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What to Do If You Wake Up in the Middle of the Night and Can't Get Back to Sleep

Posted: 2nd July 2024

What to Do If You Wake Up in the Middle of the Night and Can't Get Back to Sleep

Understanding the Central Nervous System

The central nervous system (CNS) is the control center of your body, comprising the brain and spinal cord. It plays a crucial role in regulating sleep and wakefulness through a complex interplay of neurotransmitters and hormones. When you're awake, your CNS is in a state of alertness, ready to respond to stimuli. Conversely, when you're asleep, it shifts into a restorative mode, allowing your body to recover and rejuvenate.

However, several factors can disrupt this delicate balance and cause your CNS to remain in a heightened state of alertness, making it difficult to fall asleep or stay asleep. Stress, anxiety, poor sleep habits, and even certain foods and drinks can interfere with your CNS's ability to switch off at night.

Breathing Techniques to Calm Your Central Nervous System

One of the most effective ways to calm your CNS and promote relaxation is through controlled breathing. Breathing techniques can help activate the parasympathetic nervous system (PNS), which is responsible for the "rest and digest" response. Here are some techniques you can try:

1. 4-7-8 Breathing Technique

The 4-7-8 breathing technique is a simple yet powerful method to help calm your mind and body. Here's how to do it:

  1. Inhale: Breathe in quietly through your nose for a count of four.
  2. Hold: Hold your breath for a count of seven.
  3. Exhale: Exhale completely through your mouth for a count of eight, making a whooshing sound.

Repeat this cycle three to four times. The prolonged exhalation helps slow down your heart rate and induce a state of relaxation.

2. Diaphragmatic Breathing

Diaphragmatic breathing, also known as belly breathing, involves breathing deeply into your diaphragm rather than shallowly into your chest. This technique can help reduce stress and promote better sleep.

  1. Position: Lie on your back with your knees bent and feet flat on the floor. You can also do this sitting up.
  2. Inhale: Place one hand on your chest and the other on your belly. Breathe in deeply through your nose, allowing your belly to rise.
  3. Exhale: Exhale slowly through your mouth, feeling your belly fall.

Practice this for five to ten minutes before bed or if you wake up in the middle of the night.

3. Box Breathing

Box breathing is another effective technique to calm your CNS and reduce anxiety. It involves breathing in a rhythmic pattern, often used by athletes and military personnel.

  1. Inhale: Breathe in through your nose for a count of four.
  2. Hold: Hold your breath for a count of four.
  3. Exhale: Exhale through your mouth for a count of four.
  4. Hold: Hold your breath again for a count of four.

Repeat this cycle for several minutes. The regular pattern helps regulate your breathing and induce a sense of calm.

Good Sleep Hygiene Practices

Good sleep hygiene is essential for maintaining a healthy sleep pattern and ensuring you get quality rest. Here are some practical tips to improve your sleep hygiene:

1. Create a Consistent Sleep Schedule

Try to go to bed and wake up at the same time every day, even on weekends. Consistency helps regulate your body's internal clock and makes it easier to fall asleep and wake up naturally.

2. Create a Relaxing Bedtime Routine

Develop a calming pre-sleep routine to signal to your body that it's time to wind down. This could include activities such as reading a book, taking a warm bath, or practicing gentle yoga or meditation.

3. Limit Exposure to Screens Before Bed

The blue light emitted by phones, tablets, and computers can interfere with your body's production of melatonin, a hormone that regulates sleep. Try to avoid screens for at least an hour before bedtime.

4. Make Your Bedroom Sleep-Friendly

Ensure your bedroom is conducive to sleep. Keep the room cool, dark, and quiet. Consider using blackout curtains, earplugs, or a white noise machine if necessary. Invest in a comfortable mattress and pillows to support restful sleep.

5. Watch What You Eat and Drink

Avoid large meals, caffeine, and alcohol before bed. These can disrupt your sleep and make it harder to stay asleep. Instead, opt for light, sleep-promoting snacks such as a banana, a handful of almonds, or a small bowl of oatmeal.

6. Stay Active During the Day

Regular physical activity can help you fall asleep faster and enjoy deeper sleep. However, avoid vigorous exercise close to bedtime as it may have the opposite effect. Aim for at least 30 minutes of moderate exercise most days of the week.

Practical Examples to Implement

Here are some practical examples of how you can implement these tips and techniques when you wake up in the middle of the night and can't get back to sleep:

1. Practice Breathing Techniques

If you wake up feeling anxious or restless, try one of the breathing techniques mentioned earlier. Focus on your breath and allow yourself to relax. The rhythmic breathing will help activate your parasympathetic nervous system and promote a sense of calm.

2. Get Out of Bed

If you can't fall back asleep within 20 minutes, get out of bed and do something relaxing in low light. Avoid stimulating activities or bright screens. Read a book, listen to calming music, or practice a gentle yoga routine.

3. Create a Comfortable Environment

Make sure your bedroom is comfortable and conducive to sleep. Adjust the temperature, use blackout curtains, or add a white noise machine if needed. A comfortable environment can make it easier to fall back asleep.

4. Avoid Clock-Watching

Constantly checking the time can increase anxiety and make it harder to fall back asleep. Turn your clock away from view and focus on relaxing instead.

5. Practice Progressive Muscle Relaxation

Progressive muscle relaxation involves tensing and then relaxing each muscle group in your body. Start with your toes and work your way up to your head. This technique can help release physical tension and promote relaxation.

The Role of Mindfulness, Meditation, and Yoga

Incorporating mindfulness, meditation, and yoga into your daily routine can significantly improve your sleep quality and overall well-being.

1. Mindfulness

Mindfulness involves paying attention to the present moment without judgment. Practicing mindfulness can help reduce stress and anxiety, making it easier to fall and stay asleep. Try mindfulness exercises such as body scans, where you focus on different parts of your body, or mindful breathing, where you focus on your breath.

2. Meditation

Meditation can help calm your mind and reduce stress, promoting better sleep. Try a guided meditation or simply sit quietly and focus on your breath. If you wake up in the middle of the night, use meditation to relax and clear your mind.

3. Yoga

Yoga combines physical postures, breathing exercises, and meditation to promote relaxation and well-being. Practicing yoga before bed can help reduce physical and mental tension, making it easier to fall asleep. Try gentle yoga poses such as Child's Pose, Legs Up the Wall, or Corpse Pose.

Natural Supplements to Support Sleep

Certain natural supplements can help support your sleep and reduce the likelihood of waking up in the middle of the night. Here are a few to consider:

1. Melatonin

Melatonin is a hormone that regulates sleep-wake cycles. Taking a melatonin supplement can help signal to your body that it's time to sleep. Start with a low dose (0.5-1 mg) and adjust as needed.

2. Magnesium

Magnesium is a mineral that plays a role in muscle relaxation and sleep. Taking a magnesium supplement can help reduce insomnia and promote restful sleep. Aim for 200-400 mg before bed.

3. Valerian Root

Valerian root is an herbal supplement known for its calming effects. It can help reduce anxiety and promote better sleep. Typical doses range from 300-600 mg.

4. Chamomile

Chamomile is a herb that has been used for centuries to promote relaxation and sleep. Drinking chamomile tea before bed can help calm your mind and prepare you for sleep.

Cognitive Behavioural Therapy (CBT) for Insomnia

Cognitive Behavioural Therapy (CBT) is a highly effective treatment for insomnia. It involves identifying and changing negative thought patterns and behaviours that contribute to sleep problems. Here are some CBT techniques you can use to manage overthinking and health anxiety:

1. Identify Negative Thoughts

When you wake up in the middle of the night and can't get back to sleep, pay attention to the thoughts running through your mind. Are you worrying about the next day or ruminating on past events? Write these thoughts down and challenge them.

2. Reframe Negative Thoughts

Once you've identified your negative thoughts, try to reframe them in a more positive light. For example, if you're worried about not getting enough sleep, remind yourself that one night of poor sleep won't ruin your overall health. Focus on what you can control, such as practicing good sleep hygiene and relaxation techniques.

3. Develop a Relaxation Routine

Create a bedtime routine that incorporates relaxation techniques such as breathing exercises, mindfulness, or meditation. Stick to this routine every night to signal to your body that it's time to wind down.

4. Limit Time in Bed

If you can't fall back asleep within 20 minutes, get out of bed and do something relaxing until you feel sleepy. This helps prevent your brain from associating your bed with wakefulness.


Waking up in the middle of the night and struggling to get back to sleep can be challenging, but with the right tools and techniques, you can calm your central nervous system and promote better sleep. Incorporate breathing exercises, good sleep hygiene practices, mindfulness, meditation, and yoga into your routine to improve your sleep quality and overall well-being. Remember, you're not alone in this journey, and if you need further support, don't hesitate to reach out.


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