you feel sleepy, don't use your bedroom for worrying, studying, discussing problems, arguing or paying bills. If you lay there for more than 20-30 minutes, get up out of bed and turn lights on - read a book, do word search or crossword puzzle unil feeling tired.
5. Try ear plugs or white noise if you have a snoring partner, or switch rooms if possible.
Good luck with your plan. My best advice is if it isn't working, change it. You got this! Are there any tips you can add to your sleep action plan that maybe you don't currently implement?
Rachel - thanks for taking the time to reply and writing all the helpful hints. When I can’t sleep, I often just lie awake in bed. I’ll try getting up and doing a quiet activity as you suggested.