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Therapy with Anjum

If your mind only seems to wake up when your head touches the pillow, you are not alone. The day’s worries, unfinished tasks and tomorrow’s plans often queue up at bedtime, just when you most need rest. A night routine cannot force sleep, but it can give your body and mind a clearer signal: the day is ending, and it is safe to wind down.

The routine below is based on principles from sleep research, not on expensive gadgets or perfect conditions. Keep it simple, repeat it nightly, and give it at least two weeks before judging it. Small, consistent steps usually help more than a dramatic overhaul that lasts only two nights.

What the research says

CBT-I (cognitive behavioural therapy for insomnia, associated with researchers such as Morin and Edinger) is recommended as a first-line treatment for chronic insomnia in clinical guidelines. That matters because it shows sleep problems are often treatable by changing sleep habits and thoughts about sleep, not only by medication. Some of its principles are safe to use as general self-help, while the full programme is best delivered with professional guidance.

Its stimulus-control principle — bed only for sleep, getting up if awake for a long stretch — is supported by trials. The idea is to rebuild a strong link between bed and sleepiness. If you lie awake for a long time, scrolling or worrying, the bed gradually becomes associated with alertness instead. Getting up, doing something calm and dull in low light, and returning only when sleepy helps to break that link.

Research shows sleep and mental health influence each other in both directions, and consistent wake times anchor the body clock more strongly than bedtimes. A poor night can make anxiety and low mood worse the next day, and anxiety and low mood can make the next night harder. A regular wake time — even on weekends, as closely as you can manage — is therefore the anchor of the routine below.

Step 1: Fix your wake time

Choose a wake time you can keep most days, and set an alarm for it. When it sounds, get up, open the curtains or step outside, and seek bright light within the first hour. Morning light is one of the strongest signals to your body clock. Avoid the temptation to “catch up” with a very long lie-in after one bad night; it often pushes the next night’s sleep later and keeps the cycle going.

Step 2: Build a 45-minute wind-down

Begin winding down about 45 minutes before bed. Dim the lights, turn off work messages, and choose two or three calming activities you enjoy. For example: a warm shower, gentle stretching, reading a paper book, or listening to calm music. Keep screens out of this period if you can; if you must use a phone, switch it to night mode and avoid news, arguments and stimulating videos.

During the wind-down, do a brief “brain dump”. Write tomorrow’s tasks and any worries on paper, with one next step for each, then close the notebook. This gives racing thoughts a place to wait until morning, rather than letting them circle in bed. End the wind-down with the same small ritual each night — brushing your teeth, changing into night clothes, and a few slow breaths — so your body learns what comes next.

Step 3: Use the bed only for sleep

Go to bed only when you feel sleepy, not merely tired or bored. Keep the bedroom cool, dark and quiet, and keep work, eating and long phone sessions out of bed. If you are still awake after roughly twenty minutes, or if you feel frustration rising, get up. Go to another room, read something dull in dim light, and return only when sleepy. Repeat as needed, without watching the clock.

Try to avoid long daytime naps while you rebuild your pattern. If you must nap, keep it to twenty minutes and before mid-afternoon. Limit caffeine after midday, and keep alcohol in mind too: it may make you drowsy at first, but it often fragments sleep later in the night.

Step 4: Calm a busy mind without fighting it

When thoughts race, arguing with them usually wakes you further. Instead, try a gentle focus: slow breathing, noticing the weight of the blanket, or silently repeating a calm word with each out-breath. If a worry returns, acknowledge it briefly — “That can wait until morning; I have written it down” — and return to the breath or the blanket. Do not judge the night by one bad hour; sleep often returns in waves, and a calm body is still resting even before sleep arrives.

A sample night routine

  • Two hours before bed: finish heavy meals, vigorous exercise and work messages.
  • 45 minutes before bed: dim lights, brain dump on paper, warm shower or gentle stretch.
  • 20 minutes before bed: paper book or calm music, screens away.
  • Bedtime: lights out only when sleepy; if awake for a long stretch, get up and return when sleepy.
  • Morning: same wake time, bright light, and a short walk if possible.

When to seek professional help

Seek professional help if sleep problems last more than a few weeks, if you snore loudly, gasp or stop breathing in sleep, if you feel excessively sleepy in the daytime, or if low mood, anxiety or trauma are regularly keeping you awake. A full CBT-I programme, or a medical check for a sleep disorder, may be needed, and both are best arranged with a qualified professional.

You can read more in our earlier article, CBT for Anxiety: What the Research Shows. Sleep and mental health are closely linked, so support for one often helps the other.

Therapy with Anjum — by Anjum Mehmood Siddiqui, Consultant Clinical Psychologist, Personality Analyst and Psychotherapist. Therapy in Islamabad, Rawalpindi and online.

To take a first step, book an appointment with Therapy with Anjum today.

Disclaimer: This article is general information only. It is not a diagnosis and is not a substitute for professional care. If you feel unsafe or are thinking of harming yourself, please seek emergency help immediately.

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